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June 1, 2006European Journal of Cardiovascular Prevention & RehabilitationOpen Access

Systolic blood pressure response to exercise testing is related to the risk of acute myocardial infarction in middle-aged men

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Why the study?

Does an exaggerated systolic blood pressure response to exercise testing predict the risk of acute myocardial infarction in middle-aged men without prior coronary heart disease?

Population

1731 middle-aged men without history of coronary heart disease

Comparison

Cycle ergometer exercise test with systolic… vs Different levels of systolic blood pressure…

Design

Cohort

Follow-up

12.7 years on average

Authors

JLJari A. LaukkanenSKSudhir KurlRRRainer Rauramaa

Discussion

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Member takes

Overview

May inform risk stratification on exercise testing; leaves open need for prospective validation before practice change.

Structured PICO

Does an exaggerated systolic blood pressure response to exercise testing predict the risk of acute myocardial infarction in middle-aged men without prior coronary heart disease?

P
Population
1731 middle-aged men without history of coronary heart disease
I
Intervention
Cycle ergometer exercise test with systolic blood pressure measurement every 2 min
C
Comparator
Different levels of systolic blood pressure response (e.g., maximal SBP >230 mmHg vs lower, steep slope >9.4 mmHg/min vs gradual rise)
O
Outcome
Acute myocardial infarctionhard clinical

An exaggerated systolic blood pressure response during exercise testing independently predicts the risk of acute myocardial infarction in middle-aged men.

Cite This Study

Laukkanen et al. (2006) studied this question.

synapsesocial.com/papers/69fd288c30a474415f89de22https://doi.org/10.1097/01.hjr.0000198915.83234.59
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Relation of Leisure-Time Physical Activity and Cardiorespiratory Fitness to the Risk of Acute Myocardial Infarction in Men1994 · 804 citations
  2. 2Comparison of the electrocardiographic changes induced by maximam exercise testing with treadmill and cycle ergometer.1978 · 63 citations
  3. 3Prediction of Cardiovascular Death in Men Undergoing Noninvasive Evaluation for Coronary Artery Disease1993 · 191 citations
  4. 4Exercise Blood Pressure Predicts Mortality From Myocardial Infarction1996 · 187 citations