Effect of blood pressure response type on ABCDE stress echocardiography results
https://doi.org/10.33667/2078-5631-2025-24-42-49
Abstract
Objective. To assess the incidence of hypertensive response of arterial pressure (BP) to exercise (HRE) during stress echocardiography (SE) in patients with known or suspected coronary artery disease and the effect of HRE on the results of ABCDE-SE.
Materials and methods. The single-center study included 193 patients who underwent ABCDE-SE (evaluation of wall motion abnormalities, B-lines, contractile reserve (CR), coronary, chronotropic) with traditional assessment of BP response. The incidence of HRE during SE and the relationship of HRe with positive SE results were studied.
Results. The prevalence of HRE was 36.3% (70 patients). Patients with HRE more often had low exercise tolerance (p=0.013); coronary artery blood flow velocity at rest and under load, CR value were higher in patients with HRE (p=0.009, p=0.008 and p=0.002). Among patients with HRE CR decrease was less common than among patients with adequate BP response: 45 (64.3%) versus 99 (80.5%) (p=0.013).
Conclusion. Excessive BP increase during SE may be a limiting feature leading to premature termination of testing, which means worse exercise tolerance compared to normotensive patients. There is a relationship between BP response to load and ABCDE-SE results, in particular the effect of peak BP on CR. The relationship between BP response to load and SE steps, as well as its prognostic significance, require further study.
About the Authors
Т. M. Timofeeva
Institute of Medicine, Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University);
Vinogradov University Clinical Hospital (branch) of the RUDN University
Russian Federation
Russian Federation
Tatiana M. Timofeeva – MD, PhD, associate professor at the Department; Doctor of the department of ultrasound and functional research method
Department of Internal Medicine with the subspecialty of cardiology and functional diagnostics named after V.S. Moiseev, Institute of Medicine, Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University
Moscow
A. F. Safarova
Institute of Medicine, Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University);
Vinogradov University Clinical Hospital (branch) of the RUDN University
Russian Federation
Russian Federation
Ayten F. Safarova – MD, PhD, professor at the Department, Doctor of the department of ultrasound and functional research methods
Department of Internal Medicine with the subspecialty of cardiology and functional diagnostics named after V.S. Moiseev, Institute of Medicine, Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University
Moscow
V. P. Efimova
Institute of Medicine, Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University);
Vinogradov University Clinical Hospital (branch) of the RUDN University
Russian Federation
Russian Federation
Victoria P. Efimova – MD, PhD, associate professor at the Department; Doctor of the department of ultrasound and functional research methods
Department of Internal Medicine with the subspecialty of cardiology and functional diagnostics named after V.S. Moiseev, Institute of Medicine, Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University
Moscow
E. M. Ozova
Institute of Medicine, Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University);
Vinogradov University Clinical Hospital (branch) of the RUDN University
Russian Federation
Russian Federation
Elena M. Ozova – MD, PhD, assistant of the Department; physician of the department of ultrasound and functional research methods
Department of Internal Medicine with the subspecialty of cardiology and functional diagnostics named after V.S. Moiseev, Institute of Medicine, Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University
Moscow
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Review
For citations:
Timofeeva Т.M., Safarova A.F., Efimova V.P., Ozova E.M. Effect of blood pressure response type on ABCDE stress echocardiography results. Medical alphabet. 2025;(24):42-49. (In Russ.) https://doi.org/10.33667/2078-5631-2025-24-42-49
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