RARE CASES OF SECONDARY HYPERTENSION: COARCTATION OF AORTA AND IDIOPATHIC MID-AORTIC SYNDROME IN MIDDLE AGED PATIENTS

Abstract

In recent years, different advanced technologies for diagnosis and treatment of secondary endocrine and renovascular forms of arterial hypertension have been developed. However, rare causes of hypertension are still difficult for identification, especially when manifested with atypical clinical features. Two cases of atypical clinical manifestation of aorta coarctation at different level are discussed in this article. The article pays special attention to the causes and approaches to hypertension that usually manifests in childhood. At the same time in adult clinical practice young patients presenting with elevated blood pressure require careful examination and exclusion of secondary forms of hypertension even when the elevation of office blood pressure is mild-to-moderate.