American Journal of Cardiology
Volume 102, Issue 5 , Pages 518-523 , 1 September 2008

Usefulness of Paradoxical Systolic Blood Pressure Increase After Exercise as a Predictor of Cardiovascular Mortality

  • Chi-Lun Huang, MD

      Affiliations

    • Department of Internal Medicine, Tao Yuan General Hospital, Tao Yuan, Taiwan
  • ,
  • Ta-Chen Su, MD, PhD

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author: Tel: 886-2-2312-3456, ext. 6719; fax: 886-2-2371-2361
  • ,
  • Wen-Jone Chen, MD, PhD

      Affiliations

    • Department of Internal Medicine, Tao Yuan General Hospital, Tao Yuan, Taiwan
  • ,
  • Lian-Yu Lin, MD, PhD

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
  • ,
  • Wen-Lin Wang

      Affiliations

    • Department of Integrated Diagnostics and Therapeutics, National Taiwan University Hospital, Taipei, Taiwan
  • ,
  • Mee-Huei Feng

      Affiliations

    • Department of Integrated Diagnostics and Therapeutics, National Taiwan University Hospital, Taipei, Taiwan
  • ,
  • Chiau-Suong Liau, MD, PhD

      Affiliations

    • Cardiovascular Center, Hsin-Dian Tsz-Chi Hospital, Taipei, Taiwan
  • ,
  • Yuan-Teh Lee, MD, PhD

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
  • ,
  • Ming-Fong Chen, MD, PhD

      Affiliations

    • Division of Cardiology, Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan

Received 18 December 2007 ,Revised 17 April 2008 ,Accepted 17 April 2008.

  • Image Result

    Kaplan-Meir survival curves for 10-year all-cause and cardiovascular mortalities in the study population, stratified by 4 categories according to paradoxical SBP increase and ETT result. Group 1 = pos

    Kaplan-Meir survival curves for 10-year all-cause and cardiovascular mortalities in the study population, stratified by 4 categories according to paradoxical SBP increase and ETT result. Group 1 = positive ischemic ST-segment change and negative paradoxical SBP increase; group 2 = negative ischemic ST-segment change and positive paradoxical SBP increase; group 3 = positive ischemic ST-segment change and negative paradoxical SBP increase; group 4 = negative ischemic ST-segment change and negative paradoxical SBP increase. The p values indicate the difference of survival curve between groups 1 (or 2, or 3) and group 4 (reference group).

 This study was supported by a grant (NHRI-EX97-9721PC) from the National Health Research Institute, Department of Health, Executive Yuan, Taiwan, Republic of China.

PII: S0002-9149(08)00753-4

doi: 10.1016/j.amjcard.2008.04.027

American Journal of Cardiology
Volume 102, Issue 5 , Pages 518-523 , 1 September 2008