Key result
Elevated systolic blood pressure >195 mmHg during exercise recovery increased sudden cardiac death risk (HR 1.74), but the association became non-significant after adjusting for resting SBP.
Why the study?
Does elevated systolic blood pressure during recovery from exercise predict sudden cardiac death in middle-aged men?
Population
2,366 men (aged 42-61 years) from a representative general population sample
Comparison
Elevated systolic blood pressure at 2 min… vs Systolic blood pressure <170 mmHg at 2 min…
Design
Cohort
Follow-up
average 18.9 years
Authors
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Recovery SBP elevation does not independently predict SCD beyond resting values; leaves open whether exercise testing adds prognostic information.
Cohort (n=2,366)
Does elevated systolic blood pressure during recovery from exercise predict sudden cardiac death in middle-aged men?
Hazard Ratio: 1.74 (95% CI 1.18–2.54)
p-value: p=0.005
Elevated systolic blood pressure during exercise recovery is associated with sudden cardiac death, but it does not provide independent prognostic value beyond resting blood pressure.
Laukkanen et al. (2013) conducted a cohort in Sudden cardiac death (n=2,366). Elevated systolic blood pressure during recovery from exercise vs. SBP less than 170 mmHg was evaluated on Sudden cardiac death (SCD) (HR 1.74, 95% CI 1.18-2.54, p=0.005). Elevated systolic blood pressure >195 mmHg during exercise recovery increased sudden cardiac death risk (HR 1.74), but the association became non-significant after adjusting for resting SBP.
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