Article Text

Download PDFPDF
Response to: Correspondence on ‘Hypertensive response to exercise in adult patients with repaired aortic coarctation’ by Pavšič et al
  1. Timion A Meijs1,2,
  2. Michiel Voskuil1
  1. 1 Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands
  2. 2 Department of Cardiology, Amsterdam UMC, location Academic Medical Center, Amsterdam, The Netherlands
  1. Correspondence to Mr Timion A Meijs, Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands; T.A.Meijs-5{at}umcutrecht.nl

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

The Authors' reply

We thank Pavšič et al for their remarks regarding our recent article.1 They raise some important points. First, the definition of a hypertensive response to exercise varies between studies in patients with coarctation of the aorta (CoA), which limits their comparability. We used a cut-off value of 210 mm Hg in men and 190 mm Hg in women for systolic blood pressure (SBP) during peak exercise, since these values correspond to the 90th percentile in both sexes in a healthy population.2 Although this definition is most widely used, we acknowledge that there are potential drawbacks when extrapolating this definition to a relatively young cohort of patients with CoA. As noted by Pavšič et al, contemporary data indicate that peak exercise SBP increases with age in a pattern similar to resting SBP. …

View Full Text

Footnotes

  • Contributors Writing the draft of the correspondence: TAM. Critical appraisal: MV.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

Linked Articles