caa a22 4500 445826207 CHVBK 20180317145300.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00246-010-9860-0 doi (NATIONALLICENCE)springer-10.1007/s00246-010-9860-0 Underrecognition of Elevated Blood Pressure Readings in Children After Early Repair of Coarctation of the Aorta [Elektronische Daten] [Christopher Gillett, Amos Wong, Dirk Wilson, Andrew Wolf, Robin Martin, Damien Kenny] Hypertension after repair of coarctation of the aorta (CoA) is the outcome variable most closely associated with adverse long-term events such as stroke and myocardial infarction. This study sought to evaluate the outpatient management of casual blood pressure (BP) measurements in young children after early repair of CoA. A retrospective analysis was performed of clinical findings, echocardiographic data, casual BP recordings, and subsequent BP management of 114 children with CoA repair aged 1-13years during 338 outpatient visits managed at two congenital cardiac centers. Children with associated significant congenital heart disease or corrective surgery after the age of 6months were excluded from the study. Blood pressure was documented at 233 clinic visits (69%), and systolic BP (SBP) was above 95th percentile for age and sex in 45 instances (19%). This represented an elevated SBP recording for 31 children (27%), with two or more successive elevated recordings for 11 children (10%). Of 12 subjects receiving antihypertensive medication, three had inadequate BP control. Blood pressure is not documented at approximately 30% of outpatient visits of children with repaired CoA. When elevated BP is documented, in all cases no recorded action was taken. This may have significant implications for cardiovascular outcomes in this cohort of patients. Springer Science+Business Media, LLC, 2010 Blood pressure nationallicence Coarctation nationallicence Hypertension nationallicence Surgery nationallicence Gillett Christopher Bristol Congenital Heart Centre, Bristol Royal Hospital for Children, BS6 7UB, Bristol, UK aut Wong Amos Department of Pediatric Cardiology, Cardiff University, Cardiff, UK aut Wilson Dirk Department of Pediatric Cardiology, Cardiff University, Cardiff, UK aut Wolf Andrew Department of Anesthesia, Bristol Royal Hospital for Children, BS6 7UB, Bristol, UK aut Martin Robin Bristol Congenital Heart Centre, Bristol Royal Hospital for Children, BS6 7UB, Bristol, UK aut Kenny Damien Bristol Congenital Heart Centre, Bristol Royal Hospital for Children, BS6 7UB, Bristol, UK aut Pediatric Cardiology Springer-Verlag 32/2(2011-02-01), 202-205 0172-0643 32:2<202 2011 32 246 https://doi.org/10.1007/s00246-010-9860-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-010-9860-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gillett Christopher Bristol Congenital Heart Centre, Bristol Royal Hospital for Children, BS6 7UB, Bristol, UK aut NATIONALLICENCE 700 1- Wong Amos Department of Pediatric Cardiology, Cardiff University, Cardiff, UK aut NATIONALLICENCE 700 1- Wilson Dirk Department of Pediatric Cardiology, Cardiff University, Cardiff, UK aut NATIONALLICENCE 700 1- Wolf Andrew Department of Anesthesia, Bristol Royal Hospital for Children, BS6 7UB, Bristol, UK aut NATIONALLICENCE 700 1- Martin Robin Bristol Congenital Heart Centre, Bristol Royal Hospital for Children, BS6 7UB, Bristol, UK aut NATIONALLICENCE 700 1- Kenny Damien Bristol Congenital Heart Centre, Bristol Royal Hospital for Children, BS6 7UB, Bristol, UK aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/2(2011-02-01), 202-205 0172-0643 32:2<202 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer