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Hypertension after repair of aortic coarctation - A systematic review.
MedLine Citation:
PMID:  23041096     Owner:  NLM     Status:  Publisher    
Hypertension continues to be a common and potentially serious problem in patients who have undergone anatomically successful repair of aortic coarctation. OBJECTIVE: To assess the prevalence of hypertension after aortic coarctation repair, the factors that affect the prevalence and the hypotheses behind hypertension in this cohort of patients. DESIGN: A systematic review of all articles reporting on systolic blood pressure (SBP) in patients who have undergone aortic coarctation repair. DATA SOURCES: An electronic search of all English articles using PUBMED and The Cochrane Controlled Trials Register was performed. A manual search of references lists of relevant studies and a search of conference abstracts were also conducted. INCLUSION CRITERIA: We restricted inclusion to articles published between 1987 and 2012 that reported on SBP in patients who have undergone aortic coarctation repair. DATA EXTRACTION: Independent extraction of articles was performed by two authors using predefined data fields. One author then proceeded to extract information of interest from these articles. RESULTS: The first search yielded 12,914 articles. After screening titles, abstracts and full text articles 26 articles were included in this review article. In papers reporting the prevalence of hypertension late after anatomically satisfactory coarctation repair, the median prevalence was 32.5% (range 25-68%). CONCLUSION: Hypertension remains a common complication following aortic coarctation repair. Factors that influence the reported prevalence of hypertension include the age at the time of surgery, age at follow up, the method used to measure blood pressure and the type of intervention performed.
Carla Canniffe; Phalla Ou; Kevin Walsh; Damien Bonnet; David Celermajer
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-4
Journal Detail:
Title:  International journal of cardiology     Volume:  -     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-8     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
Heart House, Mater Misericordiae Hospital, Dublin, Ireland; Our Lady's Children's Hospital, Dublin, Ireland. Electronic address:
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