Abstract
This study determined the prevalence and clinical profile of patients with Exaggerated Blood Pressure Response (EBPR) during Treadmill Exercise Test (TET) and its correlation with traditional risk factors of Coronary Artery Disease (CAD). <i>Methodology</i>: This is a cross-sectional study performed in Out Patient Department of Philippine General Hospital of patients 19 years old and above. Clinical profile was obtained and TET parameters including blood pressure at rest, during exercise and recovery period were determined. <i>Results</i>: There were 226 patients included in the study. The mean age is 52 and 121 (53.5%) were females. There were 108 (47.8%) with hypertension, 55 (24.3%) were smoker, 73 (32.3%) with dyslipidemia, 1 (0.4) with hyperuricemia, 31 (13.7) with diabetes, 51 (22.6%) with family history of CAD and 2 (3.9%) with history of supraventricular tachycardia (SVT). The prevalence of EBPR is 20.21%. Those with EBPR are usually female 31 (81.6%) and likely hypertensive 22 (57.9%). Female sex and abnormal BMI were the significant predictors of EBPR with p-value of 0.001 and 0.042 respectively. <i>Conclusion</i>: The prevalence of ESBR is 20.21%. The EBPR is strongly correlated with female sex and abnormal BMI. Further screening of these patient and aggressive management by adapting new HTN guidelines might help to reduce cardiovascular risk.
Highlights
Exercise electrocardiogram testing is among the most fundamental and widely used test for the evaluation of patients with cardiovascular disease [1]
The aforementioned mechanisms were evident in traditional risk factors of Coronary Artery Disease (CAD), EBPR may be indicative of future development of hypertension and adverse cardiac events
The primary objective of this study is to describe the clinical profile of patients with EBPR in TET according to gender, age, BMI, presence of traditional risk factors for coronary heart disease: hypertension, diabetes, dyslipidemia, history of smoking and family history of coronary heart disease
Summary
Exercise electrocardiogram testing is among the most fundamental and widely used test for the evaluation of patients with cardiovascular disease [1]. It is routinely done in outpatient department and the initial procedure of choice in patients with normal resting electrocardiogram who are capable of adequate exercise to diagnose cardiovascular disease [2]. The vast majority of treadmill Exercise Test (TET) is performed in OPD patients with symptoms of chest pain and if ischemic heart disease is suspected. Review of census of patients who underwent treadmill exercise test in PGH for the past years ranges to 20-30 per month and most of them were referral from OPD clinic. The aforementioned mechanisms were evident in traditional risk factors of CAD (old age, hypertension, diabetes, dyslipidemia, smoking and family history of CAD), EBPR may be indicative of future development of hypertension and adverse cardiac events
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