[Families of antihypertensive drugs and blood pressure exercise profiles in black Africans at the National University Hospital of Cotonou]

The study population consisted of ninety patients between the ages of 22 and 64 years. All had mild or moderate hypertension at rest and were subjected to exercise tests using a cycloergometer. The sex ratio for the patients was 0.875. Blood pressure and heart rate were recorded at three time points, at three minute intervals. The initial load was thirty watts for men and 25 watts for the women. A graph of changes in blood pressure with exercise was produced for each type of antihypertensive drug or combination of drugs. At least nine patients were treated with each type of drug or combination, and blood pressure and heart rate were recorded during exercise to produce the exercise blood pressure profile. Healthy adults generate curves that lie between Y'1 = 0.5X + 108.43 and Y"1 = 0.34X + 83.95 [2]. Any patient generating a curve lying between these two limits was regarded as having a normal exercise blood pressure profile. This study identified two groups of hypertension treatments with respect to exercise blood pressure profile. Abnormal exercise blood pressure profiles were obtained with treatments involving inhibition of calcium receptor activity, diuretics and central antihypertensive drugs. Normal exercise blood pressure profiles were obtained with treatments involving the inhibition of adrenoreceptor activity, alone or in conjunction with a diuretic, and with combined central antihypertensive drug and diuretic treatment.