Document Detail


Arterial hypertension in children and adolescents after surgical repair of aortic coarctation defined by ambulatory blood pressure monitoring.
MedLine Citation:
PMID:  10915229     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Despite early operation, persistent and late systolic hypertension are common among children and adolescents after surgical repair of aortic coarctation and can contribute to early cardiovascular morbidity. METHODS: Ambulatory blood pressure monitoring was performed for 78 patients (aged 3.6-22.8 years, 41 male) after successful surgical repair of aortic coarctation (median duration of follow-up 6.5 years, range 0.7-20.1 years). Hypertension was defined as mean systolic blood pressure exceeding the 95th percentile for sex and height. RESULTS: Twenty-three patients (29%) exhibited systolic hypertension during daytime. Hypertensive patients had been older at the time of operation than had normotensive patients (5.4+/-5.0 versus 2.4+/-3.1 years, P<0.01). Prevalence of hypertension was 21% among patients who had undergone surgery during the first year of life and 38% among patients who had been operated upon later. Decline in blood pressure during night was similar for all patients (systolic 11+/-5% and diastolic 19+/-8%). Systolic hypertension during night-time was found in 24% of patients who were normotensive during day. Diastolic hypertension was rare. Follow-up measurements were performed for 41 patients after 2.3+/-1. 3 years, and most normotensive patients remained normotensive during this time. CONCLUSIONS: Ambulatory blood pressure monitoring allows one to estimate nocturnal hypertension in children and adolescents after surgical repair of aortic coarctation which is common also among normotensive patients during daytime.
Authors:
M Bald; U Neudorf
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Blood pressure monitoring     Volume:  5     ISSN:  1359-5237     ISO Abbreviation:  Blood Press Monit     Publication Date:  2000 Jun 
Date Detail:
Created Date:  2000-09-29     Completed Date:  2000-09-29     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9606438     Medline TA:  Blood Press Monit     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  163-7     Citation Subset:  IM    
Affiliation:
Department of Pediatric Nephrology, University Children's Hospital, Essen, Germany. martin.bald@uni-essen.de
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Factors
Aortic Coarctation / surgery*
Blood Pressure Monitoring, Ambulatory*
Child
Child, Preschool
Circadian Rhythm
Diastole
Echocardiography, Doppler
Female
Follow-Up Studies
Heart Catheterization
Heart Rate
Humans
Hypertension / epidemiology,  etiology*
Male
Postoperative Complications / epidemiology,  etiology*
Prevalence
Recurrence
Reproducibility of Results
Systole
Treatment Outcome

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


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