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Prevalence of arterial hypertension, hemodynamic phenotypes, and left ventricular hypertrophy in children after coarctation repair: A multicenter cross-sectional study

Pediatric Nephrology Sep 28, 2020

Sendzikaite S, Sudikiene R, Tarutis V, et al. - Researchers applied European Society of Hypertension 2016 guidelines in this study to assess hemodynamic phenotypes as well as the prevalence of left ventricular hypertrophy among pediatric patients following coarctation repair with right arm and leg blood pressure difference < 20 mmHg. They also focused on the impacts of age at intervention, residual gradient across the descending aorta, and type of correction. This analysis involved 90 patients included 8.5 (6.0–11.8) years after coarctation repair. Among these, hypertension was found in 42 (46.7%). Findings showed that even after successful coarctation repair, arterial hypertension with isolated systolic hypertension as the dominant phenotype and left ventricular hypertrophy were prevalent in this study sample. A higher prevalence of hypertension was reported in relation to coarctation correction from the age of 9 years and older.

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