title: Abnormal recovery systolic blood pressure response for detecting coronary artery disease in men and women investigated by upright bicycle exercise.
abstract: We investigated the clinical significance of recovery systolic blood pressure (SBP) ratio, obtained dividing the recovery SBP at 1st (R1/A) or 3rd min (R3/A) by the peak exercise SBP (before stopping), during upright bicycle exercise in 530 subjects (ranging from 17 to 73 years). Our results may be summarized as follows: 1) we found a higher value of R1/A in control subjects with exercise induced ST depression; 2) the normal range in women was higher than in men; 3) the use of recovery SBP ratios gives a lower sensitivity and a higher specificity than ST segment analysis in detection of CAD; 4) this pattern may be useful particularly in patients with previous myocardial infarction and not detectable ST segment analysis during exercise.
authors.affiliation: I Clinica Medica and Cattedra di Cardiologia, II School of Medicine, University of Naples.
authors.forename: M
authors.initials: M
authors.lastname: Romano
authors.forename: M R
authors.initials: MR
authors.lastname: Caiazzo
authors.forename: T
authors.initials: T
authors.lastname: Di Maro
authors.forename: E
authors.initials: E
authors.lastname: De Arcangelis
authors.forename: G
authors.initials: G
authors.lastname: Carella
authors.forename: B
authors.initials: B
authors.lastname: Golia
authors.forename: M
authors.initials: M
authors.lastname: Chiariello
authors.forename: M
authors.initials: M
authors.lastname: Condorelli
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001794:Blood Pressure / Q000502:physiology*; D003327:Coronary Disease / Q000175:diagnosis* / Q000503:physiopathology; D004562:Electrocardiography; D005080:Exercise Test; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity; D013599:Systole / Q000502:physiology