Incidence and significance of decreases in systolic blood pressure during graded treadmill exercise testing

Morris, Stephen N.; Phillips, John; Jordan, John W.; McHenry, Paul L.

doi:10.1016/0002-9149(78)90160-1

Cited by 123 publications

(22 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…174,175 . Baixa tolerância ao esforço tem-se apresentado como o maior marcador prognóstico, permitindo identificar grupos de pacientes com risco quatro vezes maior para eventos 176 .…”

Section: -Teste Ergométricounclassified

III Diretriz sobre tratamento do infarto agudo do miocárdio

Avezum¹,

Carvalho²,

Mansur³

et al. 2004

Arq. Bras. Cardiol.

View full text Add to dashboard Cite

Classe I: evidência ou concordância geral de que o tratamento é benéfico, útil e eficaz.Classe II: evidência conflitante e/ou divergência de opinião quanto à utilidade e à eficácia do tratamento.Classe IIa: forças das evidências/opiniões em favor da utilidade e da eficácia.Classe IIb: forças das evidências/opiniões menos bem estabelecidas quanto à utilidade e à eficácia.Classe III: evidência ou concordância geral de que o tratamento não é útil/eficaz e em alguns casos pode ser prejudicial. Nível de evidência A: presença de múltiplos estudos clínicos randomizados.Nível de evidência B: presença de um único estudo clínico randomizado ou de estudos não-randomizados.Nível de evidência C: consenso de especialistas.O nível de evidência será apresentado apenas para os tratamentos do infarto do miocárdio, não se aplicando aos procedimentos diagnósticos. Todos os métodos complementares deverão ser realizados por profissionais experientes, segundo as recomendações específicas de cada especialidade.

show abstract

“…174,175 . Baixa tolerância ao esforço tem-se apresentado como o maior marcador prognóstico, permitindo identificar grupos de pacientes com risco quatro vezes maior para eventos 176 .…”

Section: -Teste Ergométricounclassified

III Diretriz sobre tratamento do infarto agudo do miocárdio

Avezum¹,

Carvalho²,

Mansur³

et al. 2004

Arq. Bras. Cardiol.

View full text Add to dashboard Cite

show abstract

“…Morris et al [18] have noted that a profound decrease in exerciseinduced blood pressure may occur in patients with obstructive cardiomyo pathy (mean decrease 39 mm Hg, range 20-56 mm Hg).…”

Section: Factors Affecting the Blood Pressure Response To Exercisementioning

confidence: 99%

“…guanethidine, or propranolol combined with alpha-methyldopa and long-acting nitrates) may also decrease blood pressure response to exercise [18], These drugs act to produce a hypotensive effect essentially by blocking the physiologic compensatory mechanisms that maintain systolic blood pressure in the presence of the normal vasodilation that occurs in exercising skeletal muscle.…”

Section: Factors Affecting the Blood Pressure Response To Exercisementioning

confidence: 99%

“…A large volume of literature has appeared recently, suggesting that a hypotensive response, or failure of the systolic blood pressure to rise in response to exercise, is a reliable sign of significant multivessel or left main coronary artery disease [10,12,13,18,[21][22][23][24][25], Irving et al [10] found in a cohort of 1,586 men with clinical coronary artery disease that the maximal systolic blood pressure during exercise cor related with the annual rate of sudden cardiac death (table IV). They con cluded that the maximal systolic pressure is a 'better predictor of mortality than S-T segment depression and arrhythmias, the traditional predictors of exercise testing'.…”

Section: Coronary Artery Disease and The Blood Pressure Response To Ementioning

confidence: 99%

“…Morris et al [18] studied 22 patients with coronary artery stenosis of greater than 75% of one or more vessels who also had exertional hypoten sion. The initial hypotensive response was reproducible in 7 of these patients who had a repeat treadmill test.…”

Section: Coronary Artery Disease and The Blood Pressure Response To Ementioning

confidence: 99%

See 2 more Smart Citations

Clinical Implications of the Blood Pressure Response to Exercise

Comess¹,

Fenster²

1981

Cardiology

View full text Add to dashboard Cite

The blood pressure response during exercise testing is useful in evaluating cardiac status. Failure of the systolic pressure to rise with increases in work load, or a hypotensive response, are signs of significant heart disease. In the patient with coronary artery disease, the maximal systolic pressure achieved during exercise correlates with survival. Exertional hypotension in coronary artery disease is an insensitive, but highly specific, indicator of three-vessel disease or significant left ventricular dysfunction.

show abstract

Clinical Significance of Early vs Late Hypotensive Blood Pressure Response to Treadmill Exercise

Watson

Mechling²,

Ewy³

1992

Arch Intern Med

View full text Add to dashboard Cite

This study identified two patterns of exercise-induced hypotension. Early, almost always due to severe coronary artery disease, and late, six times more common than early in which only half were due to coronary artery disease. Causes of a late hypotensive response to exercise that were not due to severe coronary artery disease included valvular heart disease, orthostatic hypotension, cardiomyopathy, idiopathic causes, and drugs. Drugs that contributed to a late exercise-induced hypotension response were diuretics, vasodilators, and negative inotropic agents.

show abstract

Incidence and significance of decreases in systolic blood pressure during graded treadmill exercise testing

Cited by 123 publications

References 8 publications

III Diretriz sobre tratamento do infarto agudo do miocárdio

III Diretriz sobre tratamento do infarto agudo do miocárdio

Clinical Implications of the Blood Pressure Response to Exercise

Clinical Significance of Early vs Late Hypotensive Blood Pressure Response to Treadmill Exercise

Contact Info

Product

Resources

About