Exercise hypertension

Exercise hypertension is a condition characterized by an abnormal increase in blood pressure during physical activity. This condition is often identified during exercise stress tests and can be an indicator of underlying cardiovascular issues.

Pathophysiology

During exercise, the body requires increased cardiac output to meet the heightened demand for oxygen and nutrients. In individuals with exercise hypertension, the blood pressure response to exercise is exaggerated. This can be due to several factors, including increased vascular resistance, abnormal autonomic regulation, or underlying arterial stiffness.

Diagnosis

Exercise hypertension is typically diagnosed through an exercise stress test, where blood pressure is monitored at rest, during exercise, and during recovery. A significant rise in systolic blood pressure (greater than 210 mmHg in men and 190 mmHg in women) during exercise may indicate exercise hypertension.

Clinical Significance

Exercise hypertension can be a precursor to hypertension at rest and is associated with an increased risk of developing cardiovascular disease. It may also indicate the presence of left ventricular hypertrophy, coronary artery disease, or other cardiovascular abnormalities.

Management

Management of exercise hypertension involves lifestyle modifications such as regular aerobic exercise, dietary changes to reduce sodium intake, and weight management. In some cases, antihypertensive medications may be prescribed to control blood pressure during exercise.

Related Conditions

• Hypertension
• Cardiovascular disease
• Left ventricular hypertrophy
• Coronary artery disease

See Also

• Exercise stress test
• Blood pressure
• Cardiac output
• Vascular resistance

External Links

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