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Hypertension after repair of aortic coarctation--a systematic review

Carla Canniffe1, Phalla Ou, Kevin Walsh

  • 1Heart House, Mater Misericordiae Hospital, Dublin, Ireland; Our Lady's Children's Hospital, Dublin, Ireland. ccanniffe@hotmail.com

International Journal of Cardiology
|October 9, 2012
PubMed

Insights

Hypertension is a common issue after aortic coarctation repair, affecting a significant portion of patients. Factors like surgical timing and follow-up age influence its prevalence.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Vascular Surgery

Background:

  • Aortic coarctation repair is anatomically successful in many patients.
  • Hypertension remains a significant concern post-repair.

Purpose of the Study:

  • To determine the prevalence of hypertension after aortic coarctation repair.
  • To identify factors influencing hypertension post-repair.
  • To explore underlying hypotheses for hypertension in this patient group.

Main Methods:

  • Systematic review of English-language articles (1987-2012) reporting systolic blood pressure (SBP) post-aortic coarctation repair.
  • Searches included PubMed, Cochrane Controlled Trials Register, reference lists, and conference abstracts.
  • Data extraction performed by two independent reviewers.

Main Results:

  • 26 articles were included from an initial search of 12,914.
  • The median prevalence of late hypertension after satisfactory aortic coarctation repair was 32.5% (range 25-68%).

Conclusions:

  • Hypertension is a frequent complication following aortic coarctation repair.
  • Age at surgery, age at follow-up, blood pressure measurement methods, and intervention type impact hypertension prevalence.
Abstract

Keywords:
Aortic coarctationHypertensionPathophysiologySystolic blood pressure

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