Prevalence and characteristics of pseudohypertension in patients with “resistant hypertension”

Kleman, Mark; Dhanyamraju, Susmitha; DiFilippo, William

doi:10.1016/j.jash.2013.05.006

Cited by 17 publications

(8 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Blood pressure was measured on site by registered nurses using electronic blood pressure monitors (HEM-7120; Omron, Tokyo, Japan) after 12-h fasting according to the criteria of the Chinese Hypertension League/National Center (39). Blood pressure was divided into two categories according to the criteria of the European Society of Cardiology and the European Society of Hypertension as follows: normal blood pressure (SBP < 130 mm Hg and DBP < 85 mm Hg) and increased blood pressure (high normal blood pressure: SBP ≥ 130 mm Hg and/or DBP ≥ 85 mm Hg, and hypertension: SBP ≥ 140 mm Hg and/or DBP ≥ 90 mm Hg) (14).…”

Section: Measurementsmentioning

confidence: 99%

Sex and Gender Determinants of Increased Blood Pressure Among Women With Previous Gestational Diabetes Mellitus in Rural China

Guo

Jiang

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Gestational diabetes mellitus (GDM) increases the long-term risk of hypertension and cardiovascular events for mothers later in life but has not been well recognized by nurses. The aims of the study were to describe the proportion of increased blood pressure in rural women with previous GDM and to explore the sex (biological) and gender (sociocultural) factors that contribute to the increased blood pressure.Methods: A cross-sectional descriptive survey including 397 women with previous GDM was conducted in rural areas of Central South of China between November 2017 and June 2018. The variables of sex (e.g., age, ethnicity, family history of hypertension, time since delivery, 75-g oral glucose tolerance test, body mass index, and waist circumference) and gender (education, occupation, income, physical activity, fruit and vegetable intake, sedentary time, perceived stress, and general self-efficacy) were collected on research site. Increased blood pressure referred to systolic blood pressure of ≥130 mm Hg and/or diastolic blood pressure of ≥85 mm Hg. Logistic regression was performed to recognize the sex and gender factors associated with increased blood pressure. Results: There were nearly 20% (78/397) of participants first found increased blood pressure. Among those participants who had increased blood pressure, advanced age, a family history of hypertension, and abnormal 2-h plasma glucose levels were sex-related factors associating with the increased blood pressure (P < 0.05), while obesity indicators (body mass index and waist circumference) were not associated (P > 0.05). General self-efficacy, a gender factor, had a protective relationship with increased blood pressure (P < 0.05). Conclusions: Increased blood pressure is prevalent in rural Chinese women with previous GDM. Both sex and gender are determinants. Interventions promoting glycemic status and general self-efficacy are promising to improve their cardiovascular health later in life.

show abstract

Section: Measurementsmentioning

confidence: 99%

Sex and Gender Determinants of Increased Blood Pressure Among Women With Previous Gestational Diabetes Mellitus in Rural China

Guo

Jiang

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…[ 3 ] Owing to its clinical symptoms, PHT is an important hypertensive disease in the elderly. [ 4 ] Appropriate antihypertension therapy for patients with true hypertension could produce potentially adverse effects such as postural hypotension, dizziness, and even acute cardio-cerebrovascular events in patients with PHT. As the aging population of China increased, hypertension became a major challenge in the elderly, which accounts for approximately 49% of individuals aged > 60 years.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and clinical characteristics of pseudohypertension in elderly patients prepared for coronary artery angiography

Dai

Hai-ya²,

Fang³

2017

Medicine

View full text Add to dashboard Cite

Background:Pseudohypertension (PHT) can cause adverse effects in the elderly owing to administration of antihypertension therapy. The present study aimed to determine the prevalence of PHT in the elderly and associated risk factors to investigate a noninvasive method of detection of PHT.Methods:We recruited 151 patients (age ≥60 years) who underwent coronary angiography. Demographic and clinical data were collected from the patients. During coronary angiography, intrabrachial arterial pressure and indirect blood pressure were measured. Brachial-ankle pulse wave velocity (ba-PWV) was measured within 2 weeks after coronary angiography.Results:Based on the differences between the direct and indirect pressure measurements, the patients were divided into a PHT group (n = 87) and a non-PHT group (n = 64). The prevalence of PHT was 57.6%, and the development of PHT was significantly associated with older age. Serum creatinine level and creatinine clearance rate were significantly higher in the non-PHT group than in the PHT group (P < .05). In addition, the PHT group had significantly higher ba-PWV and pulse pressure (PP) than the non-PHT group (P < .05). Receiver-operating characteristic curve analysis revealed that ba-PWV (AUC = 0.783) and PP (AUC = 0.791) showed a relatively good diagnostic performance for PHT.Conclusions:PHT was present in most of the elderly who had indications for coronary angiography and associated with age and renal function. The data from the present study also suggested that both PP and ba-PWV could be used to positively predict PHT.

show abstract

“…In a retrospective study (Kleman et al, 2013), conducted on patient attending a hypertension clinic, it was found that 7% of the patients had pseudohypertension [3]. In a parallel cohort study (Collins et al, 2013), the prevalence of systolic pseudohypertension in patients undergoing Cardiac Catheterization was detected in 10.8% of patients, and the majority were of advanced age [4].…”

Section: Introductionmentioning

confidence: 99%

Pseudohypertension-Like Presentation: An Exceptionally Rare Presentation in an Athletic Female Patient with Morphea

Al-Imam

2016

Case Reports in Dermatological Medicine

View full text Add to dashboard Cite

Introduction. Pseudohypertension is a condition which mainly occurs due to thickening-calcification of tunica intima of the arterial wall, leading to a faulty measurement of the intra-arterial blood pressure. To the best of our knowledge, this is the first case report in literature, of a pseudohypertension-like presentation in association with Morphea en plaque. Case Presentation. This is a rare presentation of a young athletic female and a professional tennis player, with pseudohypertension-like presentation. The patient had a traumatic injury to the right elbow joint; the injury occurred during a professional tennis match. The injury was managed by immobilization, physiotherapy, and Low-Level Laser Therapy. Soon after that, the patient had a circumscribed sclerotic ivory plaque affecting the skin of the right cubital fossa. The histopathology analysis, together with the serological-hematological tests and the clinical picture, along with positive Osler's signs, leads to the conclusive diagnosis of Morphea en plaque. The peculiar anatomic localization of the plaque anterior to the brachial artery leads to faulty blood pressure measurement as recorded by mercurial sphygmomanometer. Conclusion. This unique presentation of Morphea en plaque carries an important message in relation to the basic medical practice and in relation to the accurate measurement of the vital signs.

show abstract

Prevalence and characteristics of pseudohypertension in patients with “resistant hypertension”

Cited by 17 publications

References 9 publications

Sex and Gender Determinants of Increased Blood Pressure Among Women With Previous Gestational Diabetes Mellitus in Rural China

Sex and Gender Determinants of Increased Blood Pressure Among Women With Previous Gestational Diabetes Mellitus in Rural China

Prevalence and clinical characteristics of pseudohypertension in elderly patients prepared for coronary artery angiography

Pseudohypertension-Like Presentation: An Exceptionally Rare Presentation in an Athletic Female Patient with Morphea

Contact Info

Product

Resources

About