Elevated systolic blood pressure during recovery from exercise and the risk of sudden cardiac death

Laukkanen, Jari A.; Willeit, Peter; Kurl, Sudhir; Mäkikallio, Timo H.; Savonen, Kai; Ronkainen, Kimmo; Rauramaa, Rainer

doi:10.1097/hjh.0000000000000066

Cited by 19 publications

(19 citation statements)

References 36 publications

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“…As an alternative, we should be cautious with exercise intensity so as to circumvent cardiovascular problems after exercise in this population. This is reinforced by a previous study conducted by Laukkanen (Laukkanen et al 2014), which stated that abnormal cardiovascular recovery following exercise is related to risk of sudden cardiac death. Bearing this in mind, we highlighted the theory that subjects with HADS>12 (viable anxiety or depression) would display delayed autonomic recovery following exercise.…”

Section: Introductionmentioning

confidence: 78%

“…Our study affords important data for subjects with high levels of anxiety or depression evaluated through the HADS. Previously, Laukkanen et al (Laukkanen et al 2014) suggested that higher values of SAP during recovery from exercise is connected with increased risk of sudden cardiac death. The authors examined 2366 men between 42 and 61 years old.…”

Section: Discussionmentioning

confidence: 99%

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Association Between Hospital Anxiety Depression Scale and Autonomic Recovery Following Exercise

Santana¹,

Garner

Moraes³

et al. 2019

J Clin Psychol Med Settings

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The hospital anxiety depression scale (HADS) is a benchmark used to investigate possible and probable cases of psychosomatic illness. Its affiliation with autonomic recovery after exercise is unclear and, as a technique applied to evaluate cardiovascular risk. We assessed a possible link between HADS and autonomic recovery after exercise. We studied healthy subjects split into two groups: Low HADS (n=20) and High HADS (n=21). Subjects consented to moderate aerobic exercise on a treadmill at 60% to 65% of the maximum heart rate (HR) for 30 minutes. We studied HR variability (HRV) before and during 30 minutes after exercise. Subjects with higher HADS values presented delayed recovery of HR and RMSSD (root-mean square of differences between adjacent normal RR intervals) after submaximal exercise. RMSSD during recovery from exercise had a significant association with HADS. In summary, subjects with higher HADS presented slower vagal recovery following exercise.

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Section: Introductionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Association Between Hospital Anxiety Depression Scale and Autonomic Recovery Following Exercise

Santana¹,

Garner

Moraes³

et al. 2019

J Clin Psychol Med Settings

View full text Add to dashboard Cite

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“…Delayed heart rate (HR) recovery (HRR) is associated with impaired prognosis in patients with CAD [10][11][12] and T2D [13,14]. Also, high systolic blood pressure (SBP) during recovery has been associated with risk for cardiovascular morbidities without assessment of the SBP change during recovery in these studies [15][16][17]. Among patients referred to exercise testing, SBP recovery/peakratio was a potent predictor of death but not independently of HRR [18].…”

Section: Introductionmentioning

confidence: 94%

Recovery of rate-pressure product and cardiac mortality in coronary artery disease patients with type 2 diabetes

Kiviniemi

Kenttä

Lepojärvi

et al. 2019

Diabetes Research and Clinical Practice

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Aims: To investigate prognostic significance of post-exercise recovery of rate-pressure product (RPP) in patients with stable coronary artery disease (CAD) and type 2 diabetes (T2D). Methods: Patients with angiographically documented CAD and T2D (n=697) underwent symptomlimited bicycle exercise test. Exercise capacity (EC), heart rate, blood pressure and RPP responses to peak exercise and recovery (2' and 5' after cessation of exercise) were analyzed. Cardiac death was the primary and sudden cardiac death (SCD) secondary endpoint. Results: During a median follow-up of 76 months, 49 cardiac deaths (7.0%) and 28 SCDs (4.0%) were observed. The recovery of RPP at 5' was the strongest univariate predictor of cardiac death (hazard ratio [HR]: 2.55 per SD decrease, 95%CI: 1.82-3.58, p<0.001) and SCD (HR: 2.34, 95%CI: 1.51-3.62, p<0.001). In multivariate analysis, it remained significantly associated to cardiac death and SCD

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“…All hospital documents, including medical records, laboratory and ECG findings from hospital and paramedical staff, and the use of medications and defibrillators, were available to use. 10 All deaths that occurred by the end of 2014 were checked against the hospital documents, health center wards, and death certificates. There were no losses to follow-up.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Marriage Dissatisfaction and the Risk of Sudden Cardiac Death Among Men

Isiozor

Kunutsor

Laukkanen

et al. 2019

The American Journal of Cardiology

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Elevated systolic blood pressure during recovery from exercise and the risk of sudden cardiac death

Abstract: This study shows that SBP during recovery phase from exercise is related to the risk of SCD, although its prognostic value is limited in conjunction with the assessment of resting SBP in the general male population.

Cited by 19 publications

References 36 publications

Association Between Hospital Anxiety Depression Scale and Autonomic Recovery Following Exercise

Association Between Hospital Anxiety Depression Scale and Autonomic Recovery Following Exercise

Recovery of rate-pressure product and cardiac mortality in coronary artery disease patients with type 2 diabetes

Marriage Dissatisfaction and the Risk of Sudden Cardiac Death Among Men

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