Prognostic significance of systolic blood pressure increases in men during exercise stress testing.

Prognostic significance of systolic blood pressure increases in men during exercise stress testing. Research Abstract Details 

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Prognostic significance of systolic blood pressure increases in men during exercise stress testing. Abstract Text:

Manish Prakash Gupta,Sotir Polena,Neil Coplan,Georgia Panagopoulos,Charu Dhingra,Jonathan Myers,Victor Froelicher,Manish Prakash Gupta,Sotir Polena,Neil Coplan,Georgia Panagopoulos,Charu Dhingra,Jonathan Myers,Victor Froelicher,Manish Prakash Gupta,Sotir Polena,Neil Coplan,Georgia Panagopoulos,Charu Dhingra,Jonathan Myers,Victor Froelicher,

Our aim was to investigate whether exercise-induced increase in systolic blood pressure (BP) measured during exercise stress testing (EST) adds prognostic information to cardiovascular (CV) mortality. EST is ideally suited to evaluate the prognostic power of systolic BP; it not only measures systolic BP response to exercise but also provides information about exercise capacity and other EST variables, which may affect the peak systolic BP. The study population consisted of 6,145 consecutive patients who underwent symptom-limited EST. Using the median value of change in systolic BP from baseline, patients were grouped according to exercise-induced increases in systolic BP /= 44 mm Hg (group B, n = 3,083). Multivariate analysis was used to adjust for baseline differences between the 2 groups with CV mortality as the end point for follow-up. Six thousand one hundred forty-five men underwent EST with a mean follow-up of 6.6 years. During follow-up, 676 patients died of CV causes with an average annual CV mortality of 1.6%. CV mortality was significantly higher in group A than in group B (13.7% vs 8.2%, p <0.001). After adjusting for baseline differences in the 2 groups using multivariate analysis, an increase in systolic BP of /=44 mm Hg during EST was associated with a 23% improvement in survival over a mean follow-up of >6 years.

Prognostic significance of systolic blood pressure increases in men during exercise stress testing. Publishing Authors By Initials

MP Gupta,S Polena,N Coplan,G Panagopoulos,C Dhingra,J Myers,V Froelicher,MP Gupta,S Polena,N Coplan,G Panagopoulos,C Dhingra,J Myers,V Froelicher,MP Gupta,S Polena,N Coplan,G Panagopoulos,C Dhingra,J Myers,V Froelicher,

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Prognostic significance of systolic blood pressure increases in men during exercise stress testing. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: The American journal of cardiology

VOLUME: 100

Page Numbers: 1609-13

Journal Abbreviation: Am. J. Cardiol.

ISSN: 0002-9149

DAY: 23

MONTH: 10

YEAR: 2007

Prognostic significance of systolic blood pressure increases in men during exercise stress testing. Information

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LANGUAGE: eng

NlmUniqueID: 207277

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AFFILIATION: Lenox Hill Hospital, New York, New York.

Country: United States

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MEDLINETA: Am J Cardiol

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