|Because renovascular hypertension can be an emergency requiring hospital treatment, rehabilitation begins after the underlying cause has been identified and treated. Rehabilitation is important to develop an exercise program that focuses on aerobic activities proven to reduce blood pressure. Recommended exercise programs for individuals recovering from the effects of renovascular hypertension include aerobic exercise for 30 to 45 minutes, at least 3 days a week.|
Moderate exercise, such as jogging, bicycling, and swimming, is used in the rehabilitation for most forms of hypertension. The benefits come from the expansion of the blood vessels in the working muscles. This decreases the total resistance in blood vessels throughout the body and enhances blood flow, resulting in a decrease in blood pressure. Because most individuals with hypertension are managed with medication, it is important that the therapist has a medication history for each individual as many of these drugs alter the acute and chronic response to exercise. If rehabilitation is done at a cardiac center, an electrocardiograph attached to the individual is used to record the continuous electrical activity of the heart muscle. A physical therapist experienced in cardiac rehabilitation keeps a daily log of the individual's blood pressure, heart rate, and cardiac rhythm.
Throughout the course of rehabilitation for renovascular hypertension, patient and family education is necessary to establish a home exercise program the individual can continue once discharged from the care of the rehabilitation professional.
Source: Medical Disability Advisor