Três décadas de MAPA - monitorização ambulatorial da pressão arterial de 24 horas: mudanças de paradigmas no diagnóstico e tratamento da hipertensão arterial

Nobre, Fernando; Coelho, Eduardo Barbosa

doi:10.1590/s0066-782x2003001200012

Cited by 8 publications

(5 citation statements)

References 21 publications

(21 reference statements)

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“…The articles included in the review were epidemiological studies, which assessed self-reported interpersonal discrimination as the exposure, and the increase in the prevalence of hypertension or in blood pressure levels, measured both episodically and through ambulatory blood pressure monitoring (ABPM), as outcomes 11 . The studies reporting an increase in the prevalence of hypertension or in blood pressure levels were grouped, according to the following categories: (a) increase or smaller reduction in blood pressure; (b) increase in mean blood pressure; (c) increase in diastolic blood pressure; (d) increase in systolic blood pressure; and (e) hypertension.…”

Section: Methodsmentioning

confidence: 99%

Pressão arterial e discriminação interpessoal: revisão sistemática de estudos epidemiológicos

Couto¹,

Goto²,

Bastos³

2012

Arq. Bras. Cardiol.

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The relationship between blood pressure and discrimination has been recently investigated, and there are conflicting debates in literature devoted to the topic.The objective of this study was to update previous literature reviews on discrimination and blood pressure.A bibliographic search was conducted in PubMed between January/2000 and December/2010, including epidemiological studies, assessing the relationship between interpersonal discrimination and blood pressure/hypertension.The 22 studies included originated from the United States; 96% of them used the cross-sectional design with convenience sample, comprising, in 59% of the studies, exclusively Black participants. The Everyday Discrimination Scale and the Perceived Racism Scale were the most frequently used instruments, emphasizing lifetime or chronic/everyday racial/ethnic discrimination. In the 22 studies assessed, the association between discrimination and blood pressure/ hypertension was assessed 50 times. Twenty results (40%) showed no association between them, and only 15 (30%) revealed global positive associations, of which 67% were statistically significant. Eight negative associations were also observed, suggesting that higher exposure to discrimination would be associated with lower blood pressure/hypertension.The studies did not consistently support the hypothesis that discrimination is associated with higher blood pressure. These findings can be partially attributed to the limitations of the studies, especially those related to the measurement of discrimination and of factors that might modify its association with outcomes. To establish discrimination as an epidemiological risk factor, more rigorous methodological strategies should be used, and the theoretical frameworks that postulate causal relationships between discrimination and blood pressure should be reviewed.

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Section: Methodsmentioning

confidence: 99%

Pressão arterial e discriminação interpessoal: revisão sistemática de estudos epidemiológicos

Couto¹,

Goto²,

Bastos³

2012

Arq. Bras. Cardiol.

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“…Ambulatory blood pressure monitoring is a diagnostic method that monitors 24-h changes in blood pressure, during both wakefulness and sleep, and its effect on the patient. It allows a better understanding of systemic arterial hypertension for diagnosis, prognosis, and appropriate treatment [38]. The device will be programmed for readings at 20-min intervals during wakefulness and 30 min during sleep, with a minimum of 14 readings when awake and seven during sleep.…”

Section: Data Monitoringmentioning

confidence: 99%

Influence of an exercise program on cardiac remodeling and functional capacity in patients with stroke (CRONuS trial): study protocol for a randomized controlled trial

Rodrigues

Luvizutto

Costa

et al. 2019

Trials

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Background Cardiovascular rehabilitation is one of the treatment options for post-stroke individuals in order to improve functional independence in activities of daily life and reduce energy expenditure. The aim of this trial is to evaluate the effect of an exercise program on the echocardiographic variables, functional capacity, inflammatory response, neurological status, nutritional status, cardiologic evaluation, and quality of life of patients after stroke. Methods/design This is a randomized controlled trial including patients with ischemic stroke in the chronic phase. The patients will be evaluated at the beginning of the study and after 16 weeks. This will include clinical and physical evaluation, 6-min walk test, neurological assessment, nutritional assessment, ambulatory blood pressure monitoring, transthoracic echocardiography, and assessment of the quality of life. The sample size has been determined as 40 patients, who will be divided into two groups: control group (CG; n = 20) and intervention group (IG; n = 20). The CG will undergo conventional physiotherapy for 45 min, three times a week, up to 16 weeks, while the IG will be put on a cardiovascular rehabilitation program consisting of heating, aerobic exercise, and muscle strengthening for 45 min, three times a week, for 16 weeks. The primary endpoint will be functional capacity following a 6-min walk test (delta maxVO 2 ) and morphofunctional echocardiographic variables (indexed left ventricular mass) before and after the intervention. Discussion We expect to observe an improvement in cardiac structural and functional abnormalities in the IG, on echocardiography and biochemical examination, and that the improvement of these parameters after cardiovascular rehabilitation will have a favorable impact on the functional capacity and quality of life of patients after stroke. Trial registration REBEC, RBR-4wk4b3. Registered on 19 September 2016. Electronic supplementary material The online version of this article (10.1186/s13063-019-3328-1) contains supplementary material, which is available to authorized users.

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“…Evidence indicates that ambulatory BP (ABP) measurements are more closely related to target organ damage than office BP measurements [5][6][7][8][9] . Although some studies have explored the prognostic value of ABP in treated hypertensive subjects [10][11][12] , few investigated this issue in resistant hypertensive patients 13 , a high-risk group that challenges clinical practice.…”

mentioning

confidence: 99%

Monitorização ambulatorial da pressão arterial e risco cardiovascular em mulheres com hipertensão resistente

Magnanini

Nogueira²,

Carvalho³

et al. 2009

Arq. Bras. Cardiol.

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Três décadas de MAPA - monitorização ambulatorial da pressão arterial de 24 horas: mudanças de paradigmas no diagnóstico e tratamento da hipertensão arterial

Cited by 8 publications

References 21 publications

Pressão arterial e discriminação interpessoal: revisão sistemática de estudos epidemiológicos

Pressão arterial e discriminação interpessoal: revisão sistemática de estudos epidemiológicos

Influence of an exercise program on cardiac remodeling and functional capacity in patients with stroke (CRONuS trial): study protocol for a randomized controlled trial

Monitorização ambulatorial da pressão arterial e risco cardiovascular em mulheres com hipertensão resistente

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