© 2003 by BMJ Publishing Group & British Cardiac Society
EDITORIAL
Exercise blood pressure in congenital heart disease and in patients after coarctation repair
Correspondence to:
Correspondence to:
Dr Michael Hauser, Deutsches Herzzentrum /TU München, Department of Paediatric Cardiology, Lazarettstraße 36, 80636 Munich, Germany;
hauser@dhm.mhn.de
Cardiologists have often described aortic coarctation as "simple" rather than "complex" congenital heart disease; nothing could be further from the truth
Keywords: congenital heart disease; coarctation repair; exercise blood pressure
| The first 150 words of the full text of this article appear below. |
Systolic blood pressure rises with increased dynamic work load as a result of increasing cardiac output.1 At each level of exercise there is a more consistent increase in systolic blood pressure during the first few minutes, and then a steady state is attained. Systolic blood pressure generally correlates with the maximal exercise level achieved.2 Normal values of maximal systolic blood pressure can be defined.3 After performing maximal exercise, there is a decline in systolic blood pressure, reaching basal levels usually in six to seven minutes, and then often remaining lower than pre-exercise levels for several hours. During exercise there is an immediate vasodilatation of the arteries and capillaries in active skeletal muscle tissue because of increased metabolic demands in contrast to tissue that is not involved where peripheral vascular resistance increases. The total result is a decrease in overall systemic vascular resistance.4 While systolic blood pressure increases simultaneously, diastolic blood
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
-
Aboulhosn, J., Child, J. S.
(2006). Left Ventricular Outflow Obstruction: Subaortic Stenosis, Bicuspid Aortic Valve, Supravalvar Aortic Stenosis, and Coarctation of the Aorta. Circulation
114: 2412-2422
[Full Text]
- Full Text
- Full Text (PDF)
- Submit a response
- Alert me when this article is cited
- Alert me when eLetters are posted
- Alert me if a correction is posted
- Citation Map
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
