Document Detail


Secondary hypertension in a migrant farm worker: a case report of coarctation of the aorta.
MedLine Citation:
PMID:  11845639     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report a case of undetected aortic coarctation in an adult Hispanic migrant farm worker that presented with uncontrolled hypertension and transient left flank pain. A primary care overview of the disorder, clinical diagnosis, testing, and treatment are discussed. DATA SOURCES: Case report, scientific literature, diagnostic evidence. CONCLUSIONS: Coarctation of the aorta is a significant congenital cardiovascular anomaly and cause of secondary hypertension. The majority of patients with coarctation of the aorta are diagnosed during infancy. Older children and adults may have a subtle presentation, but can be identified as being at risk by having a thorough history and physical, as well as noninvasive diagnostic testing. IMPLICATIONS FOR PRACTICE: Primary care providers must have a high degree of suspicion in patients with risk factors or in individuals that may have not benefited from adequate health screening. Early diagnosis and correction of the coarctation is important to reduce persistent postoperative hypertension and improve long-term survival.
Authors:
Scott Fleming; Yves Lefranc; George Rodway; Beth Ann Wilson
Related Documents :
3229869 - Complete transposition with posteriorly located aorta and multiple ventricular septal d...
8581909 - Spring coil embolization of a patent ductus arteriosus in an adult.
24332929 - Reconstruction of upper lip avulsion after dog bite: case report and review of literature.
12793639 - An interesting rare case of sirenomelia.
16944989 - Tetralogy of fallot, hypertrophic cardiomyopathy, and down's syndrome: a rare and chall...
17364289 - Where is the aorta? is it worth palpating the aorta prior to laparoscopy?
22227549 - Multiple ancient schwannoma of the accessory nerve: a case report.
3418769 - Management of chylothorax after blunt chest trauma.
2328619 - Nevus elasticus and lichen sclerosus et atrophicus on the vulva.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Academy of Nurse Practitioners     Volume:  14     ISSN:  1041-2972     ISO Abbreviation:  J Am Acad Nurse Pract     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-02-15     Completed Date:  2002-05-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8916634     Medline TA:  J Am Acad Nurse Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  34-7     Citation Subset:  N    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aortic Coarctation / complications*,  diagnosis*,  therapy
Humans
Hypertension / diagnosis*,  etiology*,  therapy
Male
Transients and Migrants*

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


Previous Document:  Developing an economic IQ in primary care.
Next Document:  Literacy in the health care system: a study on open heart surgery patients.