Clinical and Prognostic Value of Exaggerated Blood Pressure Response to Exercise
The hypertensive response to exercise testing, defined as exaggerated blood pressure response (EBPR), has been documented to be independently associated with unhealthy conditions, carrying an increased risk of future hypertension, cardiovascular (CV) morbidity and mortality. In treated hypertensives...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
IMR Press
2023-02-01
|
| Series: | Reviews in Cardiovascular Medicine |
| Subjects: | |
| Online Access: | https://www.imrpress.com/journal/RCM/24/3/10.31083/j.rcm2403064 |
| _version_ | 1797861287689977856 |
|---|---|
| author | Cesare Cuspidi Andrea Faggiano Elisa Gherbesi Carla Sala Guido Grassi Marijana Tadic |
| author_facet | Cesare Cuspidi Andrea Faggiano Elisa Gherbesi Carla Sala Guido Grassi Marijana Tadic |
| author_sort | Cesare Cuspidi |
| collection | DOAJ |
| description | The hypertensive response to exercise testing, defined as exaggerated blood pressure response (EBPR), has been documented to be independently associated with unhealthy conditions, carrying an increased risk of future hypertension, cardiovascular (CV) morbidity and mortality. In treated hypertensives, EBPR is a marker of uncontrolled hypertension, a condition previously undetected by office blood pressure (BP) measurements at rest; EBPR may also detect masked hypertension, a phenotype characterized by normal BP values in the medical environment but elevated home or ambulatory BP monitoring (ABPM). The aim of the present review is to provide a comprehensive and up-dated information on the clinical importance of EBPR targeting the following issues: (I) definition and prevalence; (II) underlying mechanisms; (III) clinical correlates and association with subclinical organ damage; (IV) predictive value; (V) clinical decision making. |
| first_indexed | 2024-04-09T21:59:49Z |
| format | Article |
| id | doaj.art-7b755ddb740547e7aa1c4af93e463f10 |
| institution | Directory Open Access Journal |
| issn | 1530-6550 |
| language | English |
| last_indexed | 2024-04-09T21:59:49Z |
| publishDate | 2023-02-01 |
| publisher | IMR Press |
| record_format | Article |
| series | Reviews in Cardiovascular Medicine |
| spelling | doaj.art-7b755ddb740547e7aa1c4af93e463f102023-03-24T02:12:28ZengIMR PressReviews in Cardiovascular Medicine1530-65502023-02-012436410.31083/j.rcm2403064S1530-6550(22)00846-8Clinical and Prognostic Value of Exaggerated Blood Pressure Response to ExerciseCesare Cuspidi0Andrea Faggiano1Elisa Gherbesi2Carla Sala3Guido Grassi4Marijana Tadic5Department of Medicine and Surgery, University of Milano-Bicocca, 20126 Milano, ItalyDepartment of Clinical Sciences and Community Health, University of Milano, 20122 Milano, ItalyDepartment of Cardio-Thoracic-Vascular Diseases, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milano, ItalyDepartment of Clinical Sciences and Community Health, University of Milano, 20122 Milano, ItalyDepartment of Medicine and Surgery, University of Milano-Bicocca, 20126 Milano, ItalyDepartment of Cardiology, University Hospital “Dr. Dragisa Misovic-Dedinje'', 11000 Belgrade, SerbiaThe hypertensive response to exercise testing, defined as exaggerated blood pressure response (EBPR), has been documented to be independently associated with unhealthy conditions, carrying an increased risk of future hypertension, cardiovascular (CV) morbidity and mortality. In treated hypertensives, EBPR is a marker of uncontrolled hypertension, a condition previously undetected by office blood pressure (BP) measurements at rest; EBPR may also detect masked hypertension, a phenotype characterized by normal BP values in the medical environment but elevated home or ambulatory BP monitoring (ABPM). The aim of the present review is to provide a comprehensive and up-dated information on the clinical importance of EBPR targeting the following issues: (I) definition and prevalence; (II) underlying mechanisms; (III) clinical correlates and association with subclinical organ damage; (IV) predictive value; (V) clinical decision making.https://www.imrpress.com/journal/RCM/24/3/10.31083/j.rcm2403064exaggerated blood pressure response to exercisehypertensiontarget organ damagecardiovascular disease |
| spellingShingle | Cesare Cuspidi Andrea Faggiano Elisa Gherbesi Carla Sala Guido Grassi Marijana Tadic Clinical and Prognostic Value of Exaggerated Blood Pressure Response to Exercise Reviews in Cardiovascular Medicine exaggerated blood pressure response to exercise hypertension target organ damage cardiovascular disease |
| title | Clinical and Prognostic Value of Exaggerated Blood Pressure Response to Exercise |
| title_full | Clinical and Prognostic Value of Exaggerated Blood Pressure Response to Exercise |
| title_fullStr | Clinical and Prognostic Value of Exaggerated Blood Pressure Response to Exercise |
| title_full_unstemmed | Clinical and Prognostic Value of Exaggerated Blood Pressure Response to Exercise |
| title_short | Clinical and Prognostic Value of Exaggerated Blood Pressure Response to Exercise |
| title_sort | clinical and prognostic value of exaggerated blood pressure response to exercise |
| topic | exaggerated blood pressure response to exercise hypertension target organ damage cardiovascular disease |
| url | https://www.imrpress.com/journal/RCM/24/3/10.31083/j.rcm2403064 |
| work_keys_str_mv | AT cesarecuspidi clinicalandprognosticvalueofexaggeratedbloodpressureresponsetoexercise AT andreafaggiano clinicalandprognosticvalueofexaggeratedbloodpressureresponsetoexercise AT elisagherbesi clinicalandprognosticvalueofexaggeratedbloodpressureresponsetoexercise AT carlasala clinicalandprognosticvalueofexaggeratedbloodpressureresponsetoexercise AT guidograssi clinicalandprognosticvalueofexaggeratedbloodpressureresponsetoexercise AT marijanatadic clinicalandprognosticvalueofexaggeratedbloodpressureresponsetoexercise |