Hypertensive response to exercise in adult patients with repaired aortic coarctation.
Timion A MeijsSteven A MullerSavine C S MinderhoudRobbert J de WinterBarbara J M MulderJoost P van MelleElke S HoendermisArie P J van DijkNicolaas P A ZuithoffGregor J KringsPieter A DoevendansWilko SpieringMaarten WitsenburgJolien W Roos-HesselinkAnnemien E van den BoschBerto J BoumaMichiel VoskuilPublished in: Heart (British Cardiac Society) (2022)
A hypertensive response to exercise was present in nearly half of the patients in this large, prospective cohort of adults with repaired CoA. Risk factors for increased peak exercise SBP were male sex, absence of a bicuspid aortic valve and elevated resting SBP. Increased peak exercise SBP independently predicted hypertension at follow-up. These results support close follow-up of patients with a hypertensive response to exercise to ensure timely diagnosis and treatment of future hypertension.
Keyphrases
- aortic valve
- blood pressure
- high intensity
- physical activity
- resistance training
- aortic stenosis
- end stage renal disease
- transcatheter aortic valve replacement
- aortic valve replacement
- ejection fraction
- transcatheter aortic valve implantation
- newly diagnosed
- chronic kidney disease
- heart rate
- heart failure
- left ventricular
- peritoneal dialysis
- heart rate variability
- patient reported outcomes
- current status