Fate of hypertension after repair of coarctation of the aorta in adults

Bhat, Meenakshi; Neelakandhan, Kurur Sankaran; Unnikrishnan, Madathipat; Rathore, R; Singh, Mamta; Lone, Ghulam Nabi

doi:10.1046/j.1365-2168.2001.01745.x

Cited by 40 publications

(19 citation statements)

References 12 publications

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“…A similar study by Bhat et al [37] on 84 patients concluded identical implications. However, some patients developed hypertension late after successful surgical repair of aortic coarctation.…”

Section: Congenital Heart Defectssupporting

confidence: 68%

Cardiac surgery and hypertension: a dangerous association that must be well known

Yuan¹,

Hua²

2011

Rev Bras Cir Cardiovasc

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It is well-known that hypertension is a very common disease, and severe cerebrovascular accidents might occur if the blood pressure is not properly controlled. However, conditions associated with uncontrolled hypertension may be overlooked, and may become critical and eventually require a surgical intervention on an urgent basis. Coronary artery disease, acute aortic syndrome, congenital and valvular heart disease, and arrhythmias are under this topic of discussion. Of them, coronary artery disease including myocardial infarction and especially postinfarction myocardial rupture, and aortic dissection are major critical situations that physicians may encounter in clinical practice. The role that hypertension plays in these conditions can be complex, including hemodynamic, electrophysiological and biomolecular factors, where the latter may prevail in the current era. Coronary artery disease may be associated with a reduced nitric oxide synthesis. Transforming growth factor and matrix metalloproteinases have been observed in relation to aortic syndrome. Wnt, p38 and JNK signaling pathway may be involved in the development of ventricular hypertrophy responsible for cardiac arrythmias. Various gene phynotypes may present in different congenital heart defects. This article is to present these conditions, and to Cardiac surgery and hypertension: a dangerous association that must be well knownCirurgia cardíaca e hipertensão: uma associação perigosa que deve ser bem conhecida Resumo É sabido que a hipertensão é uma doença muito comum, e que os acidentes cerebrovasculares graves podem ocorrer se a pressão sanguínea não for apropriadamente controlada. Contudo, as condições associadas à hipertensão não controlada podem ser negligenciadas, e tornarem-se críticas, necessitando, eventualmente, uma intervenção cirúrgica urgente. Doença coronariana, síndrome aórtica aguda, cardiopatias congênitas, valvopatias e arritmias são sob este tópico de discussão. Dentre eles, a doença corornariana, inclusive o infarto do miocárdio e especialmente a ruptura cardíaca pós-infarto e a dissecção aórtica, são as situações críticas principais que os médicos podem encontrar na prática clínica. O papel que a hipertensão desempenha nessas condições pode ser complexo, incluindo fatores further discuss the possible etiologies and the potential treatment strategies so as to highlight the relevance at a prognostic level.Descriptors: Cardiac Surgical Procedures. Heart Diseases. Hypertension. YUAN, SM & JING, H -Cardiac surgery and hypertension: a dangerous association that must be well knownRev Bras Cir Cardiovasc 2011;26(2):273-81 vascular tissue associated with increased endocrine and local paracrine effects; 2) the impact of the common risk factors, such as high blood pressure, that exaggerate and accelerate atherosclerotic process; and 3) hemodynamic factors, which may destabilize vascular lesions and precipitate acute events [3].A modest short-term reduction in blood pressure confers a reduction in coronary artery disease events of abou...

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Section: Congenital Heart Defectssupporting

confidence: 68%

Cardiac surgery and hypertension: a dangerous association that must be well known

Yuan¹,

Hua²

2011

Rev Bras Cir Cardiovasc

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“…Following interventional treatment that resulted in a correction of the anatomical stenosis, hypertension persists or develops after a period of normotension in about 32.5% (25-68%) of patients. In a large proportion of patient, exercise-induced hypertension may be diagnosed based on an exercise test [74][75][76][77].…”

Section: Hypertension In Children After Surgical Treatment Of Coarctamentioning

confidence: 99%

Zalecenia Sekcji Pediatrycznej Polskiego Towarzystwa Nadciśnienia Tętniczego dotyczące postępowania diagnostycznego i terapeutycznego w nadciśnieniu tętniczym u dzieci i młodzieży

Litwin

Niemirska

Obrycki

et al. 2018

Arterial Hypertension

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Presented recommendations are an extended and actualized version of paediatric recommendations of Polish Society of Hypertension published in 2015. Since then, new studies have appeared on this subject, introducing a new classification of hypertension, newly described principles of management in risk groups and methods of assessing hypertensive target organ damage. The presented updated recommendations included changes introduced in the 2016 European Society of Hypertension recommendations and Recommendations of Children's Memorial Health Institute in Warsaw. Recently published guidelines of American Academy of Pediatrics have been discussed. In the presented issue of guidelines, epidemiological information on the occurrence and incidence of hypertension in developmental age was added and classification of blood pressure values was updated. Subchapters on diagnosis and organ damage assessment, principles of diagnosis and treatment of hypertension in children with diabetes, chronic kidney disease and a subsection discussing diagnostic and therapeutic difficulties with setting blood pressure targets were revised. In addition, the principles of early diagnosis of arterial hypertension in post-hospital care in children born before 33 weeks of gestation published in 2018 as recommendations of the Polish Neonatal Society have been also taken into account.

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“…Seven of the patients continued to have systolic hypertension, and 14 were taking antihypertensive medication. The outcome in terms of blood pressure after stent implantation seems to be comparable with that after surgical repair of coarctation in adults [40,41].…”

Section: Blood Pressure After Stent Implantation For Coarctationmentioning

confidence: 70%

Catheter interventions in adult patients with congenital heart disease

Hornung

Benson²,

McLaughlin

2002

Curr Cardiol Rep

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Adult patients with congenital heart disease provide a wide variety of challenges for the interventional cardiologist. Procedures can broadly be divided into dilatation or closure. The most common interventions in our own practice are closure of atrial septal defects and patent foramen ovale, although closure of postoperative interatrial communications in Mustard, Senning, or Fontan patients is also possible. Transcatheter patent ductus arteriosus closure is also now routine, and occlusion of coronary artery fistulae can be safely attempted using coil embolisation. Balloon dilatation of pulmonary valve stenosis has excellent success rates, and dilatation or stenting of pulmonary artery stenoses is also beneficial in selected cases. Although aortic valve dilatation in adults has mixed results, dilatation or stenting of aortic coarctation is now becoming more widespread, and has promising results. Dilatation procedures may also be applicable to the postoperative patient with conduit or baffle stenosis.

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Fate of hypertension after repair of coarctation of the aorta in adults

Abstract: Surgical repair of coarctation of the aorta in adults leads to regression of systolic hypertension and a decreased requirement for antihypertensive medication.

Cited by 40 publications

References 12 publications

Cardiac surgery and hypertension: a dangerous association that must be well known

Cardiac surgery and hypertension: a dangerous association that must be well known

Zalecenia Sekcji Pediatrycznej Polskiego Towarzystwa Nadciśnienia Tętniczego dotyczące postępowania diagnostycznego i terapeutycznego w nadciśnieniu tętniczym u dzieci i młodzieży

Catheter interventions in adult patients with congenital heart disease

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