%0 Journal Article
%T Hipertensi車n arterial secundaria a coartaci車n de la aorta: A prop車sito de 1 caso Blood hypertension secondary to aorta coarctation: A propos of a case
%A Manuel Antonio Fern芍ndez Arias
%A Alfredo V芍zquez Vigoa
%A Yamil谷 Rosell車 Azcanio
%A Germinal 芍lvarez Batard
%J Revista Cubana de Medicina
%D 2007
%I ECIMED
%X Se present車 1 caso con forma de hipertensi車n arterial refractaria secundaria a coartaci車n de la aorta diagn車sticada a los 41 a os de edad. Se trat車 de un paciente masculino con historia de hipertensi車n arterial desde los 19 a os que no lograba control de las cifras tensionales, a pesar de una terap谷utica antihipertensiva de m芍s de 3 drogas que inclu赤a un diur谷tico. Al realizar el examen f赤sico se destac車 la ausencia de pulso femoral, popl赤teo y pedio bilateral y marcada ca赤da de la presi車n arterial en miembros inferiores, elementos de alta sospecha de coartaci車n a車rtica. Se coment車 la importancia de medios diagn車sticos como el Eco Doppler de miembros inferiores, la radiograf赤a de t車rax, el ecocardiograma, la angio-TAC y la aortograf赤a, en el diagn車stico de estos casos. Se concluy車 que la coartaci車n de la aorta constituye una causa curable de hipertensi車n arterial secundaria que, aunque poco frecuente, debemos tener en consideraci車n ante todo paciente joven con cifras elevadas de presi車n arterial y se enfatiz車 en la necesidad casi mandatoria de realizar un examen f赤sico minucioso que incluya la palpaci車n de pulsos y toma de presi車n arterial en miembros inferiores para lograr un diagn車stico precoz y evitar sus complicaciones potenciales. Here is the case of a man with refractory blood hypertension secondary to aorta coarctation diagnosed at the age of 41 years. This patient had had a history of blood hypertension since he was 19 years-old but he had not managed to get his blood pressure figures under control despite hypertensive therapeutics comprising 3 drugs and one diuretic. On physical exam, there were no femoral, popliteal and pedo bilateral pulses and the fall in blood pressure of lower limbs was marked, so these elements strongly indicated aorta coarctation. Comments were made on diagnostic tools like EchoDoppler applied to the lower limbs, thoracic radiography, echocardiogram, angiography and aortography for the diagnosis of these cases. It was concluded that coarctation of the aorta is a curable cause of secondary blood hypertension that, though rare, should be taken into account in the event of a young patient with high blood pressure and that a detailed physical exam including pulse palpation and blood pressure taking in the lower limbs is almost an imperative in order to make an early diagnosis and avoid potential complications.
%K Coartaci車n a車rtica
%K hipertensi車n arterial refractaria
%K claudicaci車n
%K angiograf赤a
%K Aorta coarctation
%K refractory blood hypertension
%K claudication
%K angiography
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75232007000200010