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Titolo:
INFLUENCE OF ISOLATED DIASTOLIC HYPERTENSION IDENTIFIED BY AMBULATORYBLOOD-PRESSURE ON TARGET ORGAN DAMAGE
Autore:
LIN JM; HSU KL; CHIANG FT; TSENG CD; TSENG YZ;
Indirizzi:
NATL TAIWAN UNIV HOSP,DEPT INTERNAL MED,7 CHUNG SHAN S RD TAIPEI TAIWAN NATL TAIWAN UNIV HOSP,DEPT INTERNAL MED TAIPEI TAIWAN
Titolo Testata:
International journal of cardiology
fascicolo: 3, volume: 48, anno: 1995,
pagine: 311 - 316
SICI:
0167-5273(1995)48:3<311:IOIDHI>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
LEFT-VENTRICULAR HYPERTROPHY; CORONARY HEART-DISEASE; MORTALITY; RISK; VARIABILITY; POPULATION; MORBIDITY; MASS;
Keywords:
ISOLATED DIASTOLIC HYPERTENSION; AMBULATORY BLOOD PRESSURE; TARGET ORGAN DAMAGE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
29
Recensione:
Indirizzi per estratti:
Citazione:
J.M. Lin et al., "INFLUENCE OF ISOLATED DIASTOLIC HYPERTENSION IDENTIFIED BY AMBULATORYBLOOD-PRESSURE ON TARGET ORGAN DAMAGE", International journal of cardiology, 48(3), 1995, pp. 311-316

Abstract

Clinical decisions and controlled studies in regard to hypertension have long emphasized the casual diastolic blood pressure (DBP). The influence of superimposition of high systolic blood pressure (SEP) on thetarget organ damage has been less studied. To assess the role of isolated diastolic hypertension without interference of superimposition ofsystolic hypertension, 171 subjects with normal blood pressure, isolated diastolic hypertension (SEP < 140 and DBP greater than or equal to90 mmHg) isolated systolic hypertension (SEP greater than or equal to140 and DBP < 90 mmHg) or combined hypertension (SEP greater than or equal to 140 and DBP greater than or equal to 90 mmHg) determined by mean 24-h ambulatory blood pressure were compared in relation to targetorgan damage including ECG abnormality related to hypertension, cardiac enlargement by chest X-ray, proteinuria and retinopathy. The incidence of target organ damage was lower in subjects with normal BP than in the other three groups. The incidence of target organ damage was almost significantly higher in patients with isolated systolic hypertension than in those with isolated diastolic hypertension. No significant difference in the incidence of complications existed between patients with isolated systolic and combined hypertension. These findings demonstrate that the severity of hypertensive complications is more closelyrelated to mean ambulatory SEP than mean ambulatory DBP. The level ofsystolic BP is important for predicting the severity of target organ damage in patients with high diastolic BP, because there is a significant difference in the incidence of target organ damage between isolated diastolic hypertension and combined hypertension.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/07/20 alle ore 05:20:47