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Blood pressure response to exercise and cardiovascular disease

Citation

Schultz, MG and La Gerche, A and Sharman, JE, Blood pressure response to exercise and cardiovascular disease, Current Hypertension Reports, 19, (11) Article 89. ISSN 1522-6417 (2017) [Contribution to Refereed Journal]

Copyright Statement

Copyright Springer Science+Business Media, LLC 2017

DOI: doi:10.1007/s11906-017-0787-1

Abstract

Purpose of Review: This review aimed to provide a clinical update on exercise blood pressure (BP) and its relationship to cardiovascular disease (CVD), outlining key determinants of abnormal exercise BP responses. We also highlight current evidence gaps that need addressing in order to optimise the relevance of exercise BP as clinical CVD risk factor.

Recent findings: Abnormal exercise BP manifests as either exercise hypotension (low BP response) or as exaggerated exercise BP (high BP response). Exercise hypotension is an established sign of existing and likely severe CVD, but exaggerated exercise BP also carries elevated CVD risk due to its association with sub-clinical hypertension. Although exaggerated exercise BP is related to heightened CVD risk at any exercise intensity, recent data suggest that the BP response to submaximal intensity exercise holds greater prognostic and clinical significance than BP achieved at peak/maximal intensity exercise. Cardiorespiratory fitness is a strong modifier of the exercise BP response, and should be taken into consideration when assessing the association with CVD. Both exercise hypotension and exaggerated exercise BP serve as markers that should prompt evaluation for potential underlying CVD. However, the clinical utility of these markers is currently inhibited by the lack of consensus informing the definitions and thresholds for abnormalities in exercise BP.

Summary: Both exercise hypotension and exaggerated exercise BP serve as markers that should prompt evaluation for potential underlying CVD. However, the clinical utility of these markers is currently inhibited by the lack of consensus informing the definitions and thresholds for abnormalities in exercise BP.

Item Details

Item Type:Contribution to Refereed Journal
Keywords:hypertension, cardiovascular risk, exercise testing, exercise physiology
Research Division:Medical and Health Sciences
Research Group:Cardiorespiratory Medicine and Haematology
Research Field:Cardiology (incl. Cardiovascular Diseases)
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Cardiovascular System and Diseases
UTAS Author:Schultz, MG (Dr Martin Schultz)
UTAS Author:Sharman, JE (Professor James Sharman)
ID Code:124295
Year Published:2017
Web of Science® Times Cited:13
Deposited By:Menzies Institute for Medical Research
Deposited On:2018-02-16
Last Modified:2018-12-13
Downloads:0

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