PMID: 6979235May 1, 1982Paper

Decrease in systolic blood pressure during exercise testing: reproducibility, response to coronary bypass surgery and prognostic significance

The American Journal of Cardiology
D A WeinerT J Ryan

Abstract

To investigate the reproducibility and prognostic significance of an exercise-induced decrease in systolic blood pressure, 47 patients were identified who manifested such a reduction below the pre-exercise standing level in a consecutive series of 436 patients who underwent treadmill exercise testing and cardiac catheterization during a 3 year period. The prevalence of this abnormal finding was 11 percent in the total group but 21 percent in the 124 patients with three vessel or left main coronary artery disease. Patients with an exercise-induced reduction in systolic blood pressure were more likely to be male, have typical angina pectoris with class III or IV functional limitation and to have had a prior myocardial infarction than were patients without this finding (p less than 0.05). Although no complications occurred during the exercise test of these 47 patients, the majority had severe ischemic responses and 14 (30 percent) showed complex repetitive ventricular arrhythmias. Of the 47 patients, 24 (group 1a) received medical treatment and 23 (group 1b) underwent coronary bypass surgery. On repeat exercise testing in 42 patients, a decrease in systolic blood pressure during exercise was consistently present in group 1a (17 of...Continue Reading

References

Oct 1, 1979·The American Journal of Cardiology·W I LiR P Anderson
Jun 1, 1978·American Heart Journal·R LevitesG J Anderson
May 26, 1977·The American Journal of Cardiology·J B Irving, R A Bruce
May 26, 1977·The American Journal of Cardiology·P L McHenry
May 26, 1977·The American Journal of Cardiology·J B IrvingT A DeRouen
Apr 1, 1974·The American Journal of Cardiology·R A BruceD R Peterson
Dec 1, 1958·Journal of Chronic Diseases·S J CUTLER, F EDERER

❮ Previous
Next ❯

Citations

Sep 1, 1993·Journal of the American College of Cardiology·M HashimotoG Kajiyama
Jan 12, 2001·The American Journal of Cardiology·J DornUNKNOWN National Exercise and Heart Disease Project Staff
Mar 23, 2000·The American Journal of Cardiology·J NaughtonP Cleary
Jan 1, 1983·Journal of the American College of Cardiology·V F Froelicher
Jun 1, 1984·Journal of the American College of Cardiology·R I HambyI Hoffman
Jan 6, 2011·Clinical Nuclear Medicine·Christopher Allen, Wei-Jen Shih
Apr 1, 1993·British Heart Journal·G D SmithC J Mathias
Nov 1, 1989·Chest·Y DroryJ J Kellermann
Sep 9, 2008·Progress in Cardiovascular Diseases·Vy-Van LeVictor Froelicher
Jan 1, 1986·The American Journal of Cardiology·A H HakkiA S Iskandrian
Jun 15, 1992·The American Journal of Cardiology·A S IskandrianB Iskandrian
May 1, 1983·The American Journal of Cardiology·K E HammermeisterM Zia
Apr 1, 1987·Current Problems in Cardiology·G J Dehmer
Nov 1, 1988·Disease-a-month : DM·V F FroelicherA Janosi
Apr 1, 1991·International Journal of Cardiology·T S Hsu, Y S Lee
Jun 1, 1986·The American Journal of Cardiology·J L Fleg, E G Lakatta
Jul 1, 1986·Medical Decision Making : an International Journal of the Society for Medical Decision Making·T H LeeL Goldman
Oct 1, 1988·Medical Decision Making : an International Journal of the Society for Medical Decision Making·T H LeeL Goldman
Jul 9, 2008·Journal of Cardiovascular Medicine·Joseph A DiamondMilena J Henzlova
Feb 9, 2017·European Journal of Preventive Cardiology·Idan HechtRobert Klempfner
Aug 10, 2016·European Journal of Clinical Investigation·María C Bouzas-MosqueraJesús Peteiro
Jun 29, 2021·BMJ Open Sport & Exercise Medicine·Kristofer HedmanJonathan Myers

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.