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

Yıl 2020, Cilt: 7 Sayı: 3, 294 - 301, 30.09.2020

Nurdan Erol

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

Öz

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.

Anahtar Kelimeler

Aortic coarctation, stent implantation, hypertension

Kaynakça

• Beekman HR. Coartation of the aorta. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF, editors. Moss and Adams’ heart disease in infants, children, and adolescents including the fetus and young adult. 7th ed. India: Lippincott Williams and Wilkins 2008;937-1005.
• Hoschtitzky JA, Anderson RH, Elliott MJ. Aortic coarctation and interrupted aortic arch. In: Anderson RH, Baker EJ, Penny DJ, Redington AN, Rigby ML, Wernovsky G, editors. Paediatric Cardiology. 3rd ed. China: Churchill Livingston 2010;945-966.
• Keane JF, Fyler DC. Coarctation of the aorta. In: Keane JF, Lock JE, Fyler DC, editors. Nadas’ Pediatric Cardiology. 2nd ed. Philedelphia, Pa: Saunders Elsevier 2006;627-644.
• Park MK. Pediatric Cardiology for Practioners. 5th ed. Phledelphia, PA: Mosby Elsevier 2008;205-213.
• Campell M, Guordano U, Giannico S, Turchetta A. Natural history of aortic coarctation of the aorta. Br Heart J 1970;32:633-640.
• Crafoord C, Nylin G. Congenital coarctation of the aorta and its surgical treatment. J Thorac Surg 1945;14:347-361.
• Divitiis de M, Rubba P, Calabro R. Arterial hypertension and cardiovascular prognosis after successful repair of aortic coarctation: A clinical model for the study of vascular faunction. Nutrition, Metabolism & Cardivascular Diseases 2005;15:382-394.
• Hager A, Kanz S, Kaemmerer H, et al. Coarctation long term assessment (COALA): significance of arterial hypertension in a cohort of 404 patients up to 27 years after surgical repair of isolated coarctation of the aorta, even in the absence of restenosis and prosthetic material. J Thorac Cardiovasc Surg 2007;134:738-745.
• Vriend JWJ, Mulder BJM. Late complications in patients after repair of aortic coartation: implications for management. Int J Cardiol 2005;101:399-406.
• National High Blood Pressure Education Program Working Group on high blood pressure in children and adolescents. The fourth report onthe diagnosis, evalutation, and treatment of high blood pressure in children and adolescents. Pediatrics 2004;114:555-576.
• Wühl E, Witte K, Soergel M,et al. Distrubution of 24-h ambulatory blood pressure in children: normalized reference values and role of body dimension. J Hypertens 2002;20:1995-2007.
• Koller M, Rothlin M, Senning A. Coarctation of the aorta: review of 362 operated patients. Long-term follow-up and assesment of prognostic variables. Eur Heart J 1987;8:670-679.
• Cohen M, Fuster V, Steele PM,et al. Coarctation of the aorta, long-term follow-up and prediction of outcome after surgical correction. Circulation 1989;80:840-845.
• Clarkson PM, Nicholson MR, Barrat-Boyes BG,et al. Results after repair of coarctation of the aorta beyond infants: a 10 to 28 years follow-up with particular reference to late systemic hypertension. Am J Cardiol 1983;81:1541-1548.
• Leandro J, Smallhorn JF, Benson L, et al. Ambulatory blood pressure monitoring and left ventricular mass and function after successful surgical repair of coarctation of the aorta. J Am Coll Cardiol 1992;20:197-204.
• Divitiis de M, Pilla C, Kattenhorn M,et al. Ambulatory blood pessure, left ventricular mass and conduit artery function late after successful repair of coarctation of the aorta. J Am Coll Cardiol 2003;41:2259-2265.
• Gidding SS, Roccini AP, Moorehead C,et al. Increased forearm vascular reaktivity in patients with hypertension after repair of coarctation. Circulation 1985;71:495-499.
• Hashemzadeh K, Hashemzadeh S, Kakaei F. Repair of aortic coarctation in adults: the fate of hypertension. Asian Cardiovasc Thorac Ann 2008;16:11-15.
• Giordano U, Giannico S,Turchetta A, et al. The influence of different surgical procedures on hipertension after repair of coarctation. Cardiol Young 2005;15:477-480.
• Daniells SR. Repair of coarctation of the aorta and hypertension: Does age matter? The Lancet 2001;358:89.
• Instebo A, Norgard G, Helgheim V,et al. Exercise capacity in young adults with hypertension and systolic blood pressure difference between right arm and leg after repair of coarctation of the aorta. Eur J Appl Physiol 2004;93:116-123.
• Ruttenberg H.D. Pre and postoperatif exercise testing of the child with coarctation of the aorta. Pediatr Cardiol 1999;20:33-37.
• Witsenburg M, Salem HKT, Bogers AJJC, et al. The balloon angioplasty for aortic recoarctation in children: initial and follow up results and midterm effect on blood pressure. Br Heart J 1993;70:170-174.
• Yaveri A, Sezgin A, Mercan Ş, et al. Aort koarktasyon cerrahisi sonrası rekoarktasyon olasılığının değerlendirilmesi. GKDC J 1998;6:306-309.
• Mahadevan VS, Vondermuhll IF, Mullen MJ. Endovascular aortic coarctation stenting in adolescents and adults: angiogrphic and hemodynamic outcomes. Catheter Cardiovasc Interv 2006;67:268-275.
• Vriend JWJ, Montfrans GA, Romkes HH, et al. Relation between exercise induced hypertension and sustained hypertension in adult patients after successful repair of aortic coarctation. J Hypertens 2004;22:501-509.
• Chen SS, Donald AE, Storry C,et al. Impact of aortic stenting on peripheral vascular function and daytime systolic blood pressure in adult coarctation. Heart 2008;94:919-924.
• Bassareo PP, Maras AF, Manai ME,et al. The influence of different surgical approachhes on arterial rigidity in children after aortic coarctation repair. Pediatr Cardiol 2009;30:414-418.
• Johnson D, Perrault H, Vobeckyt SJ, et al. Influence of the postoperative period and surgical procedure on ambulatory blood pressure determination of hypertension load after succesful surgical repair of coarctation of the aorta. Eur Heart J 1998;19:638-646.
• Duara R, Thedore S, Sarma PS,et al. Correction of coarctation of aorta in adult patients impact of corrective procedure on long term recoarctation and systolic hypertension. Thorac Cardiov Surg 2008;56:83-86.
• Freed MD, Rocchini A, Rosenthal A,et al. Exercise-induced hypertension after surgical repair of coarctation of the aorta. Am J Cardiol 1979;43:253-258.
• Harrison DA, Mclaughlin PR, Lazzam C,et al. Endovascular stents in the management of coarctation of the aorta in tehe adolescentand adult: one year follow-up. Heart 2001;85:561-566.
• Magee AG, Brzezinska-Rajszys G, Qureshi SA, et al. Stent implantation for aortic coarctation and recoarctation. Heart 1999;82:600-606.
• Carr JA. The results of catheter based therapy compared with surgical repair of adult aortic coarctation. J Am Coll Cardiol 2006;47:1101-1107.
• Hamdan MA, Maheshwari S, Fahey JT,et al. Endovascular stents for coarctation of the aorta: initial results and intermediate term follow up. J Am Coll Cardiol 2001;38:1518-1523.
• Tzifa A, Ewert P, Brezinska–Rajszys G, Peters B, et al. Covered cheatham platinum stents for aortic coarctation. J Am Coll Cardiol 2006;47:1457-1463.
• Musto C, Cifarelli A, Pucci E, et al. Endovasculartreatment of aortic coarctation. Long term effects on hypertension. Int J of Cardiol 2008;130:420-425.
• Toro-Salazar OH, Steinburger J, Thomas W, et al. Long-term follow-up of patients after coarctation of the aorta repair. Am J Cardiol 2002;89:541-547.
• Urbina E, Alpert B, Flynn J, et al. Ambulatory blood pressure monitoring in children and adolescents: Recomendations for standart assessment. A Scientific statement from the American Heart Associatilon Atherosclerosis, Hypertension, and Obesity in Youth Committee of the Council on Cardiovascular Disease in the Young and the Council for High Blood Presure Research. Hypertension 2008;52:433-451.
• Lurbe E, Redon J. Ambulatory blood pressure monitoring in children and adolescents: the future. J Hypertens 2000;18:1351-1354.
• Khan IA, Gajaria M, Stephens D, et al. Ambulatory blood pressure monitoring in children: a large center’s experience. Pediatr Nephrol 2000;14:802-805.
• Flynn TJ. Differentation between primary and secondary hypertension in children using ambulatory blood pressure monitoring. Pediatrics 2002;110:89-93.
• Graves JW, Althaf MM, Utility of ambulatory blood pressure monitoring in children and adolescents. Pediatr Nephrol 2006;21:1640-1652.
• Gimpel C, Wühl E, Arbeiter K, et al.Superior consistency of ambulatory blood pressure monitoring in children: implications for clinical trials. J Hypertens 2009;27:1568-1574.
• Acosta AA, McNiece KL. Ambulatory blood pressure monitoring: a versatil tool for evaluating and managing hypertension in children. Pediatr Nephrol 2008;23:1399-1408.
• Alpay H, Özdemir N, Wühl E, et al. Ambulatory blood pressure monitoring in healty children with parental hypertension. Pediatr Nephrol 2009;24:155-161.
• Andrade H, Antonio N, Rodrigues D, et al. Hipertensao arterial sistemica em idade pediatrica. Rev Port Cardiol 2010;29:413-432.
• National High Blood Pressure Education Program Working Group on high blood pressure in children and adolescents. The fourth report onthe diagnosis, evalutation, and treatment of high blood pressure in children and adolescents. Pediatrics 2004;114:555-576.