Blood Pressure Response to Exercise as a Predictor of Hypertension

doi:10.1001/archinte.1986.00360220227036

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Vol. 146 No. 10, October 1986

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Blood Pressure Response to Exercise as a Predictor of Hypertension

Jochanan Benbassat, MD; Paul Froom, MD

Arch Intern Med. 1986;146(10):2053-2055.

Abstract

• Published studies of the blood pressure response to exercisewere reviewed to assess the probability of future hypertensionin a subject with a "hypertensive" response to exercise. Thereviewed data indicate that the sensitivity of a hypertensiveresponse to exercise for future hypertension varied between16% and 60%, and the specificity between 53% and 95%. The prevalenceof hypertension on follow-up among normotensive subjects witha hypertensive response to exercise testing was 2.06 to 3.39times higher than that among subjects with a normotensive response.Therefore, blood pressure response to exercise does have a predictivevalue for future hypertension. However, this predictive valueis limited, since 38.1% to 89.3% of those with a hypertensiveresponse to exercise did not have hypertension on follow-up,and a normotensive response only marginally reduced the riskof future hypertension. The use of exercise testing as a predictorof hypertension is still in need of experimental developmentand confirmation.

(Arch Intern Med 1986;146:2053-2055)

Author Affiliations

From the Department of Medicine, Hadassah University Hospital, Jerusalem.

Footnotes

Accepted for publication Jan 6, 1986.

Reprints not available.

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