RESUMO
The objective of this study was to determine both the prevalence of white-coat effect and white-coat hypertension (WCH) and which selected clinical variables were predictors of WCH. A total of 2462 patients underwent ambulatory blood pressure monitoring either in borderline hypertension (group 1) or for assessment of antihypertensive treatment (group 2) or for hypotension (group 3). In the overall population 33.0% of patients showed WCH, 32.8% in group 1 and 37.0% in group 2. In multivariate analysis, sex and grade of hypertension were independent predictors of WCH in groups 1 and 2.
Assuntos
Monitorização Ambulatorial da Pressão Arterial , Hipertensão/diagnóstico , Hipertensão/epidemiologia , Visita a Consultório Médico , Viés , Monitorização Ambulatorial da Pressão Arterial/métodos , Distribuição de Qui-Quadrado , Bases de Dados Factuais , Feminino , Hospitais de Ensino , Humanos , Hipertensão/etiologia , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Marrocos/epidemiologia , Análise Multivariada , Prevalência , Fatores de Risco , Índice de Gravidade de Doença , Distribuição por SexoRESUMO
This study used data from the Moroccan national survey in 2000 to identify the principle risk factors for hypertension in a representative sample of the population age 20+ years. The risk of hypertension increased steadily with age and was higher among rural residents (OR = 1.42) and those with diabetes (OR = 1.72). The risk increased with increased body mass index, waist size and hypercholesterolaemia. The risk of hypertension decreased by 36% and 46% respectively for those who walked 30-60 min and > 60 min daily. Consumption of fish and fresh fruits 1+ times per week was associated with a lower risk. Among those with hypertension, only 21.9% were previously diagnosed and 8.8% were under medical treatment.
Assuntos
Hipertensão/epidemiologia , Hipertensão/etiologia , Adulto , Distribuição por Idade , Idoso , Análise de Variância , Estudos de Casos e Controles , Distribuição de Qui-Quadrado , Complicações do Diabetes/complicações , Comportamento Alimentar , Feminino , Humanos , Hipercolesterolemia/complicações , Hipertensão/diagnóstico , Hipertensão/terapia , Estilo de Vida , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Marrocos/epidemiologia , Obesidade/complicações , Vigilância da População , Prevalência , Características de Residência , Fatores de Risco , Fatores SocioeconômicosRESUMO
This study used data from the Moroccan national survey in 2000 to identify the principle risk factors for hypertension in a representative sample of the population age 20+ years. The risk of hypertension increased steadily with age and was higher among rural residents [OR = 1.42] and those with diabetes [OR = 1.72]. The risk increased with increased body mass index, waist size and hypercholesterolaemia. The risk of hypertension decreased by 36% and 46% respectively for those who walked 30-60 min and > 60 min daily. Consumption of fish and fresh fruits 1+ times per week was associated with a lower risk. Among those with hypertension, only 21.9% were previously diagnosed and 8.8% were under medical treatment
Assuntos
Fatores de Risco , Fatores Etários , População Rural , Complicações do Diabetes , Índice de Massa Corporal , Circunferência da Cintura , Hipercolesterolemia , Exercício Físico , Inquéritos e Questionários , HipertensãoRESUMO
The objective of this study was to determine both the prevalence of white-coat effect and white-coat hypertension [WCH] and which selected clinical variables were predictors of WCH. A total of 2462 patients underwent ambulatory blood pressure monitoring either in borderline hypertension [group 1] or for assessment of antihypertensive treatment [group 2] or for hypotension [group 3]. In the overall population 33.0% of patients showed WCH, 32.8% in group 1 and 37.0% in group 2. In multivariate analysis, sex and grade of hypertension were independent predictors of WCH in groups 1 and 2
Assuntos
Hipertensão , Prevalência , Monitorização Ambulatorial da Pressão Arterial , Hipotensão , Consultórios MédicosRESUMO
The aim of our study was assess anatomical and functional results of renal artery angioplasty with and without stenting in 25 hypertensive patients (8 female and 16 male, 42.6 and 61.6 years old respectively) with significative renal artery stenosis (RAS) (atherosclerotic: 22; fibrodysplastic: 3). Eleven patients had simple angioplasty and 13 had stenting. The rate of angioplasty success was 96%. In the stent group, the anatomical result was better: 2% of residual stenosis versus 24% in the other group (p < 0.001). Restenosis occurred in 2 patients. Immediately after revascularisation arterial blood pressure decreased from 195/105 +/- to 150/85 +/- mmHg in-group without stent (p < 0.001) and from 190/100 to 145/85 mmHg in the group (p < 0.001). The value of serum creatinine concentration in patient with renal failure didn't change after revascularization.
