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  • Title: [Hypertension in young adults: indication for possible aortic coarctation].
    Author: Vriend JW, van Montfrans GA, Spijkerboer AM, Mulder BJ.
    Journal: Ned Tijdschr Geneeskd; 2004 Jan 24; 148(4):161-6. PubMed ID: 14974305.
    Abstract:
    Three adult patients, a woman aged 37 and two men aged 22 and 23 years respectively, were admitted due to an unexplained hypertension. After a significant delay, the diagnosis of aortic coarctation was established for these patients. In two of them the abnormality was operatively corrected and the blood pressure subsequently normalised; the third patient is on the waiting list for the operation. In all three patients an earlier diagnosis could have been established, had accurate blood-pressure measurements of both arms and at least one leg been performed. Late detection and treatment of aortic coarctation have a profound detrimental effect on survival. Therefore it is extremely important to accurately measure the blood pressure in the limbs of young patients with hypertension.
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