Association of Morning Surge and Postexercise Heart Rate and Blood Pressure Recovery

dc.contributor.authorAkbay, Ertan
dc.contributor.authorAkinci, Sinan
dc.contributor.authorAdar, Adem
dc.contributor.orcIDhttps://orcid.org/0000-0002-9146-0621en_US
dc.contributor.orcIDhttps://orcid.org/0000-0001-5250-5404en_US
dc.contributor.pubmedID35325411en_US
dc.contributor.researcherIDAAD-5479-2021en_US
dc.contributor.researcherIDAAD-5564-2021en_US
dc.date.accessioned2022-12-01T12:18:45Z
dc.date.available2022-12-01T12:18:45Z
dc.date.issued2022
dc.description.abstractIntroduction The autonomic nervous system plays an active role in the regulation of early morning blood pressure (BP) and BP/pulse regulation in the treadmill exercise test (TET). Aim We evaluated the relationship between BP/pulse changes during TET and morning blood pressure surge (MS). Methods Patients who underwent ambulatory blood pressure measurement (ABPM) and TET in the same visit between 2017 and 2020 were evaluated retrospectively. Patients with previously diagnosed hypertension and/or using antihypertensives and office BP >= 140/90 were excluded from the study.MS values and dipping percentage were calculated from ABPM data. The patients were analyzed by dividing them into two groups according to the MS median, and BP/pulse values during exercise and recovery periods were compared in these groups. Results 202 patients [median age 45 (39-51), male 134 (66.3%)] were included in the study. MS median was 18.5 (10.75-27) mmHg. TET recovery period 3rd-min systolic blood pressure (RSBP) was higher in the group with high MS (p: 0.017). Systolic and diastolic dipping percentages were higher in the group with higher MS (p: 0.015, p: 0.040, respectively). Peak systolic and diastolic BP, RSBP, and recovery 3rd min diastolic BP were positively correlated with MS (p < 0.05, for all). Additionally, an independent relationship was observed between RSBP and MS (beta: 0.205, p: 0.028). Conclusion We found an independent association between RSBP and MS. Increased RSBP may be associated with target organ damage and cardiovascular events such as MS.en_US
dc.identifier.endpage261en_US
dc.identifier.issn1120-9879en_US
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85127458091en_US
dc.identifier.startpage253en_US
dc.identifier.urihttp://hdl.handle.net/11727/8197
dc.identifier.volume29en_US
dc.identifier.wos000780298100002en_US
dc.language.isoengen_US
dc.relation.isversionof10.1007/s40292-022-00513-wen_US
dc.relation.journalHIGH BLOOD PRESSURE & CARDIOVASCULAR PREVENTIONen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergien_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMorning surgeen_US
dc.subjectExercise blood pressure responseen_US
dc.subjectTreadmill exercise testen_US
dc.subjectHeart rateen_US
dc.titleAssociation of Morning Surge and Postexercise Heart Rate and Blood Pressure Recoveryen_US
dc.typearticleen_US

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