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- W2000819020 abstract "Background Previous studies have shown that exaggerated blood pressure (BP) during exercise is a valid risk predictor for future hypertension in most men and women, yet the use of ergometry as a means of early detection of incipient hypertension still requires confirmation. Objectives To assess the clinical utility of exercise BP measurement for the evaluation of risk for developing new-onset hypertension. Methods Thirty individuals with normal BP were enrolled in this study and were subsequently divided into two groups: 13 persons with in-exercise hypertension were compared with 17 matched persons who were normotensive during ergometry. Their blood pressure was monitored during follow-up of two years. Results More individuals in the exercise-hypertensive group developed hypertension after one or two years than those normotensive during the exercise (respectively, one year: 3 vs.0, p=0.03, two years: 10 vs. 1, p<0.0001). Both the systolic and diastolic BPs significantly differed between the two groups. Eighty four percent of those with exaggerated BP (≥210 mm Hg) during the treadmill exercise developed hypertension after 2 years. The sensitivity and specificity of in-exercise hypertension for predicting its 2 year occurrence were, respectively, 91% and 84%. Conclusion Even in the absence of hypertension, its development during stress ergometry could be considered a predictive marker for the future development of hypertension, and can be a potential tool for identifying normotensive individuals at high risk. These individuals should be followed up and their BP controlled for a long time." @default.
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- W2000819020 date "2009-07-01" @default.
- W2000819020 modified "2023-09-27" @default.
- W2000819020 title "High blood pressure response to stress ergometry could predict future hypertension" @default.
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- W2000819020 doi "https://doi.org/10.1016/j.ejim.2008.09.016" @default.
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