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Exercise-induced Hypertension

Heart & Blood Health | Last Active: Aug 19, 2023 | Replies (48)

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@bertaw

I am 61 year old woman and also have been diagnosed last year with exercise induced hypertension, however do not have high blood pressure during normal activities.

Due to shortness of breath I wore a heart monitor for 30 days with no abnormalities. I then had a treadmill stress test which is when the hypertension was noted. I reached 189/? shortly after starting an easy jog. No blockages were found on the CT. I checked my BP at the gym while on the elliptical with reading at warmup 144/60, stepping off and rechecking within 5 min at 129/74. Then went to a faster pace for 7 min and hit 195/67, rested for 3 min the reading was 126/57. So I drop to normal very quickly.

I have tried Lisinopril starting at 10mg down to 1.25 mg and experienced low BP so discontinued.

My questions are, is there any other tests that I should be requesting to find an underlying cause? Is there any other medication that does not lower blood pressure that might be suggested? Are there clinical trials out there to look into?

Thank you

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Replies to "I am 61 year old woman and also have been diagnosed last year with exercise induced..."

Latest study on hypertension and exercise https://www.sciencedaily.com/releases/2018/02/180213154336.htm

Is this clinical trial recruiting?

I am your age and results of a treadmill stress test revealed similar results as yours (although higher on systolic). Cardiologist referred back to PCP for plan which is next week. I'm an RN, however, not with cardiology expertise, and want to be knowledgeable about possible treatments. My blood pressure is high normal when not exercising.I exercise 5-7 hours a week at moderate to high intensity. Any words of wisdom from your experiences with this?

Hello Schmidtsl. I am 62 years old and recently diagnosed with exercise induced hypertension after a cardiopulmonary stress test, bicycle echo, and right heart catheterization. I have not exercised since 2006 when a cardiac event brought me to the ER with heart attack-like symptoms. My symptoms have persisted since that day. I have not been able to build any exercise tolerance without s.o.b., fluid retention, and pressure sensations in my chest. Stress tests in the past never revealed exercise induced hypertension. My BP's are normal during the day. I attributed the exercise hypertension to being terribly de-conditioned but my cardiologist says that is not the reason. She is not sure at this point if I should start meds or not. She is considering a CT angiogram even though the CPX, Cardiac Stress MRI, and Bicycle echo are normal. I'm very confused. Wondering how you are doing as well as the many people that have posted with reports of exercise induced hypertension. How are you feeling? have you learned any more about it or joined a trial? Thanks.

Hello schmidtsl. Just wondering how you are doing with your exercise induced hypertension. I have been diagnosed with the same. BP's are normal when not exercising. My doctors have not prescribed anything yet. I believe they are considering ordering a coronary angiogram. Are you being treated for this condition? What did your PCP advise? Thanks.