A member asked:

What are the causes a severe hypertensive response to exercise (263/89 on stage 2 bruce protocol) in an otherwise healthy 45 yr old with normal resting bp. what are proven treatment options or ways to determine cause without trial and error meds?

A doctor has provided 1 answer
Dr. Clarence Grim answered

Specializes in Endocrinology

Measuring BP during exercise is difficult & often in error. Remember BP varies with ever heart beat & during exercise the heart must beat very hard. Check family history of HBP as this may predict future HBP. I would move to DASH eating plan which may prevent BP from increasing with age. Discuss with your local team who has the whole picture. Why stress test done in a perfectly heathy man age 45?

Answered 5/11/2023

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