HCM exercise BP – Cardiology MCQ – Answer

Abnormal exercise blood pressure response in hypertrophic obstructive cardiomyopathy has been defined as:

Correct answer: b) Failure to rise at least 20 mm Hg or fall of at least 20 mm Hg from peak level

Abnormal exercise blood pressure response in hypertrophic obstructive cardiomyopathy has been associated with increased risk of sudden cardiac death in younger individuals below the age of 40 years.

Progressive increase in blood pressure upto peak exercise is the normal physiological response to exercise.

Reference

1. Elliott PM, Anastasakis A, Borger MA, Borggrefe M, Cecchi F, Charron P, Hagege AA, Lafont A, Limongelli G, Mahrholdt H, McKenna WJ, Mogensen J, Nihoyannopoulos P, Nistri S, Pieper PG, Pieske B, Rapezzi C, Rutten FH, Tillmanns C, Watkins H. 2014 ESC Guidelines on diagnosis and management of hypertrophic cardiomyopathy: the Task Force for the Diagnosis and Management of Hypertrophic Cardiomyopathy of the European Society of Cardiology (ESC). Eur Heart J. 2014 Oct 14;35(39):2733-79.

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