Vol 23, No 1 (2019)
Case report
Published online: 2019-02-22

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Refractory hypertension and the lower limbs ischaemia as an aortic coarctation symptom

Katarzyna Drożdż12, Angelika Chachaj12, Paweł Gać34, Roland Fiszer5, Jacek Białkowski5, Andrzej Szuba12
Arterial Hypertension 2019;23(1):35-39.

Abstract

Coarctation of the aorta (CoA) is a very rare cause of secondary hypertension, accounting for 0.1% of cases. The
coarctation can present at any age. Hypertension is the most common presenting symptom. All patients with newly
diagnosed hypertension must have a physical examination with assessment of the brachial and femoral pulses and
measurement of brachial and popliteal blood pressures. A thorough physical examination is a crucial first step in
diagnosing aortic coarctation.

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