Site of myocardial ischemia as a determinant of postexercise blood pressure and heart rate response in 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.…”

Using an Abnormal Increase in Postexercise Systolic Blood Pressure to Diagnose Coronary Artery Disease in Gerontal Patients

“…7 -9 The sensitivity of the SBP increase was attenuated in CAD patients with single right coronary artery lesions, distal coronary artery lesions or hypertension, possibly because cardiac output fluctuations were less frequently observed in the areas supplied by impaired arteries in these circumstances. 29,31,32 In addition, single right (or distal) coronary artery lesions and hypertension are less likely to disrupt left ventricular function during TET, compared with multiple lesions, or lesions in other cardiac regions. 29,31,32 There were some limitations to the present study.…”

“…29,31,32 In addition, single right (or distal) coronary artery lesions and hypertension are less likely to disrupt left ventricular function during TET, compared with multiple lesions, or lesions in other cardiac regions. 29,31,32 There were some limitations to the present study. First, the number of patients was small and testing of the reliability of the SBP increase was not performed.…”

Kinetics of Pulmonary Gas Exchange During and While Recovering From Exercise in Patients After Anterior Myocardial Infarction

“…Thus, we selected only patients with anterior myocardial infarction because both the etiology of cardiac disease and a mixed-site infarction can influence HR kinetics. 34 However, the time constant of V…”