Systolic blood pressure response to exercise testing is related to the risk of acute myocardial infarction in middle-aged men

Abstract

Both rate and levels of rise in systolic blood pressure during a progressive exercise test were risk predictors for acute myocardial infarction. These measurements provide an incremental predictive value for an acute myocardial infarction to elevated resting systolic blood pressure, emphasizing the importance of regular blood pressure measurements during exercise testing.

The determinants of blood pressure response to exercise

“…exercise and thus of the exaggerated blood pressure response to exercise (ExBP) [4]. Several studies have used ExBP to predict the development of future hypertension [5][6][7] and cardiovascular events [8][9][10]. These studies were conducted principally on treadmill and used mostly peak systolic BP or absolute increase from resting to peak values of the systolic BP [11].…”

Exaggerated exercise blood pressure response and risk of stroke in patients referred for stress testing

“…Some studies performed in asymptomatic healthy subjects found that exercise blood pressure response was associated with higher risk of cardiovascular events [4,[8][9][10], while others evaluating patients with known or suspected CAD reported an association with improved outcome [11,12,14]. However, there is limited information regarding the value of an EESBPR for predicting stroke.…”

“…While some studies reported an association of an exaggerated exercise systolic blood pressure response (EESBPR) with future hypertension [1][2][3][4][5][6][7] and cardiovascular events [4,[8][9][10] in healthy subjects, others evaluating patients with known or suspected coronary artery disease (CAD) disagree [11][12][13][14]. There is also some evidence to suggest that an EESBPR may be associated with future risk of stroke in middle-aged men without a history of CAD [15].…”

Alcohol consumption and the risk of stroke among hypertensive and overweight men

“…Blood pressure was measured with a random-zero mercury sphygmomanometer and reported as the mean of six measurements (3 supine, 1 standing, 2 sitting) of systolic (SBP) and diastolic blood pressures (DBP) [17]. Body mass index (BMI) was computed as the ratio of weight to the square of height (kg/m 2 ).…”