Key result
Frequent symptomatic extrasystoles in patients with stage II hypertension were associated with significantly worse self-assessed well-being compared to those without arrhythmias (p<0.001), though physical activity reduced extrasystole frequency in over 70% of patients.
Why the study?
How do frequent extrasystoles affect well-being, and does physical activity impact the frequency of extrasystoles in patients with stage II hypertension?
Cross-Sectional (n=156)
Yes
How do frequent extrasystoles affect well-being, and does physical activity impact the frequency of extrasystoles in patients with stage II hypertension?
In patients with stage II hypertension and frequent extrasystoles, physical activity often reduces arrhythmia frequency, suggesting a benign functional nature despite impaired subjective well-being.
Supports prioritizing SVE assessment in stage II hypertension; leaves open prognostic value and management implications.
A total of 124 patients with stage II hypertension and frequent symptomatic extrasystoles aged 27 to 75 years were examined. They formed the main clinical sample of the study. Supraventricular extrasystoles (SVE) were recorded in 74 (59.7 %) patients, and ventricular (VE) in 50 (40.3 %) patients. It should be assumed that in patients with stage II hypertension and frequent extrasystole, the supraventricular variant is more common. Also, we examined 32 patients with stage II hypertension without any cardiac arrhythmias who were included in the comparison group. In addition to the mandatory examination methods, all patients were analyzed using visual analog scales of well-being and physical activity and an exercise test. Patients with frequent extrasystole, regardless of the location, have significantly (p<0.001) worse well-being according to the visual analog scale with relatively preserved physical activity. According to the results of our analysis, in 73.4 % and 70.0 % of the subjects with SVE and VE respectively, the physical activity (walking upstairs 10 floors at usual pace), leads to the vanishing or significant reduction in the frequency of extrasystoles, which indicates a better functional state of the heart and the absence of severe cardiovascular pathology in those patients.
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Іvankova et al. (2025) conducted a cross-sectional in Stage II arterial hypertension and frequent extrasystoles (n=156). Frequent symptomatic extrasystoles vs. No cardiac arrhythmias was evaluated on Self-assessment of well-being on a visual analog scale (0-100 mm) (p=<0.001). Frequent symptomatic extrasystoles in patients with stage II hypertension were associated with significantly worse self-assessed well-being compared to those without arrhythmias (p<0.001), though physical activity reduced extrasystole frequency in over 70% of patients.
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