Purpose: 

Exercise-based cardiac rehabilitation (CR) is essential for treating cardiovascular disease, and modifying risk factor modification, including hypertension. Because the causes of hypertension and benefits of CR are faceted, we examined the influence of phase II CR on resting blood pressure (BP).

Methods: 

Outcomes straddle the release of the updated BP guidelines, and study emphases included CR session number, sex, race/ethnicity, insurance provider, and referring diagnosis.

Results: 

Patient files of 31 885 individuals uploaded to the Montana Outcomes Project registry indicated that lowered systolic and diastolic BP were further improved after the release of the revised BP guidelines. The CR session number was proportional to improvements in diastolic BP. Blood pressure improved independent of sex, although female patients exhibited lower diastolic BP before and after CR. Race/ethnicity analyses indicated that Asian and White patients experienced drops in systolic and diastolic BP, while diastolic BP was improved in Hispanic patients. Neither American Indian nor Black patients exhibited statistically altered BP. Medicare, Veterans Administration, and privately insured patients had lowered systolic and diastolic BP, while Medicaid patients had lower diastolic BP, and the uninsured had lower systolic BP. Blood pressure outcomes were generally improved independent of the primary referring diagnosis, while those with peripheral artery disease showed no improvements.

Conclusions: 

Findings demonstrate that phase II CR is highly effective in the control of BP, although improvements are not equally distributed to all individuals according to differences in sex, race/ethnicity, and access to insurance-funded health care.

中文翻译：

---

心脏康复和静息血压：蒙大拿州结果项目心脏康复登记结果

目的： 

基于运动的心脏康复（CR）对于治疗心血管疾病和改变危险因素（包括高血压）至关重要。由于高血压的原因和 CR 的益处是多方面的，因此我们研究了 II 期 CR 对静息血压 (BP) 的影响。

方法： 

结果涵盖了更新后的 BP 指南的发布，研究重点包括 CR 会话编号、性别、种族/民族、保险提供者和转诊诊断。

结果： 

上传到蒙大拿州成果项目登记处的 31,885 名患者的患者档案表明，在发布修订后的血压指南后，降低的收缩压和舒张压得到了进一步改善。CR 次数与舒张压的改善成正比。尽管女性患者在 CR 前后表现出较低的舒张压，但血压的改善与性别无关。种族/民族分析表明，亚裔和白人患者的收缩压和舒张压下降，而西班牙裔患者的舒张压有所改善。美洲印第安人和黑人患者的血压均未表现出统计学上的改变。医疗保险、退伍军人管理局和私人保险患者的收缩压和舒张压较低，而医疗补助患者的舒张压较低，未参保的患者收缩压较低。血压结果普遍得到改善，与主要转诊诊断无关，而患有外周动脉疾病的患者则没有任何改善。

结论： 

研究结果表明，第二阶段 CR 在控制血压方面非常有效，尽管根据性别、种族/民族以及获得保险资助的医疗保健的情况的不同，改善效果并未平等地分配给所有人。