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Relationship between socioeconomic level, and the prevalence of masked hypertension and asymptomatic organ damage.

Ateş İ, Altay M, Kaplan M, Ozkayar N, Toprak G, Alagüney ME, Özkara A - Med. Sci. Monit. (2015)

Bottom Line: The patients with MHT had significantly higher left ventricular mass index, carotid intima-media thickness, and 24-h urinary microalbuminuria level (all indicators of AOD) than those with EHT.A significantly higher percentage of patients with MHT had AOD, as compared to those with EHT, in a low socioeconomic district of Ankara.Based on this finding, patients who present with hypertensive symptoms but have a normal BP should be advised to measure their BP at home.

View Article: PubMed Central - PubMed

Affiliation: Department of Nephrology, Ankara Numune Education and Research Hospital, Ankara, Turkey.

ABSTRACT

Background: This study aimed to determine the prevalence of masked hypertension (MHT) and its association with asymptomatic organ damage (AOD) in a low socioeconomic district of Ankara, Turkey.

Material and methods: We retrospectively reviewed data obtained from the medical records of 712 patients with no known diagnosis of hypertension who presented to a polyclinic due to symptoms related to elevated blood pressure (BP) and were screened for MHT. Essential hypertension (EHT) existed in 86 patients screened for AOD. The presence of AOD in patients diagnosed with MHT and EHT was recorded.

Results: Among the 712 patients, 206 were diagnosed with EHT. Among the remaining 506 patients, 73 were diagnosed with MHT. The patients with MHT had significantly higher left ventricular mass index, carotid intima-media thickness, and 24-h urinary microalbuminuria level (all indicators of AOD) than those with EHT.

Conclusions: A significantly higher percentage of patients with MHT had AOD, as compared to those with EHT, in a low socioeconomic district of Ankara. Based on this finding, patients who present with hypertensive symptoms but have a normal BP should be advised to measure their BP at home.

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Related in: MedlinePlus

Left ventricular mass index (LVMI) (A), carotid intima-media thickness (CIMT) (B), 24-h urine microalbuminuria (MA) (C), and retinopathy grade (R) (D) in the 2 study groups. * Outliers. MHT: masked hypertension; EHT: essential hypertension.
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f2-medscimonit-21-1022: Left ventricular mass index (LVMI) (A), carotid intima-media thickness (CIMT) (B), 24-h urine microalbuminuria (MA) (C), and retinopathy grade (R) (D) in the 2 study groups. * Outliers. MHT: masked hypertension; EHT: essential hypertension.

Mentions: Of the 73 patients diagnosed with MHT, 30 were not examined for AOD (Figure 1). Demographic characteristics of the remaining 43 (23 males and 20 females, mean age of 52.6±9.4 years) MHT patients and the EHT group (86 patients, 46 males and 40 females, mean age of 49.9±10.7 years), and the indicators for AOD are presented in Table 1. The MHT and EHT groups were similar in terms of age, sex, BMI, and mean 24-h blood pressure, whereas the duration of hypertension was significantly longer in the EHT group than in the MHT group (3.3±0.9 years vs. 2.0±0.6 years, P<0.001). The AOD indicators CIMT (0.91±0.2 mm vs. 0.70±0.1 mm) and LVMI (95.7±18.2 g/m2vs. 84.6±20.9 g/m2), and the mean microalbuminuria level (22 mg/d vs. 10.25 mg/d) and retinopathy stage were significantly higher (P<0.05) in the MHT group than in the EHT (Figure 2).


Relationship between socioeconomic level, and the prevalence of masked hypertension and asymptomatic organ damage.

Ateş İ, Altay M, Kaplan M, Ozkayar N, Toprak G, Alagüney ME, Özkara A - Med. Sci. Monit. (2015)

Left ventricular mass index (LVMI) (A), carotid intima-media thickness (CIMT) (B), 24-h urine microalbuminuria (MA) (C), and retinopathy grade (R) (D) in the 2 study groups. * Outliers. MHT: masked hypertension; EHT: essential hypertension.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4403375&req=5

f2-medscimonit-21-1022: Left ventricular mass index (LVMI) (A), carotid intima-media thickness (CIMT) (B), 24-h urine microalbuminuria (MA) (C), and retinopathy grade (R) (D) in the 2 study groups. * Outliers. MHT: masked hypertension; EHT: essential hypertension.
Mentions: Of the 73 patients diagnosed with MHT, 30 were not examined for AOD (Figure 1). Demographic characteristics of the remaining 43 (23 males and 20 females, mean age of 52.6±9.4 years) MHT patients and the EHT group (86 patients, 46 males and 40 females, mean age of 49.9±10.7 years), and the indicators for AOD are presented in Table 1. The MHT and EHT groups were similar in terms of age, sex, BMI, and mean 24-h blood pressure, whereas the duration of hypertension was significantly longer in the EHT group than in the MHT group (3.3±0.9 years vs. 2.0±0.6 years, P<0.001). The AOD indicators CIMT (0.91±0.2 mm vs. 0.70±0.1 mm) and LVMI (95.7±18.2 g/m2vs. 84.6±20.9 g/m2), and the mean microalbuminuria level (22 mg/d vs. 10.25 mg/d) and retinopathy stage were significantly higher (P<0.05) in the MHT group than in the EHT (Figure 2).

Bottom Line: The patients with MHT had significantly higher left ventricular mass index, carotid intima-media thickness, and 24-h urinary microalbuminuria level (all indicators of AOD) than those with EHT.A significantly higher percentage of patients with MHT had AOD, as compared to those with EHT, in a low socioeconomic district of Ankara.Based on this finding, patients who present with hypertensive symptoms but have a normal BP should be advised to measure their BP at home.

View Article: PubMed Central - PubMed

Affiliation: Department of Nephrology, Ankara Numune Education and Research Hospital, Ankara, Turkey.

ABSTRACT

Background: This study aimed to determine the prevalence of masked hypertension (MHT) and its association with asymptomatic organ damage (AOD) in a low socioeconomic district of Ankara, Turkey.

Material and methods: We retrospectively reviewed data obtained from the medical records of 712 patients with no known diagnosis of hypertension who presented to a polyclinic due to symptoms related to elevated blood pressure (BP) and were screened for MHT. Essential hypertension (EHT) existed in 86 patients screened for AOD. The presence of AOD in patients diagnosed with MHT and EHT was recorded.

Results: Among the 712 patients, 206 were diagnosed with EHT. Among the remaining 506 patients, 73 were diagnosed with MHT. The patients with MHT had significantly higher left ventricular mass index, carotid intima-media thickness, and 24-h urinary microalbuminuria level (all indicators of AOD) than those with EHT.

Conclusions: A significantly higher percentage of patients with MHT had AOD, as compared to those with EHT, in a low socioeconomic district of Ankara. Based on this finding, patients who present with hypertensive symptoms but have a normal BP should be advised to measure their BP at home.

Show MeSH
Related in: MedlinePlus