Larry W. Markham, MD, Sandra K. Knecht, BS, Stephen R. Daniels, MD, Wayne A. Mays, RCPT, Philip R. Khoury, MS, Timothy K. Knilans, MD
Volume 94, Issue 9, 1 November 2004, Pages 1200–1202

Often, the lack of systemic arterial hypertension and the lack of a resting arm-leg blood pressure gradient are used to assess the adequacy of the anatomic result after intervention for coarctation of the aorta (CoA). Some patients with no arm-leg gradient at rest may develop a gradient with exercise, leading caregivers to question the success of the repair. It is not clear what the prevalence is of patients who have undergone a successful intervention for CoA and have no arm-leg gradient at rest but develop a significant gradient with exercise and which factors may predict the development of an arm-leg gradient with exercise. This study evaluates the prevalence and predictors of an exercise-induced arm-leg gradient in subjects who have undergone an apparently successful intervention for CoA.

Download publication

Selection overview

Select application area

Sports Medicine logo
Sports Medicine
Imaging logo
Cardio Pulmonary logo
Cardio Pulmonary
Rehabilitation logo
Pediatric logo