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Correspondence
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Volume 357:717-718 August 16, 2007 Number 7
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A Medical Mystery: High Blood Pressure — The Answer

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 by Quiros-Lopez, R.
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The medical mystery in the June 21 issue1 involved a 28-year-old woman with a 1-year history of high blood pressure that was diagnosed during her first pregnancy. In addition to an elevated blood pressure, at 200/100 mm Hg, in the left arm, physical examination revealed a grade 3/6 midsystolic murmur over the anterior part of the chest and back. Radiography of the chest showed classic changes associated with coarctation of the aorta, including notching of the ribs (Figure 1A, arrows) due to erosion by dilated collateral vessels and ectasia of the ascending aorta. Magnetic resonance imaging showed constriction . . . [Full Text of this Article]




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