My daughter is 6 and was born with Hypolplastic Left Heart Syndrome. She just had a physical and her doctor mentioned that her blood pressure was a little high. What is normal for a girl her age who has had the 3 stage paliative repair?
Actually, her blood pressure should be that of any other 6 year old girl. Assessment of blood pressure is based on age, gender, and height; I only have 2 of those pieces of information here, so I can’t be exact for you. However, a systolic blood pressure (the upper number) should be at or under 104 to 111 mmHg (depending on her height).
There are a few potential reasons that her blood pressure may be high. In hypoplastic left heart syndrome, in which the left ventricle, mitral valve, aortic valve, and ascending aorta do not adequately form and are quite small, it is not uncommon to have coarctation of the aorta occur. This is an obstruction of the aorta. This can occur because the aorta has to be reconstructed from parts of the original small aorta as well as the pulmonary artery. Scarring in the healing process as well as residual tissue from the ductus arteriosus can cause the aorta to shrink somewhat and lead to obstruction of varying degrees. Another reason that it can be high is actually a false reason: the blood pressure was not correctly measured. Appropriate measurement of a blood pressure includes the patient coming in and sitting down in a chair with their feet on the floor and their back supported for at least 5 minutes. The blood pressure should be measured in the right arm with a manual blood pressure cuff (not a machine) with an appropriate sized cuff for the patient. If neither of these things is causing her blood pressure to be high, a diagnosis of hypertension is typically not made until there are 3 separate elevated blood pressure measurements made. She would then require further evaluation for reasons for this, including kidney diseases, obesity, and some other rare diseases.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.