Abstract
PURPOSE: To report a case of undetected aortic coarctation in an adult Hispanic migrant farm worker that presented with uncontrolled hypertension and transient left flank pain. A primary care overview of the disorder, clinical diagnosis, testing, and treatment are discussed. DATA SOURCES: Case report, scientific literature, diagnostic evidence. CONCLUSIONS: Coarctation of the aorta is a significant congenital cardiovascular anomaly and cause of secondary hypertension. The majority of patients with coarctation of the aorta are diagnosed during infancy. Older children and adults may have a subtle presentation, but can be identified as being at risk by having a thorough history and physical, as well as noninvasive diagnostic testing. IMPLICATIONS FOR PRACTICE: Primary care providers must have a high degree of suspicion in patients with risk factors or in individuals that may have not benefited from adequate health screening. Early diagnosis and correction of the coarctation is important to reduce persistent postoperative hypertension and improve long-term survival.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 34-37 |
| Number of pages | 4 |
| Journal | Journal of the American Academy of Nurse Practitioners |
| Volume | 14 |
| Issue number | 1 |
| State | Published - Jan 2002 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Nursing(all)
Cite this
Secondary hypertension in a migrant farm worker : a case report of coarctation of the aorta. / Fleming, Scott; Lefranc, Yves; Rodway, George W; Wilson, Beth Ann.
In: Journal of the American Academy of Nurse Practitioners, Vol. 14, No. 1, 01.2002, p. 34-37.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Secondary hypertension in a migrant farm worker
T2 - a case report of coarctation of the aorta.
AU - Fleming, Scott
AU - Lefranc, Yves
AU - Rodway, George W
AU - Wilson, Beth Ann
PY - 2002/1
Y1 - 2002/1
N2 - PURPOSE: To report a case of undetected aortic coarctation in an adult Hispanic migrant farm worker that presented with uncontrolled hypertension and transient left flank pain. A primary care overview of the disorder, clinical diagnosis, testing, and treatment are discussed. DATA SOURCES: Case report, scientific literature, diagnostic evidence. CONCLUSIONS: Coarctation of the aorta is a significant congenital cardiovascular anomaly and cause of secondary hypertension. The majority of patients with coarctation of the aorta are diagnosed during infancy. Older children and adults may have a subtle presentation, but can be identified as being at risk by having a thorough history and physical, as well as noninvasive diagnostic testing. IMPLICATIONS FOR PRACTICE: Primary care providers must have a high degree of suspicion in patients with risk factors or in individuals that may have not benefited from adequate health screening. Early diagnosis and correction of the coarctation is important to reduce persistent postoperative hypertension and improve long-term survival.
AB - PURPOSE: To report a case of undetected aortic coarctation in an adult Hispanic migrant farm worker that presented with uncontrolled hypertension and transient left flank pain. A primary care overview of the disorder, clinical diagnosis, testing, and treatment are discussed. DATA SOURCES: Case report, scientific literature, diagnostic evidence. CONCLUSIONS: Coarctation of the aorta is a significant congenital cardiovascular anomaly and cause of secondary hypertension. The majority of patients with coarctation of the aorta are diagnosed during infancy. Older children and adults may have a subtle presentation, but can be identified as being at risk by having a thorough history and physical, as well as noninvasive diagnostic testing. IMPLICATIONS FOR PRACTICE: Primary care providers must have a high degree of suspicion in patients with risk factors or in individuals that may have not benefited from adequate health screening. Early diagnosis and correction of the coarctation is important to reduce persistent postoperative hypertension and improve long-term survival.
UR - http://www.scopus.com/inward/record.url?scp=0036358697&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036358697&partnerID=8YFLogxK
M3 - Article
VL - 14
SP - 34
EP - 37
JO - Journal of the American Academy of Nurse Practitioners
JF - Journal of the American Academy of Nurse Practitioners
SN - 1041-2972
IS - 1
ER -