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Coarctation of the aorta: a study in delayed detection
Pediatrics
|February 1, 1982
Summary
Delayed diagnosis of coarctation of the aorta is common, often overlooked despite physical signs like murmurs and hypertension. Early blood pressure checks are crucial for timely detection and preventing cardiovascular issues.
Area of Science:
- Pediatric Cardiology
- Diagnostic Medicine
- Public Health
Background:
- Coarctation of the aorta is a congenital heart defect often diagnosed late.
- Delayed diagnosis can lead to significant cardiovascular complications.
Purpose of the Study:
- To review diagnostic delays in coarctation of the aorta.
- To emphasize the importance of physical examination findings in early detection.
Main Methods:
- Retrospective review of 65 patients diagnosed after age 1.
- Analysis of referral patterns and diagnostic timelines.
Main Results:
- Median age at diagnosis was 10 years, with significant delays.
- Hypertension and heart murmurs were common but often undiagnosed before referral.
- Physical findings like differential blood pressure and absent pulses were frequent.
Conclusions:
- Coarctation of the aorta is frequently overlooked, despite characteristic physical findings.
- Routine measurement of upper and lower extremity blood pressure is vital.
- The long-term impact of delayed diagnosis requires further investigation.