Open AccessHypertensive response to exercise: prevalence and impact on stress echocardiography results
Author(s) -
Egor Karev,
С. Л. Вербило,
Э. Г. Малев,
М. Н. Прокудина
Publication year - 2021
Publication title -
arterialʹnaâ gipertenziâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.126
H-Index - 5
eISSN - 2411-8524
pISSN - 1607-419X
DOI - 10.18705/1607-419x-2020-26-6-648-655
Subject(s) - medicine , cardiology , treadmill , blood pressure , heart rate , stress echocardiography , hypertensive heart disease , physical therapy , hypertensive disease , coronary artery disease , heart failure
Background. Hypertensive response of blood pressure (BP) to exercise has substantial prognostic impact. Hypertensive response to exercise is shown to be a predictor for development of hypertension and stroke. The data concerning hypertensive response to exercise influence on stress echocardiography results are controversial. Objective. The aim of the study was to assess the frequency of hypertensive response of BP to exercise and its impact on the result of the stress echocardiography on treadmill in patients with known or suspected ischemic heart disease. Design and methods. We analyzed 3434 tests performed in out-patient department during 1 month period (21.01–21.02) of every year since 2007 to 2020. We studied the occurrence of hypertensive response to exercise during exercise stress echocardiography on treadmill and its relation to positive results of the test. Results. The prevalence of hypertensive response to exercise varied from 8,6 % to 41,5 % (average in 14-year period — 23,24%), however, the proportion of tests with hypertensive response to exercise significantly declined in the period from 2015 to 2020 years. Patients with hypertensive response to exercise showed significantly more frequent positive tests in comparison to patients with normotensive BP response: 40,6 % vs 31,0% (r = 12,2, р = 0,0005), though yearly analysis showed no correlation between the number of tests with hypertensive response to exercise and number of positive tests (r = 0,21; р = 0,47). Conclusions. Significant correlation between BP response and stress echocardiography results means that hypertensive response to exercise has an impact on the test results, therefore antihypertensive treatment optimization is essential before test.