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01-01-2018 | Review Article

Hypertension in Coarctation of the Aorta: Challenges in Diagnosis in Children

Authors: Trisha V. Vigneswaran, Manish D. Sinha, Israel Valverde, John M. Simpson, Marietta Charakida

Published in: Pediatric Cardiology | Issue 1/2018

Abstract

Evidence indicates that patients with coarctation of the aorta (COA) suffer from increased cardiovascular morbidity and mortality in later life despite successful repair of COA in childhood. Systolic arterial hypertension is common, presenting in up to one-third of patients, and is regarded as the main driver of premature cardiovascular events in this group of patients. In this review, we discuss the prevalence and pathophysiology of hypertension in children following successful COA repair with no residual arch obstruction. The challenges in accurate blood pressure assessment at this early phase are considered and non-invasive measures of central blood pressure are discussed. Although the pathways for investigations in adults are well defined, we highlight the need to address the issues of cardiovascular surveillance in children and describe techniques which can provide complementary information for cardiovascular assessment in this group of patients such that timely treatment can occur.

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Title: Hypertension in Coarctation of the Aorta: Challenges in Diagnosis in Children
Authors: Trisha V. Vigneswaran
Manish D. Sinha
Israel Valverde
John M. Simpson
Marietta Charakida
Publication date: 01-01-2018
Publisher: Springer US
Published in: Pediatric Cardiology / Issue 1/2018
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI: https://doi.org/10.1007/s00246-017-1739-x

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Other articles of this Issue 1/2018

First Case of Q Fever Endocarditis Involving the Melody® Transcatheter Pulmonary Valve in an Afebrile Child

Oral Paracetamol for Patent Ductus Arteriosus Rescue Closure

Left Ventricular Dilation: When Pediatric Meet Adult Guidelines

Chromosomal Abnormalities Affect the Surgical Outcome in Infants with Hypoplastic Left Heart Syndrome: A Large Cohort Analysis

Upcoming Events in Pediatric Cardiology

Serial Versus Direct Dilation of Small Diameter Stents Results in a More Predictable and Complete Intentional Transcatheter Stent Fracture: A PICES Bench Testing Study

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

Incentivised to exercise

New intervention for STEMI-related cardiogenic shock

» View more highlights on the ACC 2024 congress hub page