Purpose. Assessment of blood pressure using Ambulatory Blood Pressure Monitoring (ABPM) in children after the surgical repair of aortic coarctation (CoA) in whom the exercise-induced hypertension was diagnosed.
Patients. The study group of 12 children with exercise-induced hypertension was selected among 32 children after the successful surgical repair of CoA based on exercise treadmill test. The mean age of the study group was 12,34±4,02 years, mean age at the surgery was 3,92±4,12 years, mean follow-up was 8,52±3,71 years. The control group consisted of 34 healthy children.
Methods. In all children ABPM was performed with evaluation of following parameters: diurnal systolic and diastolic blood pressure (SBP, DBP), diurnal systolic and diastolic blood pressure load (SPL, DBL), systolic and diastolic nocturnal deep (SND, DND), systolic and diastolic pressure variability (SPV, DPV).
Results are presented in the table below (NS - non-significant).
Conclusions: 1. The increased systolic pressure load and systolic pressure variability in children after the surgical repair of CoA may indicate the exercise-induced hypertension. 2. ABPM is useful tool for screening of exercise-induced hypertension in children after surgical treatment of CoA.