title: Exaggerated blood pressure response to exercise is not associated with masked hypertension in patients with high normal blood pressure levels.
abstract: The association between exaggerated blood pressure (BP) response to exercise (ExBPR) and "masked hypertension" is unclear. Medical records of patients with high-normal BP who were evaluated in the Chaim Sheba Screening Institute Ramat Gan, Israel, during the years 2002-2007 and referred for 24-hour ambulatory BP monitoring (ABPM) and exercise test were reviewed. Data on exercise tests performed in the preceding 5 years were retrieved. Reproducible ExBPR was defined when it was recorded at least twice. BP levels on 24-hour ABPM were compared between patients with a normal BP response and those with an ExBPR (systolic BP ≥200 mm Hg). Sixty-nine normotensive patients with high normal BP levels were identified. ExBPR was recorded in 43 patients and was reproducible in 28. BP levels on 24-hour ABPM were similar in patients with and without ExBPR. In patients with high-normal BP levels, ExBPR is not associated with masked hypertension.
authors.affiliation: Internal Medicine E Rabin Medical Center, Tel-Aviv, Israel.
authors.forename: Alon
authors.initials: A
authors.lastname: Grossman
authors.forename: Noa
authors.initials: N
authors.lastname: Cohen
authors.forename: Joseph
authors.initials: J
authors.lastname: Shemesh
authors.forename: Nira
authors.initials: N
authors.lastname: Koren-Morag
authors.forename: Avshalom
authors.initials: A
authors.lastname: Leibowitz
authors.forename: Ehud
authors.initials: E
authors.lastname: Grossman
mesh_terms: D000328:Adult; D001794:Blood Pressure / Q000502:physiology*; D018660:Blood Pressure Monitoring, Ambulatory; D016022:Case-Control Studies; D015444:Exercise / Q000502:physiology*; D005080:Exercise Test; D005260:Female; D006801:Humans; D007557:Israel; D008297:Male; D059468:Masked Hypertension / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology*; D008875:Middle Aged; D015203:Reproducibility of Results; D012189:Retrospective Studies