Prognostic value of peak exercise systolic blood pressure on long-term survival after myocardial infarction.
This study examined the association between peak exercise systolic blood pressure and other exercise test parameters and the long-term (19-year) survival of 625 patients with myocardial infarction who were original participants of the National Exercise and Heart Disease Project, a 3-year (1976 to 1979) multicenter randomized exercise clinical trial. Results show that low peak exercise systolic blood pressure (< or =140 mm Hg) was associated with increased mortality throughout the 19 years of follow-up, and men with this finding obtained no survival benefit from participating in an exercise program.
Dorn
J
J
Department of Social and Preventive Medicine, University at Buffalo, New York, USA. jdorn@acsu.buffalo.edu
Naughton
J
J
Imamura
D
D
Trevisan
M
M
D000328:Adult; D015444:Exercise / Q000502:physiology*; D005080:Exercise Test; D005500:Follow-Up Studies; D006439:Hemodynamics; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000401:mortality* / Q000503:physiopathology* / Q000534:rehabilitation; D011379:Prognosis; D016032:Randomized Controlled Trials as Topic; D017741:Survivors; D013599:Systole