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Abstract This work was designed to study whether left ventricular mass and the mitral inflow velocity pattern are more closely related to blood pressure measured during dynamic exercise than to blood pressure measured at rest. This work included 50 healthy subjects aged 20-40 years with normal blood pressure or borderline elevated blood pressure. They were all males. They were chosen randomly at Benha University hospital during the period from February 199X to September 1999. For all persons included in this study, the following were done: full history taking, thorough clinical examination, 12-lead resting E.C.G., laboratory examination, echocardiography to measure left ventricular mass and peak mitral intlow velocity, and treadmill symptom limited Bruce protocol to measure exercise systolic blood pressure at different stages. The left ventricular mass had positive significant correlation with systolic blood pressure measured at rest and at various stages of exercise (I, II, III, IV). The relation is highly significant at rest and decline with exercise until reaching its lowest level at maximal stage of exercise, but was still significant. Left ventricular mass was also significantly positively correlated to resting heart rate, body weight and height but was not related to exercise heart rate and age. The ratio of late to early mitral· inflow velocity” AlE ratio” was ,’g,it,,,ntl, po’iti”I, c””I,ttd to ”,tolic bloodp”””u” ,””,,,00 at rest on” at ””t ,to”, of ex”ti” but was no”da ted to ”,toli t , blood p,’’’u’’. ,””,””d du!lngthe”,”aining ””gO’ ofex,,,i”. Th’ AlEratio was ,ignif,,,ntl, +”oone””d to ”,ling h”rt rateandtobod’ w,igh’ but was not related to exercise heart rate: age or height. CONCLUSiONS v;. In conclusion, the left ventricular mass and mitral inflow velocity were ,dated to ;”tolk blood P””’”” ,”,,,u,,d du,ing low ”,od’ d,no,”i, ”,,,i”. Thott are fatto” othot than ”,,,i” ,ystoli’ blood p””u” that a’Tttt I,ft v”ttioul’” ’”’” and ,”itt.1 inflowvdo dt , i,tlud, ”,ting blood p””ure, ag’, ,,,ting h”rt tale,bodyw,ightand htight whith must be ”,,,,,,d. Tho;,,y,toli’ bloodpre”ure atvariou’ Itvd’ of dyna,”i’ ”otti” doe>not ,ontribu” indopond”.y to left ”nttitUl at ’”’” and ,”it,,1inflowpatterninyoungmenwithnonn al 0’ borderline elevated blood pressure . |