Exercise-induced hypertension after corrective surgery for coarctation of the aorta
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
MetadataShow full item record
CitationPediatr Cardiol. 1996, 17(5):301-7
AbstractThe purpose of this investigation was to study exercise-induced hypertension after surgical repair of coarctation of the aorta (CoA). Groups of 27 patients with CoA and 27 healthy control subjects, 6-21 years old, were exercised to exhaustion using the Bruce protocol. Fourteen patients had undergone surgery during the first year of life (group A), and 13 patients had been operated on later (group B). The pulse rate and systolic blood pressures (BP) in the arm and leg were measured before, during, and after exercise to evaluate changes in the BP and the arm/leg BP gradient with exercise. The systolic BP was significantly higher in the patients than in the controls at all stages of the exercise test (p < 0.01), as was the arm/leg BP gradient both before and after exercise (p < 0.01); the latter increased significantly with exercise in the patient group (p < 0.05). We found hypertension to be a more common and severe problem in group B patients, who had higher blood pressures than their controls at rest and during exercise (p < 0.05). Exercise-induced hypertension was also more common in group B (23%) than in group A (7%). We conclude that exercise-induced hypertension and recoarctation are problems in postoperative CoA patients. Moreover, exercise-induced hypertension is more common in patients with CoA operated on after the first year of life.
DescriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links field
- Exercise-induced hypertension after repair of coarctation of the aorta: arm versus leg exercise.
- Authors: Markel H, Rocchini AP, Beekman RH, Martin J, Palmisano J, Moorehead C, Rosenthal A
- Issue date: 1986 Jul
- A Cross-Sectional Study of the Prevalence of Exercise-Induced Hypertension in Childhood Following Repair of Coarctation of the Aorta.
- Authors: Luitingh TL, Lee MGY, Jones B, Kowalski R, Weskamp Aguero S, Koleff J, Zannino D, Cheung MMH, d'Udekem Y
- Issue date: 2019 May
- Exercise capacity in young adults with hypertension and systolic blood pressure difference between right arm and leg after repair of coarctation of the aorta.
- Authors: Instebø A, Norgård G, Helgheim V, Røksund OD, Segadal L, Greve G
- Issue date: 2004 Oct
- Exercise-induced hypertension in the arms due to impaired arterial reactivity after successful coarctation resection.
- Authors: Guenthard J, Wyler F
- Issue date: 1995 Apr 15
- Abnormalities of aortic arch shape, central aortic flow dynamics, and distensibility predispose to hypertension after successful repair of aortic coarctation.
- Authors: Donazzan L, Crepaz R, Stuefer J, Stellin G
- Issue date: 2014 Oct