9 doctors weighed in:

How is coarctation of the aorta diagnosed in babies?

9 doctors weighed in
Dr. James Ferguson
Pediatrics
5 doctors agree

In brief: Suspected by exam

Coarc can be suspected by exam (deminished pulses in legs vs rt arm).
A cardiac ultrasound may identify the defect or a cardiologist may confirm the defect on a cardiac cathiterization.

In brief: Suspected by exam

Coarc can be suspected by exam (deminished pulses in legs vs rt arm).
A cardiac ultrasound may identify the defect or a cardiologist may confirm the defect on a cardiac cathiterization.
Dr. James Ferguson
Dr. James Ferguson
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Dr. Sarosh Batlivala
Pediatrics - Cardiology
1 doctor agrees

In brief: Few Ways

A very effective screen is simple blood pressure measurements in the arms and legs.
An echocardiogram is the standard test to then confirm the diagnosis, evaluate for other defects etc. A ct scan or MRI can be done, but this is very, very rarely necessary in babies.

In brief: Few Ways

A very effective screen is simple blood pressure measurements in the arms and legs.
An echocardiogram is the standard test to then confirm the diagnosis, evaluate for other defects etc. A ct scan or MRI can be done, but this is very, very rarely necessary in babies.
Dr. Sarosh Batlivala
Dr. Sarosh Batlivala
Thank
Dr. Matthias Peuster
Pediatrics - Cardiology
1 doctor agrees

In brief: Absence of pulse

The absence of femoral pulses is the clinical symptom associated with coarctation.

In brief: Absence of pulse

The absence of femoral pulses is the clinical symptom associated with coarctation.
Dr. Matthias Peuster
Dr. Matthias Peuster
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Dr. Joshua Murphy
Pediatrics - Cardiology
1 doctor agrees

In brief: Blood Pressure/Echo

A coarctation is diagnosed by an elevated blood pressure (BP) in the right arm with low BP in the legs.
The next step is a echocardiogram, an ultrasound of the heart. It needs to be done by a pediatric cardiologist. Part of the fetal circulation (a pda) can limit the ability to diagnose a coarctation, so newborns often have a couple echos (pda closure is needed to completely evaluate the aorta).

In brief: Blood Pressure/Echo

A coarctation is diagnosed by an elevated blood pressure (BP) in the right arm with low BP in the legs.
The next step is a echocardiogram, an ultrasound of the heart. It needs to be done by a pediatric cardiologist. Part of the fetal circulation (a pda) can limit the ability to diagnose a coarctation, so newborns often have a couple echos (pda closure is needed to completely evaluate the aorta).
Dr. Joshua Murphy
Dr. Joshua Murphy
Thank
Dr. Rick Koch
Internal Medicine - Cardiology

In brief: Echocardiogram

Is usual means...Sometimes ct but want to avoid radiation.

In brief: Echocardiogram

Is usual means...Sometimes ct but want to avoid radiation.
Dr. Rick Koch
Dr. Rick Koch
Thank
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