Significance of Exertional Hypotension in Apparently Healthy Men

Ben-Ari, Efraim; Fisman, Enrique Z.; Pines, Amos; Dlin, R; Kessler, G; Kellermann, Jan J.

doi:10.1097/00008483-199003000-00003

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Systolic Abnormality1

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Cited by 3 publications

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“…The third, and clinically the most common response, which is seen especially in patients following an infarction, is a normal submaximum response with a precipitous fall in systolic pressure at higher workloads (see Fig. 20 The classic use of a target heart rate or rating of perceived exertion for assigning the intensity of exercise may not be appropriate for patients with this abnormality. This response is often associated with pronounced ST-segment depression, angina, cardiomyopathy, and large infarctions with poor ejection fractions.…”

Section: Systolic Abnormalitymentioning

confidence: 99%

Normal and Abnormal Cardiopulmonary Responses to Exercise

Irwin¹

2004

Cardiopulmonary Physical Therapy

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Section: Systolic Abnormalitymentioning

confidence: 99%

Normal and Abnormal Cardiopulmonary Responses to Exercise

Irwin¹

2004

Cardiopulmonary Physical Therapy

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Exertional hypotension in thoracic spinal cord injury: case report

et al. 1992

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Exertional hypotension is well described in quadraplegics, but there are few descriptions of this hemodynamic response in paraplegics or of treatment modalities to correct this condition. We describe a patient with a complete T3-4 spinal cord lesion who repeatedly demonstrated symptomatic hypotension with wheelchair sports and arm ergometry. We used gas exchange analysis and exercise echocardiography to delineate the mechanism for hypotension. These results enabled us to develop a simple treatment plan consisting of abdominal binding and elastic stockings to avoid recurrent symptoms.

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