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Interventional Cardiology  (Expert Forum)
 | 
Hypertension ONLY with exercise
Answered by
Darcy Green Conaway, MD - General Cardiology, Echocardiology
Truman Medical Center
Questions in the Interventional Cardiology forum are answered by medical professionals affiliated with the Truman Medical Center. Topics covered include acute coronary syndrome, angina , atrial fibrillation , cardiac catheterization , cardiomyopathy , drug abuse & cardiac disease, echocardiography , heart failure , hypertension & heart disease , lipid management , minorities and heart disease, peripheral vascular disease prevention, valvular heart disease , women’s heart health, and the warning signs of a heart attack.

Hypertension ONLY with exercise

by shkuzma, Dec 23, 2007 10:08AM
No heart disease was found or any other medical problems. Stress test revealed hypertension only with exercise. Resting BP WNL. How do you exercise without fear when this cannot be treated? What would be a good way to exercise to decrease extreme increase in pressure? BP went up to 250 systolic in 5 minutes of the treadmill.
Is there any treatment or exercise technique to help decrease the pressure?
Thanks.

by Darcy Green Conaway, MD, Dec 25, 2007 03:35PM
There is data to show that a hypertensive response predicts cardiovascular death in middle-aged men; I would recommend that you keep a daily journal of your blood pressure as it is very likely that you are mildly hypertensive at baseline-- bring that to  your physician to ensure that you do not have hypertension. Therapeutic lifestyle modification , at the very least, is warranted:  reduce your sodium, lose weight to ensure that you are at a normal body mass index and stop smoking if needed.
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