{"id":48931,"date":"2006-01-01T00:00:00","date_gmt":"2018-12-04T03:48:24","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/the-prognostic-value-of-post-exercise-blood-pressure-reduction\/"},"modified":"2018-12-04T04:48:24","modified_gmt":"2018-12-04T03:48:24","slug":"the-prognostic-value-of-post-exercise-blood-pressure-reduction","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/the-prognostic-value-of-post-exercise-blood-pressure-reduction\/","title":{"rendered":"The prognostic value of post-exercise blood pressure reduction in patients with hypertensive response during exercise stress test."},"content":{"rendered":"<p style=\"text-align: justify\"><strong>BACKGROUND:<\/strong> Hypertensive response at peak-exercise and during the recovery phase of exercise stress test (ET) is associated with poor cardiovascular prognosis. We investigated whether decrease in blood pressure (BP) from peak to post-exercise would identify a subgroup at higher cardiovascular risk.<\/p>\n<p style=\"text-align: justify\"><strong>METHODS:<\/strong> Eighty-six non-hypertensive patients (0-4 cardiovascular risk factors) with hypertensive reaction at peak-ET (systolic&gt;180 mm Hg and\/or diastolic&gt;100 mm Hg) were divided based on BP 5 min after exercise termination into two groups: Normal response (NrmR) (&lt;160\/90 mm Hg), Hypertensive response (HypR) (&gt;\/=160\/90 mm Hg). Five years later the prevalence of cardiovascular risk factors and cardiovascular morbidity and mortality was assessed for each group.<\/p>\n<p style=\"text-align: justify\"><strong>RESULTS<\/strong>: Both groups had similar pre- and peak-exercise BP. However the HypR group had higher post-exercise BP (systolic: 163+\/-13 vs. 125+\/-14 mm Hg, respectively, p&lt;0.01, and diastolic: 74+\/-6 vs. 75+\/-4 mm Hg, respectively, p&lt;0.01), smaller decrease in BP after exercise (Delta systolic: 46.9+\/-3.1 vs. 73.9+\/-3.6 mm Hg, respectively, p&lt;0.01, Delta diastolic: 12.4+\/-1.5 vs. 26.5+\/-2.2 mm Hg, respectively, p&lt;0.01), and higher post- than pre-exercise BP (Delta systolic: 24.5+\/-3.5 vs. -6+\/-4.1 mm Hg, respectively, p&lt;0.01, A diastolic: 19+\/-2.1 vs. -13+\/-2.3 mm Hg, respectively, p&lt;0.01). Five years later, HypR group had higher prevalence of abnormal cholesterol serum level (p&lt;0.01), hypertension (p&lt;0.01) and combined ischemic heart disease and cerebrovascular disease (RR 1.32, 95% CI=1.13-1.54, p&lt;0.01).<\/p>\n<p style=\"text-align: justify\"><strong>CONCLUSION:<\/strong> During ET evaluation, it is important to evaluate the BP at 5 min after exercise because reduced BP drop, at this routinely measured point, identifies a subgroup with higher cardiovascular risk.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-48931","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Cardiac Ultrasound Laboratory, Massachusetts General Hospital, 55 Fruit St., VBK 508, Harvard Medical School, Boston, MA, United States; Department of Cardiology, Barzilai Medical Center, Campus of Ben-Gurion University of the Negev, Ashkelon, Israel.","annee":"2006","mois":"0","numero":"111:3","page":"352-7","auteurs":[{"ID":44145,"post_author":"0","post_date":"2018-12-04 03:18:22","post_date_gmt":"2018-12-04 02:18:22","post_content":"","post_title":"Yosefy","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"yosefy","to_ping":"","pinged":"","post_modified":"2018-12-04 03:18:22","post_modified_gmt":"2018-12-04 02:18:22","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/yosefy\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":48926,"post_author":"0","post_date":"2018-12-04 04:48:19","post_date_gmt":"2018-12-04 03:48:19","post_content":"","post_title":"Jafari","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"jafari","to_ping":"","pinged":"","post_modified":"2018-12-04 04:48:19","post_modified_gmt":"2018-12-04 03:48:19","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/jafari\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":48927,"post_author":"0","post_date":"2018-12-04 04:48:20","post_date_gmt":"2018-12-04 03:48:20","post_content":"","post_title":"Klainman","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"klainman","to_ping":"","pinged":"","post_modified":"2018-12-04 04:48:20","post_modified_gmt":"2018-12-04 03:48:20","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/klainman\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":48928,"post_author":"0","post_date":"2018-12-04 04:48:21","post_date_gmt":"2018-12-04 03:48:21","post_content":"","post_title":"Brodkin","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"brodkin","to_ping":"","pinged":"","post_modified":"2018-12-04 04:48:21","post_modified_gmt":"2018-12-04 03:48:21","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/brodkin\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":48929,"post_author":"0","post_date":"2018-12-04 04:48:22","post_date_gmt":"2018-12-04 03:48:22","post_content":"","post_title":"Handschumacher","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"handschumacher","to_ping":"","pinged":"","post_modified":"2018-12-04 04:48:22","post_modified_gmt":"2018-12-04 03:48:22","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/handschumacher\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":48930,"post_author":"0","post_date":"2018-12-04 04:48:24","post_date_gmt":"2018-12-04 03:48:24","post_content":"","post_title":"Vaturi","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"vaturi","to_ping":"","pinged":"","post_modified":"2018-12-04 04:48:24","post_modified_gmt":"2018-12-04 03:48:24","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/vaturi\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":42620,"post_author":"0","post_date":"2018-12-04 02:52:54","post_date_gmt":"2018-12-04 01:52:54","post_content":"","post_title":"INT J CARDIOL","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"int-j-cardiol-2","to_ping":"","pinged":"","post_modified":"2018-12-04 02:52:54","post_modified_gmt":"2018-12-04 01:52:54","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/int-j-cardiol-2\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v23.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>The prognostic value of post-exercise blood pressure reduction in patients with hypertensive response during exercise stress test. - Aprifel<\/title>\n<meta name=\"description\" content=\"The prognostic value of post-exercise blood pressure reduction in patients with hypertensive response during exercise stress test. - Aprifel\" \/>\n<meta name=\"robots\" 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