A physically active person or athlete with hypertension can exercise or compete provided that he or she manages the disease appropriately.
Discontinue:
(1) alcohol, drug or stimulant abuse
(2) medications contributing to an elevation in blood pressure
Activities to avoid (due to the risk for a sudden rise in blood pressure):
(1) weight lifting and body building
(2) isometric or intense resistive exercise
|
Drug |
Impact |
|
alpha-adrenergic blocker, not centrally acting |
hypotension with first dose or abrupt exercise cessation |
|
angiotensin converting enzyme (ACE) inhibitor |
avoid pregnancy if female (teratogenic) dry cough |
|
angiotensin receptor blocking (ARB) agent |
avoid pregnancy if female (teratogenic) |
|
beta-adrenergic blocker |
banned by sports organizations decreased peak performance problems in regulating body temperature in the heat may provoke hypoglycemia exercise-induced asthma or bronchoconstriction |
|
calcium channel blocker (CCB), dihydropyridine |
hypotension with abrupt exercise cessation fluid retention vascular headaches reflex tachycardia |
|
calcium channel blocker (CCB), other |
hypotension with abrupt exercise cessation suppressed heart rate constipation |
|
thiazide diuretic |
banned by sports organizations problems in regulating body temperature in the heat may provoke hypoglycemia hypovolemia with orthostatic hypotension hypokalemia and hypomagnesemia |
Drugs not recommended because of side effects:
(1) loop diuretics
(2) centrally-acting alpha blockers
Purpose: To manage a physically active person or athlete with hypertension.
Specialty: Surgery, orthopedic, Cardiology
Objective: exercise, social activities, family and friends
ICD-10: I10, I15,
