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[Occult arterial hypertension after repaired aortic coarctation]

Efrén Martínez-Quintana1, Fayna Rodríguez-González2

  • 1Servicio de Cardiología, Complejo Hospitalario Universitario Insular-Materno Infantil, Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria.

Archivos Argentinos De Pediatria
|August 22, 2015
PubMed

Insights

Repaired childhood coarctation of the aorta can lead to hypertension in adulthood, even after successful surgery. Monitoring for left ventricular hypertrophy may reveal this occult arterial hypertension.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Adult Congenital Heart Disease

Background:

  • Coarctation of the aorta is a congenital heart defect requiring surgical repair in childhood.
  • Adults with repaired coarctation have a higher risk of hypertension.
  • Hypertension can occur despite technically adequate surgical correction.

Observation:

  • Hypertension may not be apparent during routine office visits.
  • Ambulatory blood pressure monitoring can detect "occult arterial hypertension".
  • Left ventricular hypertrophy is an indirect sign of sustained hypertension.

Findings:

  • Patients with repaired coarctation exhibit increased incidence of hypertension during daily life and exercise.
  • Subtle or intermittent hypertension may be present.
  • Development of left ventricular hypertrophy indicates significant hemodynamic changes.

Implications:

  • Regular blood pressure monitoring, including ambulatory monitoring, is crucial for adults with repaired coarctation.
  • Screening for left ventricular hypertrophy can aid in identifying at-risk individuals.
  • Early detection and management of hypertension are vital to prevent cardiovascular complications.

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