In the eyes of many people, hypertension is a common disease in middle-aged and elderly people, and they think that everything will be fine if they take temporary medication. In fact, this is a terrible misunderstanding! It is known that there are many hypertensive patients who blindly avoid adhering to the medication, resulting in the occurrence of aortic coarctation. Terribly, once the aorta ruptures, the patient will lose his or her life in an instant. Therefore, patients with hypertension should actively and effectively control their blood pressure, and once severe chest and back pain or lumbar abdominal pain occurs, the possibility of aortic coarctation disease should be considered and timely medical treatment should be sought. Dangerous! Once ruptured, the aorta can be fatal within minutes. The structure of the aorta is like a “triple splint”, and the aortic wall is composed of three layers of membranes. When the blood pressure is too high, trauma or its own pathology, the inner lining of the aorta will rupture and the blood flow will rush into the aortic wall from the rupture, splitting the “triple splint” in the middle and the patient will feel a severe tearing pain. The splint can continue down the long axis of the aorta, and the pain can extend from the chest to the back, lumbar region and abdomen. Once ruptured, like a river breaking its banks, the patient can die within minutes. The aorta is the main conduit for supplying blood throughout the body, and wherever it is blocked, it is extremely dangerous and can be fatal or disabling. It is important to note that the occurrence of aortic coarctation is mainly related to the “lack of solidity” of the vessel wall, while the blood flow impact is necessary to “create” the arterial coarctation. Some data show that 80% of patients with arterial coarctation have high blood pressure, and the greater the fluctuation in blood pressure, the higher the risk of coarctation. Therefore, experts point out that patients with hypertension should adhere to reasonable medication under the guidance of a doctor, keep their blood pressure stable and within the normal range, maintain a healthy lifestyle, stop smoking and limit alcohol, and avoid excessive fatigue and emotional excitement. Patients with Marfan syndrome should have regular medical checkups, avoid strenuous exercise, and have timely surgery if necessary to prevent aortic coarctation. The “heartbreaking” pain is not necessarily a heart attack. When you have sudden heart pain, many people think of myocardial infarction. In fact, it is also possible that “aortic coarctation” has occurred. Acute myocardial infarction and aortic coarctation are two completely different diseases, but they have very similar clinical symptoms. Because people are familiar with myocardial infarction, they often think of myocardial infarction first when severe chest pain occurs. In fact, patients with myocardial infarction have lower blood pressure at the onset of the disease. In patients with aortic coarctation, blood pressure rises rather than falls at the onset, and chest pain symptoms peak as soon as they appear and are mainly tear-like. In addition, the electrocardiogram of a patient with aortic coarctation does not show signs of infarction. In cases of suspected entrapment, the diagnosis must be confirmed immediately by imaging. Enhanced CT is a quick and effective means of confirming aortic coarctation. In addition, ultrasound, magnetic resonance imaging (MRI) and angiography (DSA) can also help to confirm the diagnosis. Once aortic coarctation is diagnosed, it should be treated immediately to avoid a fatal coarctation hemorrhage. Do I need surgery for aortic coarctation? So, does aortic coarctation always require surgery? Most require surgical treatment, except for very stable clips. The risk of death from untreated aortic coarctation is high. 75% of patients with untreated aortic coarctation die within 2 weeks, while the 30-day survival rate for patients with actively treated thoracic aortic coarctation is 90%, meaning that surgical treatment can greatly improve the survival rate and survival time of patients with aortic coarctation.