Stress induced hypertensive response: should it be evaluated more carefully?
<p>Abstract</p> <p>Various diagnostic methods have been used to evaluate hypertensive patients under physical and pharmacological stress. Several studies have shown that exercise hypertension has an independent, adverse impact on outcome; however, other prognostic studies have show...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2011-08-01
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| Series: | Cardiovascular Ultrasound |
| Subjects: | |
| Online Access: | http://www.cardiovascularultrasound.com/content/9/1/22 |
| _version_ | 1818143328061882368 |
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| author | Kucukler Nagehan Yalçin Fatih Abraham Theodore P Garcia Mario J |
| author_facet | Kucukler Nagehan Yalçin Fatih Abraham Theodore P Garcia Mario J |
| author_sort | Kucukler Nagehan |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Various diagnostic methods have been used to evaluate hypertensive patients under physical and pharmacological stress. Several studies have shown that exercise hypertension has an independent, adverse impact on outcome; however, other prognostic studies have shown that exercise hypertension is a favorable prognostic indicator and associated with good outcome. Exercise hypertension may be encountered as a warning signal of hypertension at rest and future hypertensive left ventricular hypertrophy. The results of diagnostic stress tests support that hypertensive response to exercise is frequently associated with high rate-pressure product in hypertensives. In addition to the observations on high rate-pressure product and enhanced ventricular contractility in patients with hypertension, evaluation of myocardial contractility by Doppler tissue imaging has shown hyperdynamic myocardial function under pharmacological stress. These recent quantitative data in hypertensives suggest that hyperdynamic myocardial function and high rate-pressure product response to stress may be related to exaggerated hypertension, which may have more importance than that it has been already given in clinical practice.</p> |
| first_indexed | 2024-12-11T11:29:55Z |
| format | Article |
| id | doaj.art-ad268c16ef9a45a39e2db0694e997295 |
| institution | Directory Open Access Journal |
| issn | 1476-7120 |
| language | English |
| last_indexed | 2024-12-11T11:29:55Z |
| publishDate | 2011-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Cardiovascular Ultrasound |
| spelling | doaj.art-ad268c16ef9a45a39e2db0694e9972952022-12-22T01:08:54ZengBMCCardiovascular Ultrasound1476-71202011-08-01912210.1186/1476-7120-9-22Stress induced hypertensive response: should it be evaluated more carefully?Kucukler NagehanYalçin FatihAbraham Theodore PGarcia Mario J<p>Abstract</p> <p>Various diagnostic methods have been used to evaluate hypertensive patients under physical and pharmacological stress. Several studies have shown that exercise hypertension has an independent, adverse impact on outcome; however, other prognostic studies have shown that exercise hypertension is a favorable prognostic indicator and associated with good outcome. Exercise hypertension may be encountered as a warning signal of hypertension at rest and future hypertensive left ventricular hypertrophy. The results of diagnostic stress tests support that hypertensive response to exercise is frequently associated with high rate-pressure product in hypertensives. In addition to the observations on high rate-pressure product and enhanced ventricular contractility in patients with hypertension, evaluation of myocardial contractility by Doppler tissue imaging has shown hyperdynamic myocardial function under pharmacological stress. These recent quantitative data in hypertensives suggest that hyperdynamic myocardial function and high rate-pressure product response to stress may be related to exaggerated hypertension, which may have more importance than that it has been already given in clinical practice.</p>http://www.cardiovascularultrasound.com/content/9/1/22exercise hypertensionexercise electrocardiographymyocardial perfusion imagingdobutamine stress echocardiography |
| spellingShingle | Kucukler Nagehan Yalçin Fatih Abraham Theodore P Garcia Mario J Stress induced hypertensive response: should it be evaluated more carefully? Cardiovascular Ultrasound exercise hypertension exercise electrocardiography myocardial perfusion imaging dobutamine stress echocardiography |
| title | Stress induced hypertensive response: should it be evaluated more carefully? |
| title_full | Stress induced hypertensive response: should it be evaluated more carefully? |
| title_fullStr | Stress induced hypertensive response: should it be evaluated more carefully? |
| title_full_unstemmed | Stress induced hypertensive response: should it be evaluated more carefully? |
| title_short | Stress induced hypertensive response: should it be evaluated more carefully? |
| title_sort | stress induced hypertensive response should it be evaluated more carefully |
| topic | exercise hypertension exercise electrocardiography myocardial perfusion imaging dobutamine stress echocardiography |
| url | http://www.cardiovascularultrasound.com/content/9/1/22 |
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