I am
heartfoundation.org.au|Helpline 13 11 12

Power to the treadmill: clinical exercise physiology to improve the detection of high blood pressure

Dr Martin Schultz, Institution: University of Tasmania

2019 Future Leader Fellowship

Years funded: 2020-2023


High blood pressure (BP) is the foremost risk factor for cardiovascular disease the leading cause of death worldwide and accounts for the greatest global disease burden. One in three Australian adults have high BP and many more cases remain undiagnosed. To reduce the personal and economic costs of cardiovascular disease, there is an urgent need to improve methods for identifying and managing high BP

At present, a ready opportunity to detect and respond to abnormal BP remains entirely overlooked. Each year, cardiologists and exercise physiologists conduct millions of exercise tests worldwide, with BP measurement a mandatory requirement of these tests. My research suggests that raised BP during clinical exercise testing, ‘exercise hypertension’, is a signal for cardiovascular events and death that most likely went undetected during traditional methods of assessment at rest. Thus, exercise BP offers a unique opportunity to identify individuals at BP-related cardiovascular disease-risk that conventional screening would miss. This fellowship will yield information to fill clinical evidence gaps relating to exercise BP.

My program of research consists of 3 collaborative projects that will
  1. provide the first-ever evidenced-based exercise BP thresholds via a nationwide data-linkage study of >200,000 clinical exercise tests linked to outcomes,
  2. include a randomised, controlled trial within the Australian exercise physiology sector to determine whether exercise BP can improve identification and management of high BP, and
  3. comprehensively determine factors that influence exercise BP and its associated cardiovascular risk by analysing international, longitudinal cohort study data.

The outcomes of these studies will ultimately lead to improved patient care and reduce the significant health and economic burden of high BP and cardiovascular disease in Australia.

You might also be interested in

Research Directory

Research Directory

Altering the rehabilitation environment to improve stroke survivor activity (AREISSA)

Altering the rehabilitation environment to improve stroke survivor activity (AREISSA)

Assistant Professor Neil Spratt, Institution: The University of Newcastle...

Constructing Aboriginal health: a review of cardiovascular research, 1933-2014

Constructing Aboriginal health: a review of cardiovascular research, 1933-2014

Ms Joanne Luke, Institution: University of Melbourne...

Exercise and brain volume loss after stroke

Exercise and brain volume loss after stroke

Professor Amy Brodtmann, Institution: Florey Institute of Neuroscience and Mental Health...

Lipid disorders in patients at high cardiovascular disease risk

Lipid disorders in patients at high cardiovascular disease risk

Dr Esther Ooi, Institution: University of Western Australia...

Optimizing stroke therapy - advanced brain imaging and rapid restoration of blood flow to the brain

Optimizing stroke therapy - advanced brain imaging and rapid restoration of blood flow to the brain

Professor Bruce Campbell, Institution: University of Melbourne...

Promoting active, healthy lifestyles among women at key life stages

Promoting active, healthy lifestyles among women at key life stages

Associate Professor Verity Cleland, Institution: University of Tasmania...

Reducing population salt consumption in Victoria

Reducing population salt consumption in Victoria

Reducing population salt consumption in Victoria

Professor Bruce Neal, Institution: University of New South Wales...

Starting early – Increasing young children’s physical activity

Starting early – Increasing young children’s physical activity

Associate Professor Hayley Christian, Institution: University of Western Australia...

Strategies to optimise cardio-metabolic health

Strategies to optimise cardio-metabolic health

Associate Professor Melinda Carrington, Institution: Baker Heart and Diabetes Institute...

Research Directory

Research Directory

Tenecteplase versus alteplase for stroke thrombolysis evaluation trial

Tenecteplase versus alteplase for stroke thrombolysis evaluation trial

Professor Mark Parsons, Institution: University of Melbourne...

MyMarathon

MyMarathon

MyMarathon

The fundraising race where you set the pace. Run, jog or walk MyMarathon at your own pace during October....

Heart Health Check Toolkit

Heart Health Check Toolkit

Italian veggie fritters with tomato salad

Italian veggie fritters with tomato salad

Italian veggie fritters with tomato salad

20 minutes
Serves Serves 4 (as a main meal)

Dinner recipes

Dinner recipes

Dinner recipes

Search our heart healthy dinner recipes for tonights main meal...

Driving Best Practice CVD Prevention in a Post-COVID World

Driving Best Practice CVD Prevention in a Post-COVID World

Driving Best Practice CVD Prevention in a Post-COVID World

Aboriginal and Torres Strait Islander peoples: Heart health information and resources

Aboriginal and Torres Strait Islander peoples: Heart health information and resources

Aboriginal and Torres Strait Islander peoples: Heart health information and resources

Heart disease can occur 10 to 20 years earlier among Aboriginal and Torres Strait Islander peoples and can lead to long-term health problems. ...

WEBINAR | Navigating the latest updates on CVD prevention

WEBINAR | Navigating the latest updates on CVD prevention

Nourishing chicken soup

Nourishing chicken soup

Nourishing chicken soup

1 hour
Serves Serves 6

Tahini tofu dressing

Tahini tofu dressing

Tahini tofu dressing

Leaving a gift in your Will: A lasting legacy

Leaving a gift in your Will: A lasting legacy

Leaving a gift in your Will: A lasting legacy

One of the most powerful ways to help support a future without heart disease is to include a gift to the Heart Foundation in your Will...

Absolute CVD risk assessment resources

Absolute CVD risk assessment resources

Resources and clinical information for health professionals...

Dessert recipes

Dessert recipes

Dessert recipes

Find heart healthy dessert recipes....

Strategic Grants

Strategic Grants

Strategic Grants aim to generate innovative and collaborative research in the areas of identified knowledge gaps or those deemed to be priorities of the Heart Foundation. ...

Register your cardiac service with the Heart Foundation

Register your cardiac service with the Heart Foundation

This cardiac services directory presents information on cardiac rehab programs offered across Australia....

What is atrial fibrillation?

What is atrial fibrillation?

What is atrial fibrillation?

Atrial fibrillation is a type of arrhythmia where your heart beats irregularly and fast....

Christmas recipes

Christmas recipes

Christmas recipes

Find heart healthy festive recipes. ...

Moroccan chickpea tagine

Moroccan chickpea tagine

25-40 minutes
Serves 4

Feelings and emotions after a heart attack

Feelings and emotions after a heart attack

Feelings and emotions after a heart attack

This is a guide to how you might be feeling after a heart attack. ...

Create your fundraiser at Do it for Heart

Create your fundraiser at Do it for Heart

Create your fundraiser at Do it for Heart

Become a Heart Foundation fundraiser, do it for heart and make a real difference to your community....

Supporting Your Emotional Wellbeing: An Online Forum for Young Heart Patients

Supporting Your Emotional Wellbeing: An Online Forum for Young Heart Patients

Supporting Your Emotional Wellbeing: An Online Forum for Young Heart Patients

Active Living NSW

Active Living NSW

Active Living NSW

Active Living NSW supports physical activity and healthy built environments in NSW ...

Fruit, vegetables and heart health

Fruit, vegetables and heart health

Fruit, vegetables and heart health

How to boost your fruit and vegetable intake to help protect your heart. ...

Green power smoothie

Green power smoothie

Green power smoothie

Heart conditions in women

Heart conditions in women

Heart conditions in women

Like men, women can be diagnosed with a range of heart conditions....

WEBINAR | Absolute CVD risk assessment practical update

WEBINAR | Absolute CVD risk assessment practical update

A multidisciplinary panel of experts discuss the practical application of absolute CVD risk assessment through Heart Health Checks....

Know your risk: Family history and heart disease 

Know your risk: Family history and heart disease 

Know your risk: Family history and heart disease 

A family history of heart disease could mean you are at greater risk....

Breakfast tacos

Breakfast tacos

Breakfast tacos

5 minutes
Serves 1

Hypertension clinical information and guidelines

Hypertension clinical information and guidelines

Clinical information for diagnosis and management of hypertension....