Masked hypertension is "unmasked" by low-intensity exercise blood pressure

Blood Pressure

Volumn 20, Issue 5, 2011, Pages 284-289

  Schultz, Martin G ^a   Hare, James L ^b   Marwick, Thomas H ^c   Stowasser, Michael ^b   Sharman, James E ^a  

^a UNIVERSITY OF TASMANIA   (Australia)

^b UNIVERSITY OF QUEENSLAND   (Australia)

^c LERNER RESEARCH INSTITUTE   (United States)

Author keywords

Blood pressure; exercise; hypertension; masked hypertension

Indexed keywords

ADULT; ARTERIAL STIFFNESS; ARTICLE; BLOOD PRESSURE MEASUREMENT; BLOOD PRESSURE MONITORING; CONTROLLED STUDY; CYCLING; DIASTOLIC BLOOD PRESSURE; EXERCISE INTENSITY; FEMALE; HEART RATE; HUMAN; HYPERTENSION; MAJOR CLINICAL STUDY; MALE; MASKED HYPERTENSION; PREDICTION; PRIORITY JOURNAL; REST; SENSITIVITY AND SPECIFICITY; SYSTOLIC BLOOD PRESSURE;

BLOOD PRESSURE; BLOOD PRESSURE MONITORING, AMBULATORY; EXERCISE TEST; FEMALE; HUMANS; MALE; MASKED HYPERTENSION; MIDDLE AGED; SENSITIVITY AND SPECIFICITY;

EID: 80053064711     PISSN: 08037051     EISSN: 16511999     Source Type: Journal    
DOI: 10.3109/08037051.2011.566251     Document Type: Article

References (33)

1. Lewington S, Clarke R, Qizilbash N, Peto R, Collins R; Prospective Studies Collaboration. Age-specifi c relevance of usual blood pressure to vascular mortality: A meta-analysis of individual data for one million adults in 61 prospective studies. Lancet. 2002;360:1903-1913. (Pubitemid 35472129)
2. Mancia G, Facchetti R, Bombelli M, Grassi G, Sega R. Longterm risk of mortality associated with selective and combined elevation in offi ce, home, and ambulatory blood pressure. Hypertension. 2006;47:846-853. (Pubitemid 44297554)
3. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension. 2003;42:1206-1252. (Pubitemid 37553153)
4. Tsumura K, Hayashi T, Hamada C, Endo G, Fujii S, Okada K. Blood pressure response after two-step exercise as a powerful predictor of hypertension: The Osaka Health Survey. J Hypertens. 2002;20:1507-1512. (Pubitemid 34921173)
5. Singh JP, Larson MG, Manolio TA, O D onnell CJ, Lauer M, Evans JC, et al. Blood pressure response during treadmill testing as a risk factor for new-onset hypertension. The Framingham Heart Study. Circulation. 1999;99:1831-1836. (Pubitemid 29181411)
6. Manolio TA, Burke GL, Savage PJ, Sidney S, Gardin JM, Oberman A. Exercise blood pressure response and 5-year risk of elevated blood pressure in a cohort of young adults: The Cardia Study. Am J Hypertens. 1994;7:234-241. (Pubitemid 24110303)
7. Kramer CK, Leitao CB, Canani LH, Ricardo ED, Pinto LC, Gross JL. Blood pressure responses to exercise in type II diabetes mellitus patients with masked hypertension. J Hum Hypertens. 2009;23:620-622.
8. Lauer MS, Pashkow FJ, Harvey SA, Marwick TH, Thomas JD. Angiographic and prognostic implications of an exaggerated exercise systolic blood pressure response and rest systolic blood pressure in adults undergoing evaluation for suspected coronary artery disease. J Am Coll Cardiol. 1995;26:1630-1636.
9. Mancia G, De Backer G, Dominiczak A, Cifkova R, Fagard R, Germano G, et al. 2007 Guidelines for the management of arterial hypertension The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur Heart J. 2007;28:1462-1536.
10. Holland DJ, Sacre JW, McFarlane SJ, Coombes JS, Sharman JE. Pulse wave analysis is a reproducible technique for measuring central blood pressure during hemodynamic perturbations induced by exercise. Am J Hypertens. 2008;21: 1100-1106.
11. Tsioufi s C, Dimitriadis K, Thomopoulos C, Tsiachris D, Selima M, Stefanadi E,et al. Exercise blood pressure response, albuminuria, and arterial stiffness in hypertension. Am J Med. 2008;121:894-902.
12. Sega R, Trocino G, Lanzarotti A, Carugo S, Cesana G, Schiavina R, et al. Alterations of cardiac structure in patients with isolated offi ce, ambulatory, or home hypertension: Data from the general population (Pressione arteriose monitorate e loro associazioni [PAMELA] study). Circulation. 2001;104: 1385-1392. (Pubitemid 32880151)
13. Leitao CB, Canani LH, Kramer CK, Boza JC, Pinotti AF, Gross JL. Masked hypertension, urinary albumin excretion rate, and echocardiographic parameters in putatively normotensive type 2 diabetic patients. Diabetes Care. 2007;30:1255-1260. (Pubitemid 46684656)
14. Kayrak M, Bacaksiz A, Vatankulu MA, Ayhan SS, Kaya Z, Ari H, et al. Exaggerated blood pressure response to exercise-A new portent of masked hypertension. Clin Exp Hypertens. 2010;32:560-568.
15. Allison TG, Cordeiro MA, Miller TD, Daida H, Squires RW, Gau GT. Prognostic signifi cance of exercise-induced systemic hypertension in healthy subjects. Am J Cardiol. 1999;83: 371-375. (Pubitemid 29066496)
16. Laukkanen JA, Kurl S, Salonen R, Lakka TA, Rauramaa R, Salonen JT. Systolic blood pressure during recovery from exercise and the risk of acute myocardial infarction in middleaged men. Hypertension. 2004;44:820-825. (Pubitemid 39577406)
17. Lewis GD, Gona P, Larson MG, Plehn JF, Benjamin EJ, ODonnell CJ, et al. Exercise blood pressure and the risk of incident cardiovascular disease (from the Framingham Heart Study). Am J Cardiol. 2008;101:1614-1620.
18. Mundal R, Kjeldsen SE, Sandvik L, Erikssen G, Thaulow E, Erikssen J. Exercise blood pressure predicts mortality from myocardial infarction. Hypertension. 1996;27:324-329. (Pubitemid 26082074)
19. Mundal R, Kjeldsen SE, Sandvik L, Erikssen G, Thaulow E, Erikssen J. Exercise blood pressure predicts cardiovascular mortality in middle-aged men. Hypertension. 1994;24:56-62. (Pubitemid 24195404)
20. Kjeldsen SE, Mundal R, Sandvik L, Erikssen G, Thaulow E, Erikssen J. Supine and exercise systolic blood pressure predict cardiovascular death in middle-aged men. J Hypertens. 2001;19:1343-1348. (Pubitemid 32730450)
21. Tzemos N, Lim PO, MacDonald TM. Exercise blood pressure and endothelial dysfunction in hypertension. Int J Clin Pract. 2009;63:202-206.
22. Stewart KJ, Sung J, Silber HA, Fleg JL, Kelemen MD, Turner KL, et al. Exaggerated exercise blood pressure is related to impaired endothelial vasodilator function. Am J Hypertens. 2004;17:314-320. (Pubitemid 38446845)
23. Naka KK, Tweddel AC, Parthimos D, Henderson A, Goodfellow J, Frenneaux MP. Arterial distensibility: Acute changes following dynamic exercise in normal subjects. Am J Physiol Heart Circ Physiol. 2003;284:H970-978. (Pubitemid 36228246)
24. Laurent S, Cockcroft J, Van Bortel L, Boutouyrie P, Giannattasio C, Hayoz D, et al. Expert consensus document on arterial stiffness: Methodological issues and clinical applications. Eur Heart J. 2006;27:2588-2605. (Pubitemid 44627304)
25. McEniery CM, Wallace S, Mackenzie IS, McDonnell B, Yasmin, Newby DE, et al. Endothelial function is associated with pulse pressure, pulse wave velocity, and augmentation index in healthy humans. Hypertension. 2006;48:602-608. (Pubitemid 44843862)
26. Sugawara J, Komine H, Hayashi K, Yoshizawa M, Yokoi T, Otsuki T, et al. Effect of systemic nitric oxide synthase inhibition on arterial stiffness in humans. Hypertens Res. 2007;30: 411-415. (Pubitemid 46958891)
27. Brett SE, Cockcroft JR, Mant TG, Ritter JM, Chowienczyk PJ. Haemodynamic effects of inhibition of nitric oxide synthase and of l-arginine at rest and during exercise. J Hypertens. 1998;16:429-435. (Pubitemid 28195852)
28. Sharman JE, McEniery CM, Campbell R, Pusalkar P, Wilkinson IB, Coombes JS, et al. Nitric oxide does not signifi cantly contribute to changes in pulse pressure amplifi cation during light aerobic exercise. Hypertension. 2008;51:856-861. (Pubitemid 351654695)
29. Munir S, Jiang B, Guilcher A, Brett S, Redwood S, Marber M, et al. Exercise reduces arterial pressure augmentation through vasodilation of muscular arteries in humans. Am J Physiol Heart Circ Physiol. 2008;294:H1645-1650. (Pubitemid 351490594)
30. Sharman JE, Brown J, Holland DJ, Macdonald G, Kostner K, Marwick TH. Infl uence of altered blood rheology on ventricular-vascular response to exercise. Hypertension. 2009;54:1092-1098.
31. Brett SE, Ritter JM, Chowienczyk PJ. Diastolic blood pressure changes during exercise positively correlate with serum cholesterol and insulin resistance. Circulation. 2000; 101:611-615. (Pubitemid 30094731)
32. Fossum E, Hoieggen A, Moan A, Rostrup M, Kjeldsen SE. Insulin sensitivity is related to physical fi tness and exercise blood pressure to structural vascular properties in young men. Hypertension. 1999;33:781-786. (Pubitemid 29140434)
33. Stergiou GS, Rarra VC, Yiannes NG. Prevalence and predictors of masked hypertension detected by home blood pressure monitoring in children and adolescents: The Arsakeion School Study. Am J Hypertens. 2009;22:520-524.