Usefulness of Paradoxical Systolic Blood Pressure Increase After Exercise as a Predictor of Cardiovascular Mortality

Heart Rate Recovery and Systolic Blood Pressure Recovery After Maximal Exercise in Prevalent Users of Stimulant Medications

“…4 Abnormal HRR and SBP recovery, as well as chronotropic incompetence, are risk factors for all-cause mortality. 5,9,10 In two large pharmacoepidemiological studies of stimulant medication use in adults, one did not find an increased risk of serious cardiovascular events, 12 but the other found an increased risk of both sudden death/ventricular arrhythmia and all-cause death. 2 …”

“…9 SBP recovery was defined as a ratio ≥1.0 for 3 minutes post-exercise to 1 minute post-exercise SBP. 10 Baseline covariates were used for propensity score matching and were also included in all of the analytic mixed models. Self-report of current alcohol use, current smoking, family history of heart disease, history of diabetes mellitus, history of high cholesterol, current use of lipid-lowering medication, and history of hypertension were binary indicators.…”

Exercise Standards for Testing and Training

“…197 A failure of systolic blood pressure to fall or a rise in the short-term recovery period, relative to the maximal exercise value, has been shown to be predictive of an increased risk of death. 199 …”

Elevated systolic blood pressure during recovery from exercise and the risk of sudden cardiac death

“…Elevated SBP response during the exercise anticipation phase and recovery from exercise have been related to increased risk of resting hypertension [6,20] and stroke [18], and cardiovascular mortality [25,29]. However, SBP decrease from peak exercise to recovery phase was not related to cardiovascular mortality in a previous study, although the effect of resting blood pressure compared to exercise blood pressure was not reported [30].…”