Exercise stress testing is commonly used to evaluate the cardiovascular response to exercise and to identify coronary artery abnormalities and arrhythmias. The normal physiological response to exercise involves a predictable pattern of hemodynamic changes. Systolic blood pressure (SBP) typically increases in proportion to the intensity of exercise, reflecting increased cardiac output and stroke volume [1]. In contrast, diastolic blood pressure (DBP) usually remains stable or may slightly decrease due to peripheral vasodilation in the working muscles.
