Pressure rate product, also known as Cardiovascular Product or Double Product, is used in cardiology and exercise physiology to determine the myocardial workload. with the units for the Heart Rate being beats per minute and for the Blood Pressure mmHg.

What is double product in exercise?

The double product is the product of the heart rate and systolic blood pressure. The double product break point (DPBP) is a physiologic threshold that occurs at similar exercise intensities to that of the ventilatory threshold (VT).

What is a normal RPP?

Rate Pressure Product (RPP) is a valuable marker of cardiac function.It is the product of heart rate (HR) and systolic blood pressure (SBP) (HR x SBP/1000). RPP up to 12 at rest and up to 22 in stressed conditions is considered as normal.

Does Double Product increase during exercise?

On average, the break-point of double product was 6.6 min (56 watts). These results clearly showed that the break-point of double product with an increase in workload appeared even though the workload was relatively low.

What is RPP exercise?

Rate-pressure product (RPP), which can be used to estimate the increased metabolic demand that exercise places on the heart, is calculated by multiplying the HR and the SBP.

What if the pulse pressure is high?

A high pulse pressure is often associated with increased risk of heart attack or stroke, particularly in men.

How do you find a double product?

The double product was calculated by multiplying SBP by HR (mmHg/min).

What is RPP in the heart?

Abstract. Introduction: The product of heart rate and systolic blood pressure, termed as rate-pressure product (RPP), is a very reliable indicator of myocardial oxygen demand and is widely used clinically.

What is RPP in treadmill test?

OBJECTIVE: To determine if the attainment of at least 85% of age-predicted maximal heart rate (APMHR), using the equation 220 age, and/or at least 25,000 as the product of maximal heart rate and systolic blood pressure (rate pressure product, RPP) is an accurate indicator of exertion level during exercise stress …

Why does RPP increase?

HR, SBP and RPP increases with the increase workload on the heart to provide the adequate blood supply to the active myocardium during exercise. Data was represented as meanstandard error (SE).

What does high RPP mean?

RPP is defined by resting heart rate (RHR) multiplied by systolic blood pressure (SBP). Any total value greater than 10,000 indicates an increased risk for heart disease.

What is RPP a surrogate measure of?

Rate pressure product (RPP), calculated by multiplying SBP and HR, is a valid non-invasive surrogate measure of myocardial oxygen consumption. Coronary blood flow, cardiac workload and left ventricular hypertrophy have also been found to be relative to RPP.

How do you know if you have good blood pressure?

As a general guide:

  1. normal blood pressure is considered to be between 90/60mmHg and 120/80mmHg.
  2. high blood pressure is considered to be 140/90mmHg or higher.
  3. low blood pressure is considered to be 90/60mmHg or lower.

What determines myocardial oxygen demand?

Heart rate, contractility, and ventricular-wall tension are the three factors that determine myocardial oxygen demand. An increase in any of these variables requires the body to adapt to sustain adequate oxygen supply to the heart.

What causes stroke volume to decrease?

An increase in afterload, for example, in individuals with long-standing high blood pressure, generally causes a decrease in stroke volume. [2] In summary, stroke volume may be increased by increasing the contractility or preload or decreasing the afterload.

Why is RPP important in exercise?

It is an important indicator of ventricular function. RPP varies with exercise. The peak rate pressure product (PRPP) which gives an accurate reflection of the myocardial oxygen demand and myocardial workload is the RPP at peak of exercise. The higher the PRPP, the more will be myocardial oxygen consumption (MVO2).

What’s the DIA in blood pressure?

Diastolic blood pressure, the bottom number, measures the force your heart exerts on the walls of your arteries in between beats.

When does cardiac drift occur?

Cardiovascular drift, the progressive increase in heart rate and decrease in stroke volume that begins after approximately 10 min of prolonged moderate-intensity exercise, is associated with decreased maximal oxygen uptake, particularly during heat stress.

What is SYS and DIA?

When your doctor takes your blood pressure, it’s expressed as a measurement with two numbers, with one number on top (systolic) and one on the bottom (diastolic), like a fraction. For example, 120/80 mm Hg. The top number refers to the amount of pressure in your arteries during the contraction of your heart muscle.

What is Pul blood pressure?

Pulse pressure is the difference between the upper and lower numbers of your blood pressure. This number can be an indicator of health problems before you develop symptoms.

What is normal blood pressure by age?

Normal Blood Pressure By Age

Age SBP DBP
21-25 120.5 78.5
26-30 119.5 76.5
31-35 114.5 75.5
36-40 120.5 75.5

What is double product in math?

To multiply by 2. To have 2 of something.

What is systolic BP?

Blood pressure is measured using two numbers: The first number, called systolic blood pressure, measures the pressure in your arteries when your heart beats. The second number, called diastolic blood pressure, measures the pressure in your arteries when your heart rests between beats.

What is ischemic threshold?

The ischemic threshold was defined as the heart rate at which a 1 mm horizontal or downsloping ST segment depression appeared on a baseline treadmill symptom-limited exercise test.

Why does TPR decrease during exercise?

The decrease in total peripheral resistance is the result of decreased vascular resistance in skeletal muscle vascu- lar beds, leading to increased blood flow. The increase in blood flow to cardiac and skeletal muscle produced by exercise is called exercise hyperemia.

What is MVO2?

Myocardial oxygen consumption (MVO2) is defined by the equation: MVO2 = coronary blood flow x arteriovenous difference in O2 content. The average value for a heart of 300 g is 30 to 35 ml/min.

How fast does your heart beat during a stress test?

Your target heart rate during a stress test depends on your age. For adults, the maximum predicted heart rate is 220 minus your age. So, if you’re 40 years old, the maximum predicted heart rate is 220 40 = 180.

How many minutes is good on a stress test?

During the test, the patient is on a treadmill or a stationary bike till he achieves at least 80% of the target heart rate. The target heart rate may be achieved faster in old people; young people and athletes take up to 20 minutes or even longer to attain the target heart rate.

How do you pass a treadmill stress test?

To pass your treadmill stress test i.e., to have a successful treadmill stress test, you need to avoid the following things for at least three hours before the test: Eating or drinking anything except water. Consuming anything that contains caffeine. Consuming tobacco in any form.