Key result
Aortic coarctation should be considered in the differential diagnosis of patients with arterial hypertension who present with a positive blood pressure gradient between upper and lower limbs.
Aortic coarctation should be considered in the differential diagnosis of patients with arterial hypertension and a positive blood pressure gradient between upper and lower limbs.
Supports adding coarctation to the differential in hypertension with limb BP gradient; case-report evidence leaves prospective validation open.
We report a case of a 45-year-old male suffering from arterial hypertension who was found to have an aortic coarctation with marked hypertrophic compensatory collateral arterial circulation. Although coarctation is relatively rare, this must be included in the differential diagnosis in patients with arterial hypertension with a positive gradient between upper and lower limbs.
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Rossi et al. (2020) studied this question. Aortic coarctation should be considered in the differential diagnosis of patients with arterial hypertension who present with a positive blood pressure gradient between upper and lower limbs.
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