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Hypertensive response to exercise: a potential cause for new wall motion abnormality in the absence of coronary artery disease

Jong-Won Ha, MD, PhD^*, Eldyn M. Juracan, MD^*, Douglas W. Mahoney, MS, Jae K. Oh, MD, FACC^*, Clarence Shub, MD, FACC^*, James B. Seward, MD, FACC^* and Patricia A. Pellikka, MD, FACC^*,*

^* Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA
Section of Biostatistics, Mayo Clinic, Rochester, Minnesota, USA

View larger version (18K): [in a new window]   Figure 1 Sensitivity and specificity of exercise echocardiography according to peak systolic blood pressure response to exercise. Open bar = sensitivity; solid bar = specificity.

View larger version (17K): [in a new window]   Figure 2 Sensitivity and specificity of exercise echocardiography according to peak diastolic blood pressure response to exercise. Open bar = sensitivity; solid bar = specificity.

View larger version (61K): [in a new window]   Figure 3 Exercise echocardiogram obtained from an apical four-chamber view of the heart in a 73-year-old woman with a hypertensive response to exercise. An end-systolic image taken immediately after peak exercise (right) shows an enlarged left ventricular (LV) cavity compared with image at rest (left). LA = left atrium; RA = right atrium; RV = right ventricle.