| Arterial hypertension in adults after surgical treatment of aortic coarctation. | |
MedLine Citation:
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PMID: 9714485 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Despite primarily successful surgical repair of aortic coarctation (CoA), postoperative persistent, recurring, or newly developing hypertension is regarded as a risk factor of earlier mortality compared with a normal population. The present study shows that even after surgical correction of CoA many patients have hypertension at rest or during exercise. Out of 44 patients, 72% had a pathological profile at rest, 20% during exercise, and 53% during ambulatory blood pressure measurement. Regular checks on blood pressure are therefore necessary, including measurements at rest, during exercise, and under ambulatory conditions. Since these processes yield very different answers they should be combined and evaluated critically for a proper assessment of the blood pressure situation and effective treatment. Ambulatory blood pressure measurement allows the recognition of round-the-clock behavior of blood pressure and of patients with 'occult' or 'white-coat' hypertension, and furthermore it helps to control the effectiveness of the treatment. It thus makes an essential contribution to the postoperative care of patients after surgical treatment of CoA. |
Authors:
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H Kaemmerer; F Oelert; J Bahlmann; S Blücher; G P Meyer; A Mügge |
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Publication Detail:
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Type: Clinical Trial; Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: The Thoracic and cardiovascular surgeon Volume: 46 ISSN: 0171-6425 ISO Abbreviation: Thorac Cardiovasc Surg Publication Date: 1998 Jun |
Date Detail:
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Created Date: 1998-10-29 Completed Date: 1998-10-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7903387 Medline TA: Thorac Cardiovasc Surg Country: GERMANY |
Other Details:
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Languages: eng Pagination: 121-5 Citation Subset: IM |
Affiliation:
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Department of Cardiology, Hannover Medical School, Germany. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aortic Coarctation / surgery* Blood Pressure Monitoring, Ambulatory Cardiac Surgical Procedures / adverse effects* Child Child, Preschool Exercise Test Female Humans Hypertension / diagnosis, epidemiology, etiology* Incidence Infant Male Middle Aged Monitoring, Physiologic Prognosis Sensitivity and Specificity Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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