In fact, in some cases, it may even hint at the opposite.
y, found that high systolic blood pressure during exercise may not necessarily indicate that a person is at risk for heart disease—as long as workload, or intensity, is taken into account.define an exaggerated systolic blood pressure response to exercise as a peak SBP of 210 millimeters of mercury in males and 190 mmHg in females. These high blood pressure levels are often interpreted to show increased risk of heart disease.
Why? Physiologically, systolic blood pressure rises with rising workload , Kristofer Hedman, Ph.D., physician at Linkoping University in Sweden told. People who are fitter—which is related to higher survival rates—are usually able to reach higher workloads, spiking their BP higher. Unless the reading is extremely high—a value over 260–270 mmHg would probably never be considered “normal”—it is likely not indicative of anything else than a high fitness level, as long as the test is normal in all other aspects, Hedman said. These would include the heart rate response, the electrocardiogram , and/or symptoms such as chest pain, excessive dyspnea , and nausea.
On the flip side, though, higher SBP alone doesn’t mean better fitness. Rather, in healthy people, rising SBP will follow rising METs.
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