Estephania Vera-Gómez, Departamento de Pediatría, Hospital General, ISSSTE, Querétaro, Qro., México
José L. Colín-Ortiz, Departamento de Cardiología Pediátrica, Instituto Nacional de Pediatría, Ciudad de México, México
Tatjana Páramo-Cano, Departamento de Pediatría, Hospital General, ISSSTE, Querétaro, Qro., México
Andrea Nava-Celis, Departamento de Cardiología Pediátrica, Instituto Nacional de Pediatría, Ciudad de México, México
Martha Esparza-Jiménez, Departamento de Cardiología Pediátrica, Instituto Nacional de Pediatría, Ciudad de México. México
Introduction: Patients with aortic coarctation frequently present a delay in diagnosis mainly in newborns and infants, since the respiratory symptoms predominate in this age group. The absence of an adequate physical examination, with emphasis on the palpation of the pulses in the four extremities, in addition to the absence to obtain of blood pressure, condemns these patients to a fortuitous finding or event before the diagnosis can be made. Method: Retrospective, descriptive and observational study. Results: Three patients under 1 year of age were included in the study. We present the “way of the cross” to reach the diagnosis, its outcomes and treatment. Conclusion: The primary clinical reflections for clinical diagnosis for the first contact physician are discussed.
Keywords: Aortic coarctation. Palpation of the pulses. Blood pressure. First contact physician.
