Clinical InvestigationHypertension in adults with repaired coarctation of the aorta
Section snippets
SWEDCON
This register study is based on data in the Swedish National Registry on Congenital Heart Disease (SWEDCON, www.ucr.uu.se/swedcon/). Since 1998, the SWEDCON register has covered all 7 health care regions in Sweden, but registration started even earlier in some centers. In the beginning of 2013, the register contained data on approximately 9,800 adults (defined as age ≥18 years) with congenital heart disease. Data collected by each center contained information on diagnoses, interventions,
Results
Of the 653 patients, 414 (63.4%) were male. The mean age at the last registered clinic visit was 36.9 ± 14.4 years, the mean age at intervention was 9.5 ± 11.0 years, and the average time between intervention and follow-up was 27.4 ± 12.8 years. In the entire study population, 344 patients (52.7%) met the criteria for HTN, and 97 (14.9%) of 649 patients had BP exceeding the recommended upper limit (≥140/90 mmHg) despite not having been previously diagnosed with HTN (Table I).
In this population, the
Population
Thus far, the present study is the largest follow-up of adult patients with repaired CoA, both in terms of the number of patients includedand the number of years of follow-up. Unlike many previous studies of patients repaired solely at a single institution, this study drew patients from a large national register. Apart from the multicenter approach, the patients included have been, on average, followed up for almost 3 decades after their initial intervention, which provides a robust basis
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