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Is hypertension the fate of aortic coarctation patients treated with Cheatham Platinum (CP) stent?

Is hypertension the fate of aortic coarctation patients treated with Cheatham Platinum (CP) stent?
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Baykan A, Demiraldi AG, Tasci O, Pamukcu O, Sunkak S, Uzum K, Sezer S, Narin N,


Baykan A, Demiraldi AG, Tasci O, Pamukcu O, Sunkak S, Uzum K, Sezer S, Narin N, (click to view)

Baykan A, Demiraldi AG, Tasci O, Pamukcu O, Sunkak S, Uzum K, Sezer S, Narin N,

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Journal of interventional cardiology 2017 11 21() doi 10.1111/joic.12460
Abstract
AIM
The aim of this study is to address the presence of hypertension and risk for cardiovascular diseases in patients with Coarctation of the Aorta (CoA) who were treated with endovascular stent placement.

METHODS
Twenty patients (mean age: 14.2 ± 3.9 years) who were treated with stent and 20 age- and sex-matched controls were included to the study. Structure and functions of left ventricle were assessed by echocardiography. Carotid intima media (CIM) thickness was measured by using sonography as a marker for detecting cardiovascular risk. As indirect marker of arterial stiffness, pulse wave velocity, and augmentation index were recorded by ambulatory blood pressure monitorization/arteriography device.

RESULTS
By ambulatory blood pressure monitorization, 24 h and daytime systolic and mean arterial pressure values were found to be significantly higher in patient group. Based on percentile values, 15% and 5% of patients were pre-hypertensive and hypertensive, respectively. Pulse wave velocity and cardiac output values were found to be significantly higher than control group. CIM thickness was also found to be significantly higher in patient group when compared to controls.

CONCLUSIONS
It was shown that hypertension incidence as demonstrated by ambulatory blood pressure monitorization and risk for cardiovascular diseases as indicated by CIM thickness and Pulse wave velocity were higher than those in healthy population even after CoA is corrected.

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