Artery Research

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Volume 25, Issue Supplement 1, December 2019, Pages S36 - S36

4.8 Reference Values for Submaximal Exercise Blood Pressure: the EXERcise Stress Test CollaboratION (EXERTION)

Authors
Schultz Martin1, Ann-Marie Kovacevic1, Philip Roberts-Thomson2, Tony Stanton3, Christian Hamilton-Craig4, Sudir Wahi5, James Hare6, Joseph Selvanayagam7, Andrew Maiorana8, Alison Venn1, James Sharman2
1Menzies Institute for Medical Research, University of Tasmania
2Royal Hobart Hospital, Hobart, Australia
3Sunshine Coast University Hospital, Birtinya, Australia
4The Prince Charles Hospital, Brisbane, Australia
5Princess Alexandra Hospital, Brisbane, Australia
6The Alfred Hospital, Melbourne, Australia
7Flinders University, Adelaide, Australia
8Curtin University and Allied Health Department, Fiona Stanley Hospital, Perth, Australia
Available Online 15 February 2020.
DOI
10.2991/artres.k.191224.029How to use a DOI?
Abstract

Background: Exaggerated blood pressure (BP) during submaximal exercise independently predicts cardiovascular mortality and identifies uncontrolled high BP not detected at rest. However, thresholds for submaximal exercise BP during clinical exercise testing have never been defined from a large representative sample, which was the aim of this study.

Methods: Records from 13,949 people referred for a clinical exercise stress test (aged 52 ± 13 years, 61% male) using the Bruce treadmill protocol (stages 1 to 4 plus peak) were extracted from 4 Australian hospitals over the years 2000–2018. Exercise records were linked to administrative health datasets (hospital admissions and emergency presentations) to define clinical characteristics, including cardiovascular disease history. Thresholds denoting exaggerated BP were defined as > 90th centile at each exercise stage.

Results: SBP and DBP thresholds across all stages were higher in males vs. females (stage-1: 180/90 vs 175/90 mmHg; stage-2: 196/94 vs 190/90 mmHg; stage-3: 204/97 vs 196/91 mmHg; stage-4: 210/100 vs 196/92 mmHg; peak: 215/100 vs 206/95 mmHg). SBP at all stages increased stepwise from the 1st to 4th age quartile (p < 0.05), whilst DBP remained similar (stage-1: 163/90 to 185/92 mmHg; stage-2: 180/90 to 204/95 mmHg; stage-3: 193/90 to 210/95 mmHg, stage-4: 200/91, to 210/96 mmHg; peak: 201/95 to 217/100 mmHg). Results were similar irrespective of cardiovascular disease history.

Conclusions: This is the first study to define submaximal exercise BP thresholds during clinical exercise testing. Thresholds were higher in males compared to females and increased with age. These thresholds may help clinicians to identify people at increased high BP-related risk.

Copyright
© 2019 Association for Research into Arterial Structure and Physiology. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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Journal
Artery Research
Volume-Issue
25 - Supplement 1
Pages
S36 - S36
Publication Date
2020/02/15
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.2991/artres.k.191224.029How to use a DOI?
Copyright
© 2019 Association for Research into Arterial Structure and Physiology. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Schultz Martin
AU  - Ann-Marie Kovacevic
AU  - Philip Roberts-Thomson
AU  - Tony Stanton
AU  - Christian Hamilton-Craig
AU  - Sudir Wahi
AU  - James Hare
AU  - Joseph Selvanayagam
AU  - Andrew Maiorana
AU  - Alison Venn
AU  - James Sharman
PY  - 2020
DA  - 2020/02/15
TI  - 4.8 Reference Values for Submaximal Exercise Blood Pressure: the EXERcise Stress Test CollaboratION (EXERTION)
JO  - Artery Research
SP  - S36
EP  - S36
VL  - 25
IS  - Supplement 1
SN  - 1876-4401
UR  - https://doi.org/10.2991/artres.k.191224.029
DO  - 10.2991/artres.k.191224.029
ID  - Martin2020
ER  -