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Regular exercise is another good way of reducing high blood pressure. Even though blood pressure rises steadily during exercise according to intensity of exercise, regular exercise brings down the resting blood pressure. Aerobic exercises like walking, jogging, cycling and swimming are the most suitable.
Hemodynamic effects of pulmonary regurgitation include chronic right ventricular volume overload, right ventricular dysfunction and exercise intolerance. One, the flow may be increased in the long run, leading to pulmonary hypertension and pulmonary vascular disease. Atrial arrhythmias are also common after TOF repair.
The cyanosis in Ebstein’s anomaly, is usually not due to pulmonary hypertension, but because tricuspid regurgitation jet is directed across the atrial septal defect. Ebstein’s anomaly may be associated with atrial septal defect or a patent foramen ovale, in about 50% of cases.
in hypertensives are some of the features. Dynamic gradient may be sought by glyceryl trinitrate, Valsalva manoeuvre, standing position or even symptom limited exercise. Obstruction may occur during recovery and post exercise monitoring of gradient is mandatory. Septal thickness is often 4-6 mm more than normal.
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