Clinical And Ambulatory Blood Pressure Monitoring In Subjects With Stent Implanted Aortic Coarctation

Year 2020, Volume: 7 Issue: 3, 294 - 301, 30.09.2020

Nurdan Erol

https://doi.org/10.34087/cbusbed.677143

Abstract

Abstract
Background: This study aimed to investigate the frequency of systemic hypertension by clinical and ambulatory blood pressure monitoring in subjects with stent implanted aortic coarctation.
Material and Methods: The study included in 31 subjects with stent implanted aortic coarctation before at least 6 months to 3 years. Related features of subjectes, procedure, echocardiografhic findings were evaluated retrospectively. Blood pressure were examined by classical method and 24-hour ambulatory blood pressure monitoring.
Results: 22 of subjects were male and 9 were female. Mean age was 14,50 ±6,56 years. The mean body mass index was found to be 18,61 ±4,02.16 of them had native coarctation, others had recoarctation. The efficiency of procedure on blood pressure, echocardigraphic and angiocardiographic gradients was found to be statistically significant. 11 subjects were using antihypertensive drug. Six normotensive subjects had hypertensive in ambulatory blood pressure monitoring.17 subject were considered hypertensive group, others normotensive. There was not statistically significant difference between hypertensive group and normotensive group in demographic paramaters, coarctation type and diameter, the stent type and size, echocardiographic and catheter gradients before and after the procedure.
Conclusions: Despite optimal treatment, hypertension persists in an important part of the subjects. Some normotensive subjects had hypertensive with ambulatory blood pressure monitoring. The study showed that clinical blood pressure monitoring does not sufficient to determined hypertension alone. Ambulatory blood pressure measurement with regular intervals will be beneficial in the follow-up of these subjects for hypertension.

Keywords

Aortic coarctation, stent implantation, hypertension

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