Document Detail

Hypertension and cardiac complications in normotensive myocardial infarction patients with elevated exercise blood pressure.
MedLine Citation:
PMID:  2632736     Owner:  NLM     Status:  MEDLINE    
Four hundred and sixty-two patients with uncomplicated transmural cardiac infarction were investigated to determine the influence of isolated exercise hypertension on the subsequent development of hypertension (group I, n = 180) and its clinical course (group II, n = 282). Of the infarcted patients with an elevated exercise blood pressure, 83% developed manifest hypertension within 5 years, compared with only 3% with normal exercise blood pressures. Within an observation period of 6 years, the cardiac infarction patients with exercise hypertension suffered a fourfold higher rate of complications than those with normal exercise blood pressures. With elevated exercise blood pressures the mortality rate was 26% and the reinfarction rate 16%, compared with only 5 and 4%, respectively, in patients with normal exercise blood pressure. In addition to the severity of coronary ischaemia and the degree of ventricular impairment, isolated exercise hypertension carried a further unfavourable prognosis.
W D Patyna; D G Gemeinhardt; V Mitrovic
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of hypertension. Supplement : official journal of the International Society of Hypertension     Volume:  7     ISSN:  0952-1178     ISO Abbreviation:  J Hypertens Suppl     Publication Date:  1989 Dec 
Date Detail:
Created Date:  1990-05-11     Completed Date:  1990-05-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8501422     Medline TA:  J Hypertens Suppl     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  S334-5     Citation Subset:  IM    
Klinik Westfalen-Lippe, Bad Nauheim, Federal Republic of Germany.
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MeSH Terms
Blood Pressure / physiology*
Exercise / physiology*
Exercise Test
Hypertension / diagnosis,  etiology*,  physiopathology
Middle Aged
Myocardial Infarction / complications*,  physiopathology
Time Factors

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