Idioma:

Is White Coat Hypertension Associated With Arterial Disease or Left Ventricular Hypertrophy?

Cavallini, Chiara M ; Roman, Mary J ; Pickering, Thomas G ; Schwartz, Joseph E ; Pini, Riccardo ; Devereux, Richard B

Hypertension (Dallas, Tex. 1979), 1995-09, Vol.26 (3), p.413-419 [Periódico revisado por pares]

Philadelphia, PA: American Heart Association, Inc

Texto completo disponível

Citações Citado por

Enviar para

Título:
Is White Coat Hypertension Associated With Arterial Disease or Left Ventricular Hypertrophy?
Autor: Cavallini, Chiara M ; Roman, Mary J ; Pickering, Thomas G ; Schwartz, Joseph E ; Pini, Riccardo ; Devereux, Richard B
Assuntos: Adult ; Aged ; Arterial hypertension. Arterial hypotension ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; Cardiology. Vascular system ; Carotid Arteries - pathology ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Female ; Humans ; Hypertension - complications ; Hypertension - pathology ; Hypertension - physiopathology ; Hypertrophy, Left Ventricular - etiology ; Male ; Medical sciences ; Middle Aged ; Ventricular Function, Left
É parte de: Hypertension (Dallas, Tex. 1979), 1995-09, Vol.26 (3), p.413-419
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: Although white coat hypertension may be present in 20% or more of hypertensive individuals, its prognostic significance is unknown. We compared prognostically relevant measures of target-organ damage among 24 individuals with white coat hypertension and age- and sex-matched groups of sustained hypertensive and normotensive subjects classified by clinical and 24-hour ambulatory blood pressures. Left ventricular and carotid artery structure and function were evaluated by ultrasonography. Left ventricular mass index was similar in white coat hypertensive (82 plus/minus 17 g/m) and normotensive (78 plus/minus 15 g/m) subjects but was higher in sustained hypertensive subjects (97 plus/minus 19 g/m, P < .02 and P < .002, respectively). Similarly, carotid artery intimal-medial thickness was greater in the sustained hypertensive group (0.98 plus/minus 0.21 mm) than in the white coat hypertensive (0.84 plus/minus 0.16 mm, P < .05) and normotensive (0.76 plus/minus 0.18 mm, P < .001) groups. The prevalence of discrete atherosclerotic plaques was higher in the sustained hypertensive group (58%) than in the white coat hypertensive (25%, P < .05) and normotensive (21%, P < .02) groups. Cardiac and carotid structure in individuals with white coat hypertension resemble findings in normotensive subjects and differ significantly from those in age- and sex-matched sustained hypertensive subjects. These findings suggest that white coat hypertension may be a benign condition for which pharmacological intervention may not be necessary, a hypothesis that needs to be tested in longitudinal studies with clinical end points. (Hypertension. 1995;26:413-419.)
Editor: Philadelphia, PA: American Heart Association, Inc
Idioma: Inglês

Links

Voltar para lista de resultados

Realização: Logos de Redes Sociais:

Is White Coat Hypertension Associated With Arterial Disease or Left Ventricular Hypertrophy?

Cavallini, Chiara M ; Roman, Mary J ; Pickering, Thomas G ; Schwartz, Joseph E ; Pini, Riccardo ; Devereux, Richard B

Philadelphia, PA: American Heart Association, Inc

Buscando em bases de dados remotas. Favor aguardar.