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Research Articles

Exaggerated Blood Pressure Response to Exercise – A New Portent of Masked Hypertension

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Pages 560-568 | Received 25 Nov 2009, Accepted 29 Mar 2010, Published online: 23 Nov 2010

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Nobuyuki Miyai, Maki Shiozaki, Kazufumi Terada, Tatsuya Takeshita, Miyoko Utsumi, Kazuhisa Miyashita & Mikio Arita. (2021) Exaggerated blood pressure response to exercise is associated with subclinical vascular impairment in healthy normotensive individuals. Clinical and Experimental Hypertension 43:1, pages 56-62.
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Ryoma Michishita, Masanori Ohta, Masaharu Ikeda, Ying Jiang & Hiroshi Yamato. (2019) An exaggerated blood pressure response to exercise is associated with the dietary sodium, potassium, and antioxidant vitamin intake in normotensive subjects. Clinical and Experimental Hypertension 41:2, pages 152-159.
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Hakan Akilli, Mehmet Kayrak, Alpay Arıbas, Mehmet Tekinalp, Selim Suzi Ayhan, Mehmet Gündüz, Hajrudin Alibasic, Gokhan Altunbas & Mehmet Yazıcı. (2014) The relationship between exercise capacity and masked hypertension in sedentary patients with diabetes mellitus. Clinical and Experimental Hypertension 36:1, pages 9-16.
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Martin G. Schultz, James L. Hare, Thomas H. Marwick, Michael Stowasser & James E. Sharman. (2011) Masked hypertension is “unmasked” by low-intensity exercise blood pressure. Blood Pressure 20:5, pages 284-289.
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Articles from other publishers (35)

Denis J. Wakeham, Rachel N. Lord, Jack S. Talbot, Freya M. Lodge, Bryony A. Curry, Tony G. Dawkins, Lydia L. Simpson, Christopher J.A. Pugh, Rob E. Shave & Jonathan P. Moore. (2023) Aortic stiffness contributes to greater pressor responses during static hand grip exercise in healthy young and middle-aged normotensive men. Autonomic Neuroscience 248, pages 103106.
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Giovanni Lopez, Fabio Cataldi, Giuseppe Bellin, James Dunning, César Fernández-de-las-Peñas, Erasmo Galeno, Roberto Meroni, Filippo Maselli & Firas Mourad. (2023) Physiotherapy Screening for Referral of a Patient with Patent Foramen Ovale Presenting with Neck Pain as Primary Complaint: A Case Report. Healthcare 11:8, pages 1165.
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Cesare Cuspidi, Elisa Gherbesi, Andrea Faggiano, Carla Sala, Stefano Carugo, Guido Grassi & Marijana Tadic. (2023) Masked Hypertension and Exaggerated Blood Pressure Response to Exercise: A Review and Meta-Analysis. Diagnostics 13:6, pages 1005.
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Agostino Faletra, Giuseppe Bellin, James Dunning, César Fernández-de-las-Peñas, Leonardo Pellicciari, Fabrizio Brindisino, Erasmo Galeno, Giacomo Rossettini, Filippo Maselli, Richard Severin & Firas Mourad. (2022) Assessing cardiovascular parameters and risk factors in physical therapy practice: findings from a cross-sectional national survey and implication for clinical practice. BMC Musculoskeletal Disorders 23:1.
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Akihiro Tokushige & Mitsuru Ohishi. (2022) Pathophysiology of the exaggerated blood pressure response to exercise. Hypertension Research 45:12, pages 2028-2029.
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Laura Würzburger, Patrick Wiech, Valentina A. Rossi, Daniel Neunhäuserer, Stefano Caselli, Christian M. Schmied & David Niederseer. (2022) Hypertensive Response to Exercise in Athletes: Unremarkable Finding or Relevant Marker for Future Cardiovascular Complications?. International Journal of Hypertension 2022, pages 1-12.
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Martin G. Schultz, Petr OtahalAnn-Marie KovacevicPhilip Roberts-Thomson, Tony StantonChristian Hamilton-Craig, Sudhir WahiAndre La Gerche, James L. Hare, Joseph SelvanayagamAndrew Maiorana, Alison J. Venn, Thomas H. Marwick & James E. Sharman. (2022) Type-2 Diabetes and the Clinical Importance of Exaggerated Exercise Blood Pressure. Hypertension 79:10, pages 2346-2354.
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Paolo Palatini, Lucio Mos, Marcello Rattazzi, Paolo Spinella, Andrea Ermolao, Olga Vriz, Francesca Battista & Francesca Saladini. (2022) Blood pressure response to standing is a strong determinant of masked hypertension in young to middle-age individuals. Journal of Hypertension 40:10, pages 1927-1934.
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Filiz Kızılırmak Yılmaz, Fatih Yılmaz, Arzu Yıldırım, Hacı Murat Güneş, Tayyar Gökdeniz, Fatih Erkam Olgun, Tuğba Aktemur, Ümeyir Savur & Fethi Kılıçaslan. (2022) Relationship Between Autonomic Nervous System Activity and Recurrence After Cryoballoon Ablation in Patients with Paroxysmal Atrial Fibrillation. Koşuyolu Heart Journal 25:1, pages 85-94.
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Martin G. Schultz, Katharine D. Currie, Kristofer Hedman, Rachel E. Climie, Andrew Maiorana, Jeff S. Coombes & James E. Sharman. (2022) The Identification and Management of High Blood Pressure Using Exercise Blood Pressure: Current Evidence and Practical Guidance. International Journal of Environmental Research and Public Health 19:5, pages 2819.
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Martin G. Schultz, Andre La Gerche & James E. Sharman. (2022) Cardiorespiratory Fitness, Workload, and the Blood Pressure Response to Exercise Testing. Exercise and Sport Sciences Reviews 50:1, pages 25-30.
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Markéta Sovová, Eliška Sovová, Katarína Moravcová, Jaromír Ožana, Tereza Pokorná & Oldřich Masný. (2020) (Hypertension and sports). Cor et Vasa 62:4, pages 396-398.
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Yuichiro Yano, Anthony J Viera, Alan L Hinderliter, Lana L Watkins, James A Blumenthal, Kristy S Johnson, LaBarron K Hill & Andrew Sherwood. (2020) Vascular α1-Adrenergic Receptor Responsiveness in Masked Hypertension. American Journal of Hypertension 33:8, pages 713-717.
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Richard Severin, Ahmad Sabbahi, Ali Albarrati, Shane A Phillips & Sara Arena. (2020) Blood Pressure Screening by Outpatient Physical Therapists: A Call to Action and Clinical Recommendations. Physical Therapy 100:6, pages 1008-1019.
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Julian E. MariampillaiKnut Liestøl, Sverre E. Kjeldsen, Erik E. Prestgaard, Kristian Engeseth, Johan BodegardEivind BergeKnut Gjesdal, Jan Erikssen, Irene GrundvoldPer T. Skretteberg. (2020) Exercise Systolic Blood Pressure at Moderate Workload Is Linearly Associated With Coronary Disease Risk in Healthy Men. Hypertension 75:1, pages 44-50.
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Zhengzheng Huang, James E. Sharman, Ricardo Fonseca, Chloe Park, Nish Chaturvedi, George Davey Smith, Laura D. Howe, Deborah A. Lawlor, Alun D. Hughes & Martin G. Schultz. (2019) Masked hypertension and submaximal exercise blood pressure among adolescents from the Avon Longitudinal Study of Parents and Children (ALSPAC). Scandinavian Journal of Medicine & Science in Sports 30:1, pages 25-30.
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Bong-Joon Kim, Eun-Ah Jo, Sung-Il Im, Hyun-Su Kim, Jung Ho Heo & Kyoung-Im Cho. (2019) Heart rate recovery and blood pressure response during exercise testing in patients with microvascular angina. Clinical Hypertension 25:1.
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Nikolaos Koletsos, Konstantina Dipla, Areti Triantafyllou, Eugenia Gkaliagkousi, Vasileios Sachpekidis, Andreas Zafeiridis & Stella Douma. (2019) A brief submaximal isometric exercise test ‘unmasks’ systolic and diastolic masked hypertension. Journal of Hypertension 37:4, pages 710-719.
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Katharine D. Currie, John S. Floras, Andre La Gerche & Jack M. Goodman. (2018) Exercise Blood Pressure Guidelines: Time to Re-evaluate What is Normal and Exaggerated?. Sports Medicine 48:8, pages 1763-1771.
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Sae Young Jae, Kanokwan Bunsawat, Yoon‐Ho Choi, Yeon Soo Kim, Rhian M. Touyz, Jeong Bae Park & Barry A. Franklin. (2018) Relation of serum uric acid to an exaggerated systolic blood pressure response to exercise testing in men with normotension. The Journal of Clinical Hypertension 20:3, pages 551-556.
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Martin G. Schultz, Andre La Gerche & James E. Sharman. (2017) Blood Pressure Response to Exercise and Cardiovascular Disease. Current Hypertension Reports 19:11.
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Ryoma Michishita, Masanori Ohta, Masaharu Ikeda, Ying Jiang & Hiroshi Yamato. (2017) Effects of Lifestyle Modification on an Exaggerated Blood Pressure Response to Exercise in Normotensive Females. American Journal of Hypertension 30:10, pages 999-1007.
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Karsten Keller, Kathrin Stelzer, Mir Abolfazl Ostad & Felix Post. (2017) Impact of exaggerated blood pressure response in normotensive individuals on future hypertension and prognosis: Systematic review according to PRISMA guideline. Advances in Medical Sciences 62:2, pages 317-329.
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Soe M. Aung, Ahmet Güler, Yeliz Güler, Can Y. Karabay & Ilyas Akdemir. (2017) Two-dimensional speckle-tracking echocardiography-based left atrial strain parameters predict masked hypertension in patients with hypertensive response to exercise. Blood Pressure Monitoring 22:1, pages 27-33.
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Martin G. Schultz. (2017) The clinical importance of exercise blood pressure. Artery Research 21:C, pages 58.
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Martin G. Schultz, Dean S. Picone, Sonja B. Nikolic, Andrew D. Williams & James E. Sharman. (2016) Exaggerated blood pressure response to early stages of exercise stress testing and presence of hypertension. Journal of Science and Medicine in Sport 19:12, pages 1039-1042.
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Ryoma Michishita, Masanori Ohta, Masaharu Ikeda, Ying Jiang & Hiroshi Yamato. (2016) An exaggerated blood pressure response to exercise is associated with nitric oxide bioavailability and inflammatory markers in normotensive females. Hypertension Research 39:11, pages 792-798.
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Joseph Abdulnour, Marie-Noëlle Lacroix, Pierre Boulay, Éric Doucet, Martin Brochu, Rémi Rabasa-Lhoret, Jean-Marc Lavoie & Denis Prud’homme. (2016) Exercise Blood Pressure Response and Cardiometabolic Risk Factors in Middle Aged Women: A MONET Group Study. World Journal of Cardiovascular Diseases 06:06, pages 157-165.
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Ryoma Michishita, Masanori Ohta, Masaharu Ikeda, Ying Jiang & Hiroshi Yamato. (2016) Associations of the work duration, sleep duration and number of holidays with an exaggerated blood pressure response during an exercise stress test among workers. Sangyo Eiseigaku Zasshi SANGYO EISEIGAKU ZASSHI 58:1, pages 11-20.
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J E Sharman & A LaGerche. (2014) Exercise blood pressure: clinical relevance and correct measurement. Journal of Human Hypertension 29:6, pages 351-358.
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G. Claisse, P. Maldonado, N. Kpogbemabou, F. Boudghène-Stambouli, P. Delsart, P. Devos & C. Mounier-Vehier. (2015) Dépistage systématique de l’hypertension artérielle masquée chez les patients ayant une artériopathie des membres inférieurs : une étude pilote. Journal des Maladies Vasculaires 40:1, pages 10-17.
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Spyridon Deftereos, Georgios Bouras, Dimitrios Tsounis, Charalampos Papadimitriou, George Hatzis, Konstantinos Raisakis, Vasiliki Panagopoulou, Andreas Kaoukis, Antonis Ioannidis, Gerasimos Deftereos, Charalampos Kossyvakis, Antonis S. Manolis, Dimitrios Alexopoulos, Christodoulos Stefanadis, Michael W. Cleman & Georgios Giannopoulos. (2014) Association of asymmetric dimethylarginine levels with treadmill-stress-test-derived prognosticators. Clinical Biochemistry 47:7-8, pages 593-598.
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Alon Grossman, Noa Cohen, Joseph Shemesh, Nira Koren‐Morag, Avshalom Leibowitz & Ehud Grossman. (2014) Exaggerated Blood Pressure Response to Exercise Is Not Associated With Masked Hypertension in Patients With High Normal Blood Pressure Levels. The Journal of Clinical Hypertension 16:4, pages 277-282.
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Yuichiro Yano & George L. Bakris. (2013) Recognition and management of masked hypertension: A review and novel approach. Journal of the American Society of Hypertension 7:3, pages 244-252.
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Tomasz Rechciński. (2012) A survey of recent reports on ambulatory blood pressure monitoring. World Journal of Hypertension 2:1, pages 7.
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