Abstract
A fourteen-year-old boy was referred to our community pediatric cardiology outpatient clinic for an incidental finding of systemic hypertension that was noted by the patient’s family physician on routine evaluation. The patient was completely asymptomatic, with no visual changes, no headaches, and had a normal activity profile by history. He had an unremarkable past medical history and also had a family history of late onset hypertension.
Highlights
A fourteen-year-old boy was referred to our community pediatric cardiology outpatient clinic for an incidental finding of systemic hypertension that was noted by the patient’s family physician on routine evaluation
The increased QRS voltages in V5 and V6 were consistent with left ventricular hypertrophy, and these voltages were accompanied by normal T waves
The less severe coarctation patients may have subtle clinical findings such as an elevated upper limb blood pressure, diminished femoral pulses, and a systolic ejection murmur that often transmits to the back
Summary
A fourteen-year-old boy was referred to our community pediatric cardiology outpatient clinic for an incidental finding of systemic hypertension that was noted by the patient’s family physician on routine evaluation. The blood pressures in the right and left arm were elevated at 154/70. The subcostal images showed a blunted abdominal aortic Doppler pattern with diastolic runoff, both of which are the typical features seen in coarctation of the aorta.
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