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Hipertensión 2006;23:313-6 - DOI: 10.1016/S1889-1837(06)71661-0
Hipertensión arterial en paciente joven secundaria a coartación de aorta abdominal
High blood pressure in young patient secondary to abdominal aortic coartation
T. Mantilla Morató, , M.I. Gómez de Celis Cornejo
Centro de Salud Mar Báltico. Madrid. España
Recibido 23 agosto 2006, Aceptado 01 septiembre 2006
Resumen

We present a case of abdominal aortic coartation in a young adult who had been asymptomatic until the patient began with claudication in the lower limbs. A clinical history was obtained and physical examination done, observing elevated blood pressure values with very weak femoral pulses. The patient was referred to the hospital Emergency Service where ataresia of the abdominal aorta was confirmed. From this time until surgery, the patient had elevated blood pressure values in spite of drug treatment. Surgical treatment resolved the claudication of the lower limbs and the blood pressure values within normality with the help of antihypertensive drugs.

We suggest the importance of performing an approach to the cardiovascular risk factors in the primary health care consultations to detect cases of secondary high blood pressure that require a specific treatment.

Palabras clave
hipertensión arterial secundaria, coartación aórtica abdominal, tratamiento
Key words
secondary blood pressure, abdominal aortic coartation, treatment
El Texto completo solo está disponible en PDF
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Correspondencia: C./ Reina Mercedes, 9, 1.° C. 28020 Madrid. España. (T. Mantilla Morató tmantilla5@yahoo.es)
Copyright © 2006. Sociedad Española de Hipertension-Liga Española para la Lucha de la Hipertensión Arterial (SEH-LELHA)