<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-9940</journal-id>
<journal-title><![CDATA[Archivos de cardiología de México]]></journal-title>
<abbrev-journal-title><![CDATA[Arch. Cardiol. Méx.]]></abbrev-journal-title>
<issn>1405-9940</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Cardiología Ignacio Chávez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-99402025000400321</article-id>
<article-id pub-id-type="doi">10.24875/acm.24000203</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Coartación aórtica: tan cerca de los pulpejos de la mano, pero tan lejos del diagnóstico clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Aortic coarctation: so close to the fingertips of the hand, but so far from clinical diagnosis]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera-Gómez]]></surname>
<given-names><![CDATA[Estephania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Colín-Ortiz]]></surname>
<given-names><![CDATA[José L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Páramo-Cano]]></surname>
<given-names><![CDATA[Tatjana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Nava-Celis]]></surname>
<given-names><![CDATA[Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Esparza-Jiménez]]></surname>
<given-names><![CDATA[Martha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General Departamento de Pediatría]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Pediatría Departamento de Cardiología Pediátrica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>95</volume>
<numero>4</numero>
<fpage>321</fpage>
<lpage>328</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-99402025000400321&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-99402025000400321&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-99402025000400321&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Los pacientes con coartación aórtica presentan con frecuencia un retraso en el diagnóstico, principalmente los recién nacidos y lactantes, ya que los síntomas respiratorios predominan en este grupo de edad. No realizar una exploración física adecuada, haciendo énfasis en la palpación de los pulsos en las cuatro extremidades, y no tomar la tensión arterial condenan a estos pacientes a presentar un hallazgo o evento fortuito para que pueda establecerse el diagnóstico.  Método: Estudio retrospectivo, descriptivo y observacional.  Resultados: Se incluyeron tres pacientes menores de 1 año. Se presenta el viacrucis para llegar al diagnóstico, sus desenlaces y su tratamiento.  Conclusión: Se discuten las reflexiones clínicas primordiales en el diagnóstico clínico para el médico de primer contacto.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  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 &#8220;way of the cross&#8221; to reach the diagnosis, its outcomes and treatment.  Conclusion: The primary clinical reflections for clinical diagnosis for the first contact physician are discussed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Coartación aórtica]]></kwd>
<kwd lng="es"><![CDATA[Palpación de los pulsos]]></kwd>
<kwd lng="es"><![CDATA[Tensión arterial]]></kwd>
<kwd lng="es"><![CDATA[Médico de primer contacto]]></kwd>
<kwd lng="en"><![CDATA[Aortic coarctation]]></kwd>
<kwd lng="en"><![CDATA[Palpation of the pulses]]></kwd>
<kwd lng="en"><![CDATA[Blood pressure]]></kwd>
<kwd lng="en"><![CDATA[First contact physician]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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