Document Detail


Risk factors associated with persistent postoperative hypertension in Cushing's syndrome.
MedLine Citation:
PMID:  11196456     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of the present study was to assess the long-term results of adrenalectomy and to evaluate potential risk factors for the persistence or recurrence of hypertension. Forty-five patients with Cushing's syndrome caused by benign cortisol-producing adrenocortical adenomas were evaluated before and for a period of 1 year after surgical cure. When the patients were classified into two groups according to whether their preoperative BP was more (HBP group) or less (NBP group) than 140/90 mmHg, the BP level was found to be continuously higher in the HBP group than in the NBP group during the year after surgery. This finding suggests that the preoperative BP level in Cushing's syndrome may be a determinant factor for persistent hypertension after surgery (P<0.05). In addition, a correlation was found between postoperative BP level and duration of hypertension (P<0.05), but no relationships were found between postoperative BP levels and other factors, including age, BMI, tumor size, serum cortisol, aldosterone, potassium, total cholesterol, or glucose levels. The above findings indicate that intensive control of preoperative BP to maintain it below 140/90 mmHg with antihypertensive medication is a very important means of improving prognosis for postoperative BP. Immediate diagnosis and surgical treatment to reduce the duration of hypertension are also crucial for the long-term BP prognosis.
Authors:
T Suzuki; H Shibata; T Ando; I Kurihara; S Kobayashi; K Hayashi; M Hayashi; H Kawabe; I Saito; M Murai; T Saruta
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Endocrine research     Volume:  26     ISSN:  0743-5800     ISO Abbreviation:  Endocr. Res.     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2001-01-24     Completed Date:  2001-03-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8408548     Medline TA:  Endocr Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  791-5     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adrenalectomy*
Adult
Blood Pressure
Cushing Syndrome / physiopathology,  surgery*
Female
Humans
Hypertension / etiology*,  physiopathology,  prevention & control
Male
Postoperative Complications / etiology*
Risk Factors
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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