Document Detail


White-coat hypertension in the elderly. Echocardiographic analysis. A substudy of the EPICARDIAN project.
MedLine Citation:
PMID:  21070734     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
The aims of this study were to investigate echocardiographic abnormalities in the elderly and to evaluate differences between those who are normotensive and those who have white-coat hypertension or sustained hypertension. The study used data on a subsample of participants in the EPICARDIAN project who came from the Lista district of Madrid, Spain. Of the 271 included, 61 (22.5%) were normotensive, 81 (29.9%) had white-coat hypertension and 129 (49.6%) had sustained hypertension. The left ventricular mass index was significantly different between the subgroups: 94.9 g/m2 in normotensives, 125.6 g/m2 in those with white-coat hypertension and 136.3 g/m2 in those with sustained hypertension (P< .001). The prevalence of left ventricular hypertrophy, defined using Deveraux's criteria, was 13.2% in normotensives, 49.1% in those with white-coat hypertension and 54.3% in those with sustained hypertension (P=.00007). White-coat hypertension is not a innocuous finding in the elderly because its implications for cardiac health are closer to those of sustained hypertension than to those of normal blood pressure.
Authors:
Ramón Puchades; Juan M Ruiz-Nodar; Francisco Blanco; Francisco Rodríguez; Rafael Gabriel; Carmen Suárez
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Revista española de cardiología     Volume:  63     ISSN:  1579-2242     ISO Abbreviation:  Rev Esp Cardiol     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-11-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0404277     Medline TA:  Rev Esp Cardiol     Country:  Spain    
Other Details:
Languages:  eng; spa     Pagination:  1377-81     Citation Subset:  IM    
Affiliation:
Unidad de Hipertensión, Servicio de Medicina Interna, Hospital Universitario de La Princesa, Red RECAVA, Madrid, España.
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