Document Detail


The relationship between occupational exposure to lead and manifestation of cardiovascular complications in persons with arterial hypertension.
MedLine Citation:
PMID:  20728461     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The chronic exposure to lead represents a risk factor of arterial hypertension development. Ambulatory blood pressure monitoring is the most prognostically reliable method of measuring of arterial blood pressure. The study is aimed at evaluating the relationship between occupational exposure to lead and manifestation of cardiovascular complications in patients with arterial hypertension. The studies included 73 men (mean age, 54.26±8.17 years) with arterial hypertension, treated with hypotensive drugs: group I-persons occupationally exposed to lead (n=35) and group II-individuals not exposed to lead (n=38). An analysis of results obtained during ambulatory blood pressure monitoring disclosed significantly higher values of mean systolic blood pressure, mean blood pressure, pulse pressure, and variability of systolic blood pressure in the group of hypertensive patients occupationally exposed to lead as compared to patients with arterial hypertension but not exposed to lead. The logistic regression showed that a more advanced age, higher concentration of blood zinc protoporphyrin, and a higher mean value of pulse pressure represented independent risk factors of left ventricular hypertrophy in the group of persons with arterial hypertension and chronically exposed to lead (OR(age)=1.11; OR(ZnPP)=1.32; OR(PP)=1,43; p<0.05). In view of the above data demonstration that occupational exposure to lead represents an independent risk factor of increased pulse pressure may be of key importance in the process of shaping general social awareness as to harmful effects of lead compounds on human health.
Authors:
Rafał Poręba; Paweł Gać; Małgorzata Poręba; Ryszard Andrzejak
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-08-19
Journal Detail:
Title:  Toxicology and applied pharmacology     Volume:  249     ISSN:  1096-0333     ISO Abbreviation:  Toxicol. Appl. Pharmacol.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-18     Completed Date:  2010-11-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0416575     Medline TA:  Toxicol Appl Pharmacol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  41-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Internal Medicine, Occupational Diseases and Hypertension, Wroclaw Medical University, Pasteur 4, PL 50-367 Wroclaw, Poland. sogood@poczta.onet.pl
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MeSH Terms
Descriptor/Qualifier:
Adult
Biological Markers / blood
Humans
Hypertension / blood*,  complications
Hypertrophy, Left Ventricular / blood*,  etiology
Lead Poisoning / blood*,  complications
Male
Metallurgy*
Middle Aged
Occupational Exposure / adverse effects*
Protoporphyrins / blood
Risk Factors
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Protoporphyrins; 15442-64-5/zinc protoporphyrin

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


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