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1 Department of Kinesiology,
Received 3 September 1996; accepted in final form 28 January 1997.
DeSouza, Christopher A., Donald R. Dengel, Marc A. Rogers,
Kim Cox, and Richard F. Macko. Fibrinolytic responses
to acute physical activity in older hypertensive men.
J. Appl. Physiol. 82(6):
1765-1770, 1997.
fibrinolysis; exercise; tissue-type plasminogen activator; plasminogen activator inhibitor-1
We tested the hypothesis that the fibrinolytic response to acute physical activity is impaired in sedentary older hypertensive men, which may contribute to the risk of
exertion-triggered acute myocardial infarction in this population.
Tissue-type plasminogen activator (t-PA) antigen and activity and
plasminogen activator inhibitor-1 (PAI-1) antigen and activity were
measured in 12 hypertensive (69 ± 1 yr) and 11 normotensive (64 ± 1 yr) men before and after an acute bout of submaximal exercise.
Contrary to our hypothesis, there were no differences between the two
groups in the fibrinolytic response to exercise. t-PA antigen and
activity were significantly elevated in both the hypertensive (38 and
172%, respectively) and normotensive (45 and 130%, respectively)
groups immediately after exercise but they returned to resting levels
within 30 min. There was no change in PAI-1 antigen levels immediately
after exercise in either group; however, PAI-1 antigen was
significantly lower at 30 and 60 min postexercise in both the
hypertensive (31 and 16%, respectively) and normotensive (35 and 20%,
respectively) groups. PAI-1 activity was significantly lower
immediately after exercise in both the hypertensive (25%) and
normotensive (22%) groups and remained lower than preexercise levels
at 30 min (23 and 26%, respectively) and 60 min (16 and 12%,
respectively) postexercise in both groups. The results of this study
demonstrate that the fibrinolytic response to an acute bout of moderate
physical activity is not impaired in sedentary older hypertensive men.
0161-7567/97 $5.00
Copyright © 1997 the American Physiological Society
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