ABSTRACT
Gordon Lambert described the value of exercise blood pressure measurements as well as some of the most important controversies and difficulties in 1918. The aetiology of exercise hypotension is multifactorial and indicative of underlying cardiovascular disease, and in patients with established cardiovascular disease it is a marker of poor prognosis. A hypertensive response to exercise at moderate workload is associated with future risk of cardiovascular disease and mortality. The finding of a significant association between exercise systolic blood pressure and cardiovascular mortality is consistent with our previous findings from the cohort and a recent meta-analysis and reviews regarding exercise systolic blood pressure. The risk of cardiovascular disease seems also to be present at lower exercise systolic blood pressure. During the exercise test, systolic blood pressure is most often measured at several different intensities or workloads. The prognostic impact of a hypotensive response to exercise is well established and seems uncontroversial.
