Skip to main content
PMC home page
British Heart Journal logoLink to British Heart Journal
. 1980 Oct;44(4):411–415. doi: 10.1136/hrt.44.4.411

Blood pressure and effect of exercise in children before and after surgical correction of coarctation of aorta.

A Earley, M C Joseph, E A Shinebourne, M de Swiet
PMCID: PMC482420  PMID: 7426203

Abstract

Systolic blood pressure was measured at rest and during exercise in 43 children who had undergone operation for correction of coarctation of the aorta, five children awaiting surgery for coaractation, and 22 control children. Ages ranged from 2 to 15 years, mean 7-6 years. The mean blood pressure of children with coarctation in both the pre- and postoperative groups was significantly higher at rest than in the controls. Of 43 postoperative patients, 15 (35%) were hypertensive (systolic blood pressure more than 95th centile), and 12 of these had a gradient between the upper and lower limb. Seven of the 28 normotensive patients also had a gradient postoperatively. Exercise increased the blood pressure more in children with coarctation than in controls, but there was much individual variability and this difference was not significant. Some children with coarctation developed very high blood pressures on exercise, but this was not related to the presence of a gradient. The mean interval after operation was significantly shorter in the hypertensive group, independent of the age at operation. Hypertension with or without a gradient commonly persists despite apparent successful surgical correction, but exercise is of limited value in its assessment in this age group.

Full text

PDF
411

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Connor T. M. Evaluation of persistent coarctation of aorta after surgery with blood pressure measurement and exercise testing. Am J Cardiol. 1979 Jan;43(1):74–78. doi: 10.1016/0002-9149(79)90047-x. [DOI] [PubMed] [Google Scholar]
  2. Cumming G. R., Everatt D., Hastman L. Bruce treadmill test in children: normal values in a clinic population. Am J Cardiol. 1978 Jan;41(1):69–75. doi: 10.1016/0002-9149(78)90134-0. [DOI] [PubMed] [Google Scholar]
  3. Elseed A. M., Shinebourne E. A., Joseph M. C. Assessment of techniques for measurement of blood pressure in infants and children. Arch Dis Child. 1973 Dec;48(12):932–936. doi: 10.1136/adc.48.12.932. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Eshaghpour E., Olley P. M. Recoarctation of the aorta following coarctectomy in the first year of life: a follow-up study. J Pediatr. 1972 May;80(5):809–814. doi: 10.1016/s0022-3476(72)80135-5. [DOI] [PubMed] [Google Scholar]
  5. Freed M. D., Rocchini A., Rosenthal A., Nadas A. S., Castaneda A. R. Exercise-induced hypertension after surgical repair of coarctation of the aorta. Am J Cardiol. 1979 Feb;43(2):253–258. doi: 10.1016/s0002-9149(79)80012-0. [DOI] [PubMed] [Google Scholar]
  6. Godfrey S., Davies C. T., Wozniak E., Barnes C. A. Cardio-respiratory response to exercise in normal children. Clin Sci. 1971 May;40(5):419–431. doi: 10.1042/cs0400419. [DOI] [PubMed] [Google Scholar]
  7. Hamer J., Fleming J., Shinebourne E. Effect of walking on blood-pressure in systemic hypertension. Lancet. 1967 Jul 15;2(7507):114–118. doi: 10.1016/s0140-6736(67)92960-1. [DOI] [PubMed] [Google Scholar]
  8. Kannel W. B. Some lessons in cardiovascular epidemiology from Framingham. Am J Cardiol. 1976 Feb;37(2):269–282. doi: 10.1016/0002-9149(76)90323-4. [DOI] [PubMed] [Google Scholar]
  9. Liberthson R. R., Pennington D. G., Jacobs M. L., Daggett W. M. Coarctation of the aorta: review of 234 patients and clarification of management problems. Am J Cardiol. 1979 Apr;43(4):835–840. doi: 10.1016/0002-9149(79)90086-9. [DOI] [PubMed] [Google Scholar]
  10. MOSS A. J., LIEBLING W., ADAMS F. H. The flush method for determining blood pressures in infants. II. Normal values during the first year of life. Pediatrics. 1958 Jun;21(6):950–957. [PubMed] [Google Scholar]
  11. Maron B. J., Humphries J. O., Rowe R. D., Mellits E. D. Prognosis of surgically corrected coarctation of the aorta. A 20-year postoperative appraisal. Circulation. 1973 Jan;47(1):119–126. doi: 10.1161/01.cir.47.1.119. [DOI] [PubMed] [Google Scholar]
  12. Nanton M. A., Olley P. M. Residual hypertension after coarctectomy in children. Am J Cardiol. 1976 Apr;37(5):769–772. doi: 10.1016/0002-9149(76)90373-8. [DOI] [PubMed] [Google Scholar]
  13. Shinebourne E. A., Tam A. S., Elseed A. M., Paneth M., Lennox S. C., Cleland W. P. Coarctation of the aorta in infancy and childhood. Br Heart J. 1976 Apr;38(4):375–380. doi: 10.1136/hrt.38.4.375. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Wright B. M., Dore C. F. A random-zero sphygmomanometer. Lancet. 1970 Feb 14;1(7642):337–338. doi: 10.1016/s0140-6736(70)90709-9. [DOI] [PubMed] [Google Scholar]
  15. de Swiet M., Fayers P., Shinebourne E. A. Systolic blood pressure in a population of infants in the first year of life: the Brompton study. Pediatrics. 1980 May;65(5):1028–1035. [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES