Supranormal heart rate during peak exercise stress test triggering type‐1 Brugada ECG pattern

2019 ◽  
Vol 30 (8) ◽  
pp. 1367-1368
Author(s):  
Maxime Tijskens ◽  
Hein Heidbuchel ◽  
Andrea Sarkozy
Keyword(s):  
Heart Rate ◽  
Stress Test ◽  
Exercise Stress Test ◽  
Exercise Stress ◽  
Peak Exercise

scholarly journals Effects of Atorvastatin on Resting and Peak Exercise Blood Pressure among Normotensive Men and Women

Cholesterol ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Amanda L. Zaleski ◽  
Marianne L. Mentch ◽  
Linda S. Pescatello ◽  
Beth A. Taylor ◽  
Jeffrey A. Capizzi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Stress Test ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Exercise Stress Test ◽  
Total Sample ◽  
Exercise Stress ◽  
Peak Exercise ◽  
Exercise Blood Pressure ◽  
Double Blinded

Statins are the most widely prescribed and effective medication for reducing low density lipoprotein cholesterol. Statins may also lower resting blood pressure (BP); however, results are inconsistent. We sought to determine if the maximum dose of atorvastatin reduces resting BP and the peak systolic BP (SBP) achieved on a graded exercise stress test (GEST) among a large sample of 419 healthy men (48%) and women (52%). Subjects (419, 44.1±0.8 yr) were double-blinded and randomized to 80 mg·d−1 of atorvastatin (n=202) or placebo (n=217) for 6 mo. Among the total sample, there were no differences in resting BP (SBP, P=0.30; diastolic BP [DBP], P=0.69; mean arterial pressure (P=0.76); or peak SBP on a GEST (P=0.99)) over 6 mo, regardless of drug treatment group. However, among women on atorvastatin, resting SBP/DBP (3.7±1.5 mmHg, P=0.01/3.2±0.9 mmHg, P=0.02) and peak SBP on a GEST (6.5±1.5 mmHg, P=0.04) were lower versus men. Atorvastatin lowered resting BP 3-4 mmHg and peak SBP on a GEST ~7 mmHg more among women than men over 6 mo of treatment. The inconsistent findings regarding the antihypertensive effects of statins may be partially explained by not accounting for sex effects.

PS 17-11 DELAYED HEART RATE RECOVERY IS ASSOCIATED WITH DELAYED HYPERTENSIVE RESPONSE DURING RECOVERY STAGE OF EXERCISE STRESS TEST IN NON-HYPERTENSIVES

2016 ◽  
Vol 34 (Supplement 1) ◽  
pp. e476-e477
Author(s):  
Se-Jung Yoon ◽  
Sanghoon Shin ◽  
Jong-Kwan Park ◽  
Seungjin Oh ◽  
Dong Woon Jeon ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Recovery ◽  
Stress Test ◽  
Exercise Stress Test ◽  
Exercise Stress ◽  
Recovery Stage

scholarly journals PRE-HYPERTENSION IS STRONGLY ASSOCIATED WITH DELAYED HEART-RATE RECOVERY DURING EXERCISE STRESS TEST

2013 ◽  
Vol 61 (10) ◽  
pp. E1474
Author(s):  
Ehimen Aneni ◽  
Lara Roberson ◽  
Michael Blaha ◽  
Shaharyar Sameer ◽  
Arthur Agatston ◽  
...  
Keyword(s):  
Heart Rate ◽  
Heart Rate Recovery ◽  
Stress Test ◽  
Exercise Stress Test ◽  
Exercise Stress

Elevated Blood Pressure in a High School Football Player: Case Presentation and Discussion

1990 ◽  
Vol 2 (4) ◽  
pp. 384-394
Author(s):  
Ted A Kaplan
Keyword(s):  
High School ◽  
Blood Pressure ◽  
Cardiovascular Response ◽  
Stress Test ◽  
Exercise Stress Test ◽  
Football Player ◽  
Exercise Stress ◽  
Peak Exercise ◽  
Elevated Systolic Blood Pressure ◽  
Graded Exercise

A case is presented of an adolescent high school athlete found to have mildly elevated systolic blood pressure (BP) at the preseason group physical examination. As part of the evaluation to clear him for participation, a graded exercise stress test was performed. The test revealed a systolic BP at peak exercise of 260 mm Hg. The rationale for hygienic and pharmacologic management of this situation is discussed, and the results of this process are detailed. This patient was finally treated with nifedipine after unacceptable results with lisinopril, pindolol, and nonpharmacological approaches. The graded exercise test can be a valuable part of the evaluation of a hypertensive athlete. Besides revealing the occasional dangerous superelevation of BP, the test results can reveal the individual’s cardiovascular response to stress. This can provide insight into the etiology of and prognosis for the patient’s problem. Follow-up testing should be done after any treatment is provided.

Obesity Modifies the Effect of Fitness on Heart Rate Indices during Exercise Stress Testing in Asymptomatic Individuals

Cardiology ◽  
2015 ◽  
Vol 132 (4) ◽  
pp. 242-248
Author(s):  
Ehimen C. Aneni ◽  
Ebenezer T. Oni ◽  
Chukwuemeka U. Osondu ◽  
Seth S. Martin ◽  
Michael J. Blaha ◽  
...  
Keyword(s):  
Heart Rate ◽  
Stress Test ◽  
Statistical Significance ◽  
Normal Weight ◽  
Exercise Stress ◽  
Peak Exercise ◽  
Exercise Heart Rate ◽  
Cross Sectional ◽  
Metabolic Equivalents ◽  
The Impact

Objective: To assess the impact of aerobic fitness on exercise heart rate (HR) indices in an asymptomatic cohort across different body mass index (BMI) categories. Methods: We performed a cross-sectional analysis of 506 working-class Brazilian subjects, free of known clinical cardiovascular disease (e.g. ischemic heart disease and stroke) who underwent an exercise stress test. Results: There was a significant trend towards decreased HR at peak exercise, HR recovery and chronotropic index (CI) measures as BMI increased, but resting HR increased significantly across BMI categories. In multivariate analysis, the change in CI per unit change in metabolic equivalents of task was greater among the obese subjects than the normal-weight (2.7 vs. -0.07; p interaction = 0.029) and overweight (2.7 vs. 0.7; p interaction = 0.044) subjects. A similar pattern was seen with peak HR and HR recovery, although the formal tests of interaction did not achieve statistical significance. Conclusion: Our findings strongly suggest that fitness is associated with a favorable HR profile and is modified by BMI. Intervention programs should place emphasis on fitness and not only on weight loss.

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