Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Treadmill Testing in Hypertensives-Reply

Treadmill Testing in Hypertensives-Reply In Reply.— Dr Miller raises some interesting issues. In at least two studies, exaggerated blood pressure responses to treadmill exercise testing have correlated with greater left ventricular mass.1,2 Due to the observational design of these studies, however, it is impossible to determine whether exercise habits per se actually caused the increase in left ventricular mass. However, the subjects in both of these studies were not physically trained, making such a cause-and-effect relationship unlikely. A more likely explanation for the relationship between exercise blood pressure and left ventricular mass is that the exaggerated exercise blood pressure response is merely a marker for the presence of left ventricular hypertrophy rather than its cause. No study of which I am aware, including those cited by Dr Miller, demonstrates a longitudinal increase in left ventricular mass by high-repetition/low-resistance training. Although the use of a "screening" treadmill exercise test to assess blood pressure response http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Treadmill Testing in Hypertensives-Reply

Fleg, Jerome L.
JAMA , Volume 264 (8) – Aug 22, 1990
Download PDF
1 page

Treadmill Testing in Hypertensives-Reply

Abstract



In Reply.—
Dr Miller raises some interesting issues. In at least two studies, exaggerated blood pressure responses to treadmill exercise testing have correlated with greater left ventricular mass.1,2 Due to the observational design of these studies, however, it is impossible to determine whether exercise habits per se actually caused the increase in left ventricular mass. However, the subjects in both of these studies were not physically trained, making such a cause-and-effect...
Loading next page...
 
/lp/american-medical-association/treadmill-testing-in-hypertensives-reply-3lMH1VMtLl

References (2)

Publisher
American Medical Association
Copyright
Copyright © 1990 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1990.03450080059026
Publisher site
See Article on Publisher Site

Abstract

In Reply.— Dr Miller raises some interesting issues. In at least two studies, exaggerated blood pressure responses to treadmill exercise testing have correlated with greater left ventricular mass.1,2 Due to the observational design of these studies, however, it is impossible to determine whether exercise habits per se actually caused the increase in left ventricular mass. However, the subjects in both of these studies were not physically trained, making such a cause-and-effect relationship unlikely. A more likely explanation for the relationship between exercise blood pressure and left ventricular mass is that the exaggerated exercise blood pressure response is merely a marker for the presence of left ventricular hypertrophy rather than its cause. No study of which I am aware, including those cited by Dr Miller, demonstrates a longitudinal increase in left ventricular mass by high-repetition/low-resistance training. Although the use of a "screening" treadmill exercise test to assess blood pressure response

Journal

JAMA – American Medical Association

Published: Aug 22, 1990

There are no references for this article.