Document Detail


Development of exercise-induced arm-leg blood pressure gradient and abnormal arterial compliance in patients with repaired coarctation of the aorta.
MedLine Citation:
PMID:  15518624     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Often, the lack of systemic arterial hypertension and the lack of a resting arm-leg blood pressure gradient are used to assess the adequacy of the anatomic result after intervention for coarctation of the aorta (CoA). Some patients with no arm-leg gradient at rest may develop a gradient with exercise, leading caregivers to question the success of the repair. It is not clear what the prevalence is of patients who have undergone a successful intervention for CoA and have no arm-leg gradient at rest but develop a significant gradient with exercise and which factors may predict the development of an arm-leg gradient with exercise. This study evaluates the prevalence and predictors of an exercise-induced arm-leg gradient in subjects who have undergone an apparently successful intervention for CoA.
Authors:
Larry W Markham; Sandra K Knecht; Stephen R Daniels; Wayne A Mays; Philip R Khoury; Timothy K Knilans
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  94     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-02     Completed Date:  2005-01-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1200-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. larry.markham@cchmc.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aortic Coarctation / physiopathology*,  surgery*
Aortic Valve Insufficiency / etiology,  physiopathology
Arm / blood supply*
Arteries / physiopathology
Blood Pressure / physiology*
Cardiac Surgical Procedures*
Child
Child Welfare
Exercise / physiology*
Exercise Test
Female
Heart Rate / physiology
Heart Ventricles / physiopathology
Humans
Leg / blood supply*
Male
Myocardial Contraction / physiology
Peripheral Vascular Diseases / etiology*,  physiopathology*
Postoperative Complications / etiology*,  physiopathology*
Predictive Value of Tests
Retrospective Studies
Statistics as Topic
Treatment Outcome

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


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