Paradoxical increase in ambulatory SBP in coarctation of aorta a compared to essential hypertension
In: Blood Pressure Monitoring, Jg. 27 (2021-12-01), S. 98-104
Online
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Zugriff:
BACKGROUND The relationship between office vs. ambulatory blood pressure (BP) indices are well-studied in patients with essential hypertension and based on these data, it is known that the average 24-h ambulatory BP is typically lower than office BP. However, emerging data show that office SBP underestimates arterial afterload in patients with coarctation of aorta (COA), and a minimal increase in stroke volume during low-intensity exercise results in an exaggerated rise in SBP as compared to those with essential hypertension. We hypothesized that COA patients will have higher ambulatory SBP and a higher prevalence of masked hypertension compared to patients with essential hypertension. METHODS Case-control study of 118 COA patients and 118 patients with essential hypertension matched by age, sex, BMI and office SBP. RESULTS Although both groups had similar office SBP (132 ± 17 mmHg) by design, the COA group had paradoxical increases in 24-h ambulatory SBP (135 ± 14 vs. 126 ± 13; P
| Titel: |
Paradoxical increase in ambulatory SBP in coarctation of aorta a compared to essential hypertension
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| Autor/in / Beteiligte Person: | Shaik, Likhita ; Connolly, Heidi M. ; Miranda, William R. ; Renuka Reddy Katta ; Ahmed Goda Sakr ; Devara, Janaki ; Egbe, Alexander C. |
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| Zeitschrift: | Blood Pressure Monitoring, Jg. 27 (2021-12-01), S. 98-104 |
| Veröffentlichung: | Ovid Technologies (Wolters Kluwer Health), 2021 |
| Medientyp: | unknown |
| ISSN: | 1359-5237 (print) |
| DOI: | 10.1097/mbp.0000000000000573 |
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