Clinical Profile of Patients with Exaggerated Blood Pressure Response During Treadmill Stress Test and Its Correlation with Risk Factors for Coronary Artery Disease

This study determined the prevalence and clinical profile of patients with Exaggerated Blood Pressure Response (EBPR) during Treadmill Exercise Test (TET) and its correlation with traditional risk factors of Coronary Artery Disease (CAD). Methodology: This is a cross-sectional study performed in Out Patient Department of Philippine General Hospital of patients 19 years old and above. Clinical profile was obtained and TET parameters including blood pressure at rest, during exercise and recovery period were determined. Results: There were 226 patients included in the study. The mean age is 52 and 121 (53.5%) were females. There were 108 (47.8%) with hypertension, 55 (24.3%) were smoker, 73 (32.3%) with dyslipidemia, 1 (0.4) with hyperuricemia, 31 (13.7) with diabetes, 51 (22.6%) with family history of CAD and 2 (3.9%) with history of supraventricular tachycardia (SVT). The prevalence of EBPR is 20.21%. Those with EBPR are usually female 31 (81.6%) and likely hypertensive 22 (57.9%). Female sex and abnormal BMI were the significant predictors of EBPR with p-value of 0.001 and 0.042 respectively. Conclusion: The prevalence of ESBR is 20.21%. The EBPR is strongly correlated with female sex and abnormal BMI. Further screening of these patient and aggressive management by adapting new HTN guidelines might help to reduce cardiovascular risk.