Aortic coarctation ACC/AHA Guidelines for clinicical evaluation: Difference between revisions
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==Overview== | ==Overview== | ||
==ACC / AHA Guidelines- Recommendations for Clinical Evaluation and Follow-Up (DO NOT EDIT)== | ==ACC / AHA Guidelines- Recommendations for Clinical Evaluation and Follow-Up (DO NOT EDIT)== | ||
===[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | {|class="wikitable" | ||
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| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | |||
1. Every patient with systemic arterial hypertension | |- | ||
should have the brachial and femoral pulses palpated | | bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' Every patient with systemic arterial hypertension should have the brachial and femoral pulses palpated simultaneously to assess timing and amplitude evaluation to search for the “brachial-femoral delay” of significant aortic coarctation. Supine bilateral arm (brachial artery) blood pressures and prone right or left supine leg (popliteal artery) blood pressures should be measured to search for differential pressure. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]]) | ||
simultaneously to assess timing and amplitude evaluation | |||
to search for the “brachial-femoral delay” of | |||
significant aortic coarctation. Supine bilateral arm | |||
(brachial artery) blood pressures and prone right or | |||
left supine leg (popliteal artery) blood pressures should | |||
be measured to search for differential pressure. (Level | |||
of Evidence: C) | |||
2. Initial imaging and hemodynamic evaluation by TTE, | |- | ||
including suprasternal notch acoustic windows, is useful | | bgcolor="LightGreen"|'''2.''' Initial imaging and hemodynamic evaluation by TTE, including suprasternal notch acoustic windows, is useful in suspected aortic coarctation. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]]) | ||
in suspected aortic coarctation. (Level of Evidence: B) | |||
3. Every patient with coarctation (repaired or not) should | |- | ||
have at least 1 cardiovascular MRI or CT scan for | | bgcolor="LightGreen"|'''3.''' Every patient with coarctation (repaired or not) should have at least 1 cardiovascular MRI or CT scan for complete evaluation of the thoracic aorta and intracranial vessels. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])<nowiki>"</nowiki> | ||
complete evaluation of the thoracic aorta and intracranial | |||
vessels. (Level of Evidence: B) | |} | ||
==References== | ==References== | ||
Revision as of 19:17, 3 October 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
ACC / AHA Guidelines- Recommendations for Clinical Evaluation and Follow-Up (DO NOT EDIT)
| Class I |
| "1. Every patient with systemic arterial hypertension should have the brachial and femoral pulses palpated simultaneously to assess timing and amplitude evaluation to search for the “brachial-femoral delay” of significant aortic coarctation. Supine bilateral arm (brachial artery) blood pressures and prone right or left supine leg (popliteal artery) blood pressures should be measured to search for differential pressure. (Level of Evidence: C) |
| 2. Initial imaging and hemodynamic evaluation by TTE, including suprasternal notch acoustic windows, is useful in suspected aortic coarctation. (Level of Evidence: B) |
| 3. Every patient with coarctation (repaired or not) should have at least 1 cardiovascular MRI or CT scan for complete evaluation of the thoracic aorta and intracranial vessels. (Level of Evidence: B)" |