Time to Re-Evaluate Blood Pressure Recommendations for Exercise Testing in Spontaneous Coronary Artery Dissection? A Case Series
Cardiac rehabilitation (CR) is safe, efficacious and highly recommended after spontaneous coronary artery dissection (SCAD)1,2. Cardiopulmonary exercise testing (CPET) provides guidance for individualized exercise prescription, however, recommendations suggest peak blood pressure (pBP) limits of <130/80mmHg post SCAD1, due to potential SCAD recurrence or propagation1,2. Early CPET termination due to BP concerns can lead to suboptimal exercise training. To explore safe BP limits, we analyzed 45 participants’ BP response to CPET upon CR intake at 6.4±10.3 months post-SCAD.
Authors
- Lisa M. Cotie (ORCID: https://orcid.org/0000-0002-7971-7949)
- Carolina Gonzaga (ORCID: https://orcid.org/0000-0001-8444-1222)
- Paul Oh (ORCID: https://orcid.org/0000-0002-0603-6958)
- Rajni Nijhawan
- Tracey J. F. Colella (ORCID: https://orcid.org/0000-0001-6228-9012)
- Mina Madan (ORCID: https://orcid.org/0000-0003-0285-6569)
Institutions
- Sunnybrook Health Science Centre (CA)
- University of Toronto (CA)
- Toronto Rehabilitation Institute (CA)
- Health Sciences Centre (CA)
Publication Details
- Journal
- CJC Open
- Published
- 2025-05-04
- DOI
- https://doi.org/10.1016/j.cjco.2025.04.074
- Primary Topic
- Cardiovascular Issues in Pregnancy
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Amgen
- University of Toronto
- Novartis Pharma
- Amgen Canada