Prognostic value of dynamic bicycle stress test in adolescent arterial hypertension

• Main Authors: A. G. Avtandilov, A. G. Asaturjan
• Format: Article
• Language: Russian
• Published: «FIRMA «SILICEA» LLC 2004-06-01
• Series: Российский кардиологический журнал
• Subjects: arterial hypertension; adolescents; dynamics; bicycle stress test
• Online Access: https://russjcardiol.elpub.ru/jour/article/view/2278

Prognonostic value of dynamic bicycle stress test was investigated in adolescents with arterial hypertension (AH). The study included 85 patients who underwent bicycle stress test in continually increasing workload regimen at adolescent age and 6-12 years later. Among individuals with AH progression during 9 years of follow-up (n=36), a typical hypertensive reaction to dosed physical stress was observed, with slow blood pressure recovery, during both tests. Patients with AH regress (n=49) at both tests demonstrated adequate BP reaction to physical stress, typical for healthy individuals. Therefore, hypertensive reaction to dosed physical stress in adolescents is a poor prognostic sign - for patients with debuting AH, as well as for AH-prone individuals.