Determine the most accurate diagnostic criteria of arterial hypertension (AH) for detecting early vascular aging (EVA) defined by pulse wave velocity (PWV) higher than ≥9.2 m/s.Cross-sectional study of a birth cohort started in 1978/79. The following data were collected between April 6, 2016 and August 31, 2017 from 1775 participants: demographic, anthropometric, office blood pressure (BP) measurement, biochemical risk factors, and PWV. A subsample of 454 participants underwent 24-hour ambulatory BP monitoring. The frequencies of AH, and BP phenotypes were calculated according to both guidelines. BP phenotypes (white-coat hypertension, masked hypertension (MHT), sustained hypertension (SH) and normotension) were correlated with risk factors and subclinical target organ damage after adjustment for confounders by multiple linear regression. Receiver operating characteristic curves were constructed to determine the best BP threshold for detecting EVA.A higher frequency of AH (45.1 vs 18.5%), as well as of SH (40.7 vs 14.8%) and MHT (28.9 vs 25.8%) was identified using the 2017 ACC/AHA criteria comparing with 2018 ESC/ESH. EVA was associated with the higher-risk BP phenotypes (SH and MHT, P < .0001) in both criteria. There was a higher accuracy in diagnosing EVA, with the 2017 ACC/AHA criteria. Analysis of the receiver operating characteristic curves showed office BP cutoff value (128/83 mm Hg) for EVA closer to the 2017 ACC/AHA threshold.The 2017 AHA/ACC guideline for the diagnosis of AH, and corresponding ambulatory BP monitoring values, is more accurate for discriminating young adults with EVA. Clinical application of PWV may help identify patients that could benefit from BP levels <130/ 80 mm Hg.
A Educação Interprofissional (EIP) é uma tendência internacional, contemplada pelas Diretrizes Curriculares Nacionais (DNCs) dos cursos de saúde, presente também nas DCNs do curso médico de 2014, ao incluir interprofissionalidade como meio de atender as múltiplas dimensões das necessidades dos usuários do sistema de saúde. A Faculdade de Medicina de Ribeirão Preto da USP abriga seis cursos de graduação em saúde além de Medicina, podendo ser um campo para efetiva formação que enfatize o trabalho em equipe. Objetivo: o objetivo desse estudo foi avaliar de que forma as experiências de interação multiprofissional e interdisciplinaridade (ID/MP) são oferecidas nas disciplinas para os estudantes de graduação em Medicina da FMRP. Método: Levantamento documental das palavras multiprofissional, interprofissional, multidisciplinar e interdisciplinar nos objetivos, roteiros de aulas e atividades, avaliação e bibliografia. Os achados foram tabulados em planilhas e classificados de acordo com o ano de oferecimento da disciplina no ciclo básico (primeiros dois anos), clínico (dois anos intermediários) e internato (dois anos finais). Resultados: Os termos relacionados da ID/MP foram identificados em 11 (13,9%) das 79 disciplinas do currículo obrigatório do curso de Medicina, sendo mais frequentes no internato. Quatro das 109 disciplinas optativas oferecidas entre o 1° e 5° ano em 2017 apresentaram os termos procurados. Conclusão: A oferta formal e planejada de experiência em atuação ID/MP foi pequena, apesar de crescente ao longo do curso de Medicina.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.