JACC
HOME SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES CARDIOSOURCE SEARCH HELP FEEDBACK
 QUICK SEARCH:   [advanced]


     


J Am Coll Cardiol, 1985; 5:1224-1231
© 1985 by the American College of Cardiology Foundation
This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ren, J.
Right arrow Articles by Iskandrian, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ren, J.
Right arrow Articles by Iskandrian, A.

Exercise systolic blood pressure: a powerful determinant of increased left ventricular mass in patients with hypertension

JF Ren, AH Hakki, MN Kotler, and AS Iskandrian

This study examines the relation between left ventricular mass determined by two-dimensional echocardiography and exercise blood pressure in patients with hypertension. Sixty-seven patients with hypertension and 19 normal subjects underwent treadmill exercise testing and two-dimensional echocardiography. The left ventricular mass index in the normal subjects was 80 +/- 10 g/m2 (mean +/- SD). Patients with hypertension were classified into two groups according to left ventricular mass: Group I (n = 42) had normal mass and Group II (n = 25) had increased mass (greater than 2 SD above the mean value in 19 normal subjects). There was a poor correlation between left ventricular mass and blood pressure at rest. However, a better correlation was found between left ventricular mass and exercise systolic blood pressure (r = 0.58, p less than 0.001) or the change in systolic blood pressure from rest to exercise (r = 0.48, p less than 0.001). Twenty-two (76%) of 29 patients with an exercise systolic blood pressure of 190 mm Hg or greater had an increased left ventricular mass index, whereas only 3 (8%) of 38 patients with an exercise systolic blood pressure of less than 190 mm Hg had an increased left ventricular mass index (p less than 0.0001). Thus, in patients with hypertension, left ventricular mass index is poorly related to blood pressure at rest, but is related to exercise systolic blood pressure. Patients with an exercise systolic blood pressure of 190 mm Hg or greater usually have an increased left ventricular mass. These findings may have therapeutic implications.


This article has been cited by other articles:


Home page
HypertensionHome page
J. A. Laukkanen, S. Kurl, R. Salonen, T. A. Lakka, R. Rauramaa, and J. T. Salonen
Systolic Blood Pressure During Recovery From Exercise and the Risk of Acute Myocardial Infarction in Middle-Aged Men
Hypertension, December 1, 2004; 44(6): 820 - 825.
[Abstract] [Full Text] [PDF]


Home page
QJMHome page
N. Tzemos, P.O. Lim, and T.M. MacDonald
Is exercise blood pressure a marker of vascular endothelial function?
QJM, July 1, 2002; 95(7): 423 - 429.
[Full Text] [PDF]


Home page
J Am Coll CardiolHome page
N. Miyai, M. Arita, I. Morioka, K. Miyashita, I. Nishio, and S. Takeda
Exercise BP response in subjects with high-normal BP: Exaggerated blood pressure response to exercise and risk of future hypertension in subjects with high-normal blood pressure
J. Am. Coll. Cardiol., November 1, 2000; 36(5): 1626 - 1631.
[Abstract] [Full Text] [PDF]


Home page
ChestHome page
T. D. Miller, T. F. Christian, T. G. Allison, R. W. Squires, D. O. Hodge, and R. J. Gibbons
Is Rest or Exercise Hypertension a Cause of a False-Positive Exercise Test?*
Chest, January 1, 2000; 117(1): 226 - 232.
[Abstract] [Full Text] [PDF]


Home page
J. Appl. Physiol.Home page
J. Karjalainen, M. Mantysaari, M. Viitasalo, and U. Kujala
Left ventricular mass, geometry, and filling in endurance athletes: association with exercise blood pressure
J Appl Physiol, February 1, 1997; 82(2): 531 - 537.
[Abstract] [Full Text] [PDF]


Home page
HypertensionHome page
R. Mundal, S. E. Kjeldsen, L. Sandvik, G. Erikssen, E. Thaulow, and J. Erikssen
Exercise Blood Pressure Predicts Mortality From Myocardial Infarction
Hypertension, March 1, 1996; 27(3): 324 - 329.
[Abstract] [Full Text]


Home page
CirculationHome page
J. M. Gardin, L. E. Wagenknecht, H. Anton-Culver, J. Flack, S. Gidding, T. Kurosaki, N. D. Wong, and T. A. Manolio
Relationship of Cardiovascular Risk Factors to Echocardiographic Left Ventricular Mass in Healthy Young Black and White Adult Men and Women : The CARDIA Study
Circulation, August 1, 1995; 92(3): 380 - 387.
[Abstract] [Full Text]


Home page
HypertensionHome page
N. Iwai, H. Shimoike, N. Ohmichi, and M. Kinoshita
Angiotensinogen Gene and Blood Pressure in the Japanese Population
Hypertension, April 1, 1995; 25(4): 688 - 693.
[Abstract] [Full Text]




HOME SUBSCRIPTIONS CURRENT ISSUE PAST ISSUES CARDIOSOURCE SEARCH HELP FEEDBACK
Copyright © 1985 by the American College of Cardiology Foundation.