Exercise Blood Pressure and Heart Rate Reference Values - 08/08/13

Doi : 10.1016/j.hlc.2013.02.007

Sven Gläser, MD ^a,^{^{1
Those authors contributed equally.},}^⁎ , Nele Friedrich, PhD ^c,^{^{1
Those authors contributed equally.}} , Beate Koch, MD ^a , Christoph Schäper, MD ^a , Henry Völzke ^b,^d , Stephan B. Felix ^a,^d , Klaus Empen, MD ^a , Anke Hannemann, MD ^c , Ralf Ewert ^a,^{^{1
Those authors contributed equally.}} , Marcus Dörr, MD ^a,^d,^{^{1
Those authors contributed equally.}}
^a Medical Faculty of the Ernst-Moritz-Arndt University, Department of Internal Medicine B – Cardiology, Intensive Care, Pulmonary Medicine and Infectious Diseases, University of Greifswald, Sauerbruchstrasse, D-17475 Greifswald, Germany
^b Institute for Community Medicine, SHIP/Clinical-Epidemiological Research, University of Greifswald, Walther-Rathenau-Str. 48, 17487 Greifswald, Germany
^c Medical Faculty of the Ernst-Moritz-Arndt University, Institute of Clinical Chemistry and Laboratory Medicine, University of Greifswald, Walther-Rathenau-Str. 48, D-17487 Greifswald, Germany
^d DZHK (German Centre for Cardiovascular Research), partner site Greifswald, Greifswald, Germany

^⁎Corresponding author. Tel.: +49 38348622401; fax: +49 38348622422.

Résumé

Background

Besides their prognostic impact blood pressure and peak heart rate are widely used endpoint parameters for incremental exercise tests. Reference equations and ranges on both are sparse.

Objective

This study aims to describe prediction equations and reference ranges for systolic and diastolic blood pressure as well as for peak heart rate assessed during a symptom limited incremental exercise test based on a population based study – the Study of Health in Pomerania.

Design

For this purpose, 1708 individuals aged 25–85years underwent cardiopulmonary exercise testing.

Results

After exclusion of subjects with cardiopulmonary diseases and antihypertensive medications regression analyses revealed age, sex and body mass index as statistically significant interfering factors. In accordance, prediction equations and reference ranges for blood pressure and peak heart rate with respect to sex, age and BMI have been established.

Conclusion

This study provides a reliable set of prediction equations for blood pressure and heart rate values at peak exercise, assessed in a general population over a wide age range.

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Keywords : Exercise, Blood pressure, Heart rate, Reference values

Plan

Introduction

Methods and Materials

Study Population

Pre-CPET Diagnostics and Measurements

Exercise Testing

Statistical Analysis

Results

General Characteristics

Univariate Reference Ranges

Bivariate Reference Regions

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Vol 22 - N° 8

P. 661-667 - août 2013 Retour au numéro

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Exercise Blood Pressure and Heart Rate Reference Values - 08/08/13

Résumé

Background

Objective

Design

Results

Conclusion

Plan

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