Mechanism of abnormal postexercise systolic blood pressure response and its diagnostic value in patients with coronary artery disease

Twenty-four hour blood pressure after exercise in patients with coronary artery disease

“…24 Furthermore the results in patients with coronary heart disease may differ from those of other subjects because of their medical treatment and because postexercise blood pressure appears to be influenced by the extent of coronary heart disease and of the possible exercise-induced impairment of left ventricular function. [15][16][17][18][19][20] The lower blood pressure on standing on the exercise day compared to the control day is compatible with the observation that orthostatic tolerance is impaired during the first half hour of recovery after exercise. 3 The results on subsequent ambulatory monitoring agree with those in healthy normotensive subjects, in whom ambulatory 10,12,14 or home 11 measurements of blood pressure showed that any blood pressure fall immediately after exercise was not sustained during the rest of the day.…”

“…[10][11][12]14 Similar results have been obtained in hypertensives, 11,13 but other studies 10,12,14 observed that hypotension was sustained for about 5 to 13 h after exercise. Studies in coronary artery disease concentrated on blood pressure measured during 3 to 5 min after exercise testing in order to improve the detection of ischaemia or to assess disease severity, [15][16][17][18][19][20] but we found no studies on the effect of a single bout of aerobic exercise or rehabilitation exercise training on blood pressure during longer periods of time and certainly not for 24 h after exercise in patients with coronary artery disease. An increasing number of cardiac patients are participating in rehabilitation programmes, in which the exercise intensity may be rather high.…”

Attenuated Cardiovascular Response to Sympathetic System Activation during Exercise in Patients with Dialysis-Induced Hypotension

“…There is also sympathetic stimulation that results from the release of catecholamines from large muscle groups. These muscle groups contain afferent mechanoreceptors that are stimulated by muscle contraction and release catecholamines [22,23]. Similar to exercise, a sudden reduction in the intravascular volume during HD stimulates the sympathetic system, which increases the heart rate and total peripheral vascular resistance.…”

Predictors for coronary artery disease in patients with paradoxical systolic blood pressure elevation during recovery after graded exercise

“…Accordingly, we identified the group with the highest SBP ratio during recovery, namely those of ratio equal to or higher than one, as a very high risk group for CAD or severe CAD. Left ventricular dysfunction developed during maximal exercise [6] and a rapid amelioration of left ventricular asynergy after cessation of exercise [7] ascribed as the possible mechanisms of abnormal SBP response after maximal exercise. In patients with CAD, mechanisms of abnormal SBP response post-exercise have been studied by using pulmonary artery catheterization [6,8].…”