There are three types of abnormal blood pressure responses during exer
cise: hypotensive reaction, inadequate rise in blood pressure, and hyp
ertensive reaction. At rest, an abnormal high blood pressure has an ad
verse prognostic implication. This is not true for a low blood pressur
e at rest. During exercise, however, the contrary is observed: an inad
equate rise or even a fall in blood pressure below resting values indi
cates a significantly increased risk for cardiac events, whereas a hyp
ertensive reaction in patients with a normal resting blood pressure ha
s no adverse prognostic implications.