Document Detail

Arterial hypertension in adults after surgical treatment of aortic coarctation.
MedLine Citation:
PMID:  9714485     Owner:  NLM     Status:  MEDLINE    
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.
H Kaemmerer; F Oelert; J Bahlmann; S Blücher; G P Meyer; A Mügge
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  46     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-10-29     Completed Date:  1998-10-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  121-5     Citation Subset:  IM    
Department of Cardiology, Hannover Medical School, Germany.
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MeSH Terms
Aortic Coarctation / surgery*
Blood Pressure Monitoring, Ambulatory
Cardiac Surgical Procedures / adverse effects*
Child, Preschool
Exercise Test
Hypertension / diagnosis,  epidemiology,  etiology*
Middle Aged
Monitoring, Physiologic
Sensitivity and Specificity
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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