Stress induced hypertensive response: Should it be evaluated more carefully?

Nagehan Kucukler, Fatih Yalçin, Theodore P. Abraham, Mario J. Garcia

Research output: Contribution to journalReview article

14 Scopus citations

Abstract

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.

Original languageEnglish (US)
Article number22
JournalCardiovascular Ultrasound
Volume9
Issue number1
DOIs
StatePublished - Aug 18 2011

Keywords

  • dobutamine stress echocardiography
  • exercise electrocardiography
  • exercise hypertension
  • myocardial perfusion imaging

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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