Young otherwise healthy patient with hypertension should prompt high index of suspicion for a secondary cause of hypertension (fibromuscular dysplasia, hyperaldosteronism, coarctation of the aorta, Cushingโs syndrome, hypo/hyperthyroidism, pheochromocytoma)
In this patient who has increased muscular build and stronger pulses in the upper extremities and signs of LV hypertrophy on ECG (secondary to chronically increased afterload), the most likely diagnosis is coarctation of the aorta which requires operative treatment
submitted by โcarolebaskin(109)
Upper extremities more muscular and diminished pulses in lower extremities
Midsystolic or continuous systolic murmur that radiates to the back
= coarctation of the aortaTreat surgically with surgical decompression