The Connection Between Systolic Arterial Blood Pressure During the Stress Test and Coronary Artery Disease in Hypertensive Males

Indrit Temali and Ahmet Kamberi
Department of Cardiology, American Hospital of Tirana, Albania / Department of Cardiology, University Hospital Mother Theresa, Albania

Abstract

Changes in arterial blood pressure are one of the main features that is observed during exercise stress tests. The aim of this study is to determine how the increase of arterial blood pressure during the exercise stress test in men with hypertension is correlated to positive findings for significant atherosclerosis in coronary angiography. Hypertensive male patients who went through an exercise test on a bicycle ergometer and coronary angiography were involved in the study. The rates of SBP to workloads were compared at starting, the peak of the exercise and in the recovery at 2nd, 4th, and 6th minutes. All the above rates were importantly higher in patients with coronary arteries disease at a statistically significant level. Stepwise regression analysis results implied that on the contrary, none of the parameters as the age, weight, height, body mass index, heart rate, and diastolic blood pressure had any influence on the distinction between normal and abnormal arterial disease patients, emphasizing once more the value of our study results. It must be underlined that high levels of the ratio of the systolic blood pressure to the workload in the first stage of the exercise test can predict the presence of coronary artery disease. This is extremely important for the physician in cases of non-conclusive stress tests or when ECG shows no changes.


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