| Stenting of aortic coarctation and exercise-induced hypertension in the young. | |
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MedLine Citation:
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PMID: 20095012 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To evaluate whether the stenting of aortic coarctation enhance the risk of exercise-induced hypertension (EIH). BACKGROUND: There is the theoretical concern that aortic stents may cause increased aortic wall impedance and therefore systolic hypertension during exercise. METHODS: Blood pressure and the Doppler derived peak and mean systolic pressure gradient (PSG and MSG) across the distal aorta at the peak of exercise were evaluated in young patients (mean age 14 +/- 3 years) with aortic coarctation successfully treated with surgery or with stent implantation at least 1 year before the test. Only patients who reached the 85% maximal predicted heart rate or whose exercise test was interrupted because of severe hypertension, and in whom significant aortic narrowings were excluded by a MRI or a CT scan performed in the six months preceding the exercise test were included in the study. RESULTS: Seventeen patients formed the surgery-group, while 15 patients the stent-group. Patients in surgery-group were younger at coarctation repair and with a longer follow-up than those in stent-group. No difference was present regarding age, body surface area, gender, and presence, and degree of mildly hypoplastic aortic segments between the two groups as well as between patients with or without EIH. EIH was found in 35% of surgery-group patients and in 33% of stent-group patients. PSG and MSG were similar in the patients with or without EIH. CONCLUSIONS: EIH can be found in a high number of young patients successfully treated for aortic coarctation but at intermediate follow-up stent implantation does not seem to enhance the risk of EIH. |
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Authors:
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Enrico De Caro; Isabella Spadoni; Roberto Crepaz; Michele Saitta; Gianluca Trocchio; Maria Grazia Calevo; Calevo Mg; Giacomo Pongiglione |
Publication Detail:
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Type: Comparative Study; Journal Article; Multicenter Study |
Journal Detail:
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Title: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions Volume: 75 ISSN: 1522-726X ISO Abbreviation: Catheter Cardiovasc Interv Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-01-27 Completed Date: 2010-04-01 Revised Date: 2010-06-08 |
Medline Journal Info:
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Nlm Unique ID: 100884139 Medline TA: Catheter Cardiovasc Interv Country: United States |
Other Details:
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Languages: eng Pagination: 256-61 Citation Subset: IM |
Affiliation:
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Cardiovascular Department, Istituto Giannina Gaslini Children's Hospital, Genova, Italy. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Angioplasty, Balloon / adverse effects*, instrumentation* Aortic Coarctation / diagnosis, physiopathology, surgery, therapy* Aortography / methods Blood Pressure Child Exercise* Exercise Test Female Humans Hypertension / diagnosis, etiology*, physiopathology Italy Magnetic Resonance Angiography Male Stents* Time Factors Tomography, X-Ray Computed Treatment Outcome Ultrasonography, Doppler Vascular Surgical Procedures / adverse effects* Young Adult |
| Comments/Corrections | |
Comment In:
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Catheter Cardiovasc Interv. 2010 Feb 1;75(2):262
[PMID:
20095013
]
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Erratum In:
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Catheter Cardiovasc Interv. 2010 Jun 1;75(7):1143 Note: Mg, Calevo [corrected to Calevo, Maria Grazia] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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