Aortic coarctation ACC/AHA Guidelines for clinicical evaluation

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

ACC / AHA Guidelines- Recommendations for Clinical Evaluation and Follow-Up (DO NOT EDIT)

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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)

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