Why the study?
Does an exaggerated blood pressure response to exercise in childhood predict adult-onset essential hypertension?
Does an exaggerated blood pressure response to exercise in childhood predict adult-onset essential hypertension?
Resting systolic blood pressure and echocardiographic left ventricular mass are superior to exercise blood pressure response for predicting future hypertension.
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Resting SBP and LV mass should guide hypertension risk assessment; leaves open whether exercise BP response detects early changes in normotensives.
Whether or not an exaggerated blood pressure response to exercise in childhood predicts adult-onset essential hypertension is not known. While peak systolic blood pressure during exercise can indicate future hypertension, left ventricular mass (measured echocardiographically) and resting systolic blood pressure seem to be much better predictors. However, the blood pressure response to exercise in groups of normotensive individuals, such as those with a family history of hypertension, may identify physiologic changes associated with the early hypertensive state.
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Goble et al. (1991) studied this question.
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