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Pediatric Cardiology

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17.10.2017 | Review Article

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

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

Erschienen in: Pediatric Cardiology | Ausgabe 1/2018

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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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Titel: Hypertension in Coarctation of the Aorta: Challenges in Diagnosis in Children
verfasst von: Trisha V. Vigneswaran
Manish D. Sinha
Israel Valverde
John M. Simpson
Marietta Charakida
Publikationsdatum: 17.10.2017
Verlag: Springer US
Erschienen in: Pediatric Cardiology / Ausgabe 1/2018
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI: https://doi.org/10.1007/s00246-017-1739-x

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

Abstract

Neu im Fachgebiet Kardiologie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Myokarditis nach Infekt – Richtig schwierig wird es bei Profisportlern

Wie erfolgreich ist eine Re-Ablation nach Rezidiv?

Europäische Ernährungsgewohnheiten: Das sind die häufigsten Fehler

Update Kardiologie

Springer Medizin

Abstract

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