Exercise Blood Pressure Predicts Mortality From Myocardial Infarction

• DOI: 10.1161/01.hyp.27.3.324
• Publication Date: 2012-06-12T00:53:46Z
• Authors: Reidar Mundal; Sverre E. Kjeldsen; Leiv Sandvik; Gunnar Erikssen; Erik Thaulow; Jan Erikssen
• Keywords: Casual; Supine position

Abstract Apparently healthy men (n=1999, 40 to 59 years old) were investigated from 1972 through 1975 determine whether systolic blood pressure during bicycle ergometer exercise predicts morbidity and mortality myocardial infarction beyond that of casual taken after 5 minutes supine rest. During a follow-up 31 984 patient-years (average, 16 years), 235 subjects had infarctions, which 143 nonfatal 92 fatal. Exercise was more strongly related than both infarction. Among 520 with ≥140 mm Hg, 304 increased their ≥200 Hg 6 at an initial workload 600 kpm/min. These excessive risk (18.8% versus 9.5% among the 1294 <140 <200 Hg; P <.001). As many as 58% those in this group died, compared 33% (range, 26% 35%) for all other groups ( =.0011), including Hg. Thus, is stronger predictor infarction, early rise adds prognostic information about otherwise middle-aged mildly elevated pressure. We suggest standardized testing may distinguish between severe less hypertension.