The evaluation of arterial stiffness of essential hypertension and white coat hypertension in children: a case-control study

Tokgöz, Semiha Terlemez; Yılmaz, Dilek; Tokgöz, Yavuz; Çelik, Bülent; Bulut, Yasin

doi:10.1017/s1047951117002025

Cited by 16 publications

(15 citation statements)

References 24 publications

(39 reference statements)

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“…The measurement using the Mobil-O-Graph R was previously used several times in pediatric patients (28)(29)(30)(31) and was also successfully applied in childhood cancer survivors (12).…”

Section: Cardiovascular Parametersmentioning

confidence: 99%

Short-Term Consequences of Pediatric Anti-cancer Treatment Regarding Blood Pressure, Motor Performance, Physical Activity and Reintegration Into Sports Structures

et al. 2020

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Background: Cardiovascular diseases in childhood cancer survivors are known late sequelae following treatment. Arterial stiffness, pulse wave velocity (PWV) and central systolic blood pressure (cSBP) are potential predictors to assess the status of cardiovascular health. Frequent inpatient stays and reduced physical activity (PA) during treatment can lead to noticeable impairments regarding motor skills and physical performance. The present study examined parameters of cardiovascular health, motor performance and the status of integration into sports structures shortly after cessation of treatment. Methods: A cross-sectional, monocentric study was conducted from April to June 2019. Participants (6-18 yrs, mixed cancer entities) during maintenance therapy and follow-up care were recruited. Peripheral and central systolic/diastolic blood pressure (pSBP, pDBP, cSBP) and PWV were assessed using the Mobil-O-Graph ®. The MOON test (MOtor performance in pediatric ONcology) was used to scale motor performance. PA levels and status of integration into sports structures were assessed with a questionnaire referring to the KiGGS study. All measured data were compared to published reference values. Results: Forty participants (11.3 ± 3.8 years, 50% female) were recruited 1.6 ± 1.8 years post-treatment. PSBP (z-score: 0.87 ± 0.67, p = 0.003), pDBP (0.83 ± 1.94, p = 0.033) and cSBP (≥8 years: 0.60 ± 1.29, p = 0.011) were significantly increased compared to reference values. PWV was also elevated, but not significantly. Motor performance was reduced in almost all motor abilities. Thirty-six percent of the examined group did not participate in physical education at school to the full extent. Only 17% reported 1 hour of daily moderate-to-vigorous PA as recommended for children and adolescents by the World Health Organization. Half of the participants were active sports club members before treatment, but one third did not resume their former membership. Keiser et al. Physical Consequences After Childhood Cancer Conclusion: Increased cardiovascular parameters and impaired motor performance shortly after cessation of treatment, physical inactivity, and low rates of integration into regular sports programs highlight the support needed. Young cancer patients should receive early support in coping with physical limitations preferably soon after diagnosis. Motor deficits could be reduced by applying targeted interventions. Furthermore, a regular sports therapy program during in-and outpatient care could increase engagement in PA to possibly counteract risk factors and improve cardiovascular health.

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“…The measurement using the Mobil-O-Graph R was previously used several times in pediatric patients (28)(29)(30)(31) and was also successfully applied in childhood cancer survivors (12).…”

Section: Cardiovascular Parametersmentioning

confidence: 99%

Short-Term Consequences of Pediatric Anti-cancer Treatment Regarding Blood Pressure, Motor Performance, Physical Activity and Reintegration Into Sports Structures

et al. 2020

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“…Most patients experience various degrees of postoperative pain. [16] Evaluation of pain intensity is one of the important action of nurses and other health care personnel in the clinical setting. In the present study, we analyzed the possible relationship between chest pain intensity and physiological indicators.…”

Section: Discussionmentioning

confidence: 99%

The relationship between chest pain intensity and physiological indicators after coronary artery bypass grafting: A correlational study

Fakhr‐Movahedi

Zarei

Ebrahimian

2019

Turk Gogus Kalp Dama

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Coronary artery bypass grafting (CABG) is one of the therapeutic modes in some cardiac disorders such as coronary artery diseases. [1] Despite therapeutic effects of open heart surgery, postoperative patients may experience many biological and psychological conditions. [2] Thoracotomy and post-sternotomy pain is an unpleasant feeling experienced by most of the patients after CABG. [3,4] Usually, %75 of patients suffer from pain postoperatively. In addition to discomfort, this pain affects the patient's physiological responses such as respiration, pulse, blood pressure, myocardial oxygen consumption, and cardiac output. [5] ÖZ Amaç: Bu çalışmada koroner arter baypas greftleme yapılan hastalarda göğüs ağrısının şiddeti ve fizyolojik belirteçler arasındaki ilişki incelendi. Ça lış m a pla nı: Bu korelasyon çalışmasına Aralık 2016-Mart 2018 tarihleri arasında bir üniversite hastanesinde koroner arter baypas greftleme yapılan toplam 126 hastanın (104 erkek, 22 kadın; ort. yaş 62.3±8.5 yıl; dağılım, 45-80 yıl) göğüs ağrısı şiddeti ve fizyolojik yanıtları solunum egzersizi sırasında değerlendirildi. Ameliyatın ikinci gününde ağrı şiddeti sayısal bir değerlendirme ölçeği ile ölçüldü. Fizyolojik belirteçler, Nihon Kohden (MU65) takip cihazı ile belirlendi. Bul gu lar: Ortalama ağrı şiddeti skoru 7.8±1.9 (dağılım 1-10) idi. Ağrı şiddeti ve fizyolojik belirteçler arasında anlamlı bir ilişki saptanmadı (p>0.05). Ağrı şiddeti ve hastanın yaşı arasında negatif bir ilişki izlendi (r=-0.183 ve p=0.04). Ağrı şiddeti erkek ve kadın cinsiyeti arasında anlamlı düzeyde farklı değildi (p= 0.064). So nuç: Çalışma sonuçlarımız, koroner arter baypas greftleme yapılan hastalarda göğüs ağrısının şiddeti ve fizyolojik yanıtlar arasında anlamlı bir ilişki olmadığını göstermektedir. Anah tarsöz cük ler: Göğüs ağrısı şiddeti, koroner arter baypas greftleme, fizyolojik belirteç.

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“…En cuanto a su significación clínica, en adultos se ha asociado a mayor riesgo cardiovascular por presentar alteración endotelial que favorecería la arterioesclerosis y un mayor riesgo de progresar a HTA persistente. Existen pocos estudios en pediatría que sigan a largo plazo a estos pacientes para ver su riesgo cardiovascular o la posibilidad de desarrollar hipertensión arterial, pero hay 2 estudios recientes 13,14 que han demostrado alteración en la velocidad de la onda de pulso (rigidez de aorta) y disfunción endotelial en estos niños. Ambos estudios demuestran que estas alteraciones preceden e incluso hacen sospechar la aparición de arterioesclerosis en forma temprana, tanto en niños con HTA del delantal blanco o esencial.…”

Section: Clasificación Diagnóstica Según Mapa Y Condiciones Clínicas unclassified

Monitorización Ambulatoria de Presión Arterial (MAPA): recomendaciones de la rama de nefrología pediátrica

et al. 2019

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La monitorización ambulatoria de la presión arterial (MAPA) es una herramienta clínica útil para la confirmación de hipertensión arterial en pediatría y permite igualmente el diagnóstico de condiciones especiales como la hipertensión de delantal blanco e hipertensión enmascarada. Existen recomendaciones internacionales para su realización e interpretación, sin embargo, aún quedan interrogantes por resolver. En esta guía se resume la bibliografía disponible y se intenta estandarizar, a través de consenso de especialistas nacionales, la aplicación de esta técnica. Se necesitan más estudios de investigación en niños que aporten nuevos valores de referencia y que determinen la relación de alteraciones en MAPA con resultados clínicos a largo plazo.

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The evaluation of arterial stiffness of essential hypertension and white coat hypertension in children: a case-control study

Cited by 16 publications

References 24 publications

Short-Term Consequences of Pediatric Anti-cancer Treatment Regarding Blood Pressure, Motor Performance, Physical Activity and Reintegration Into Sports Structures

Short-Term Consequences of Pediatric Anti-cancer Treatment Regarding Blood Pressure, Motor Performance, Physical Activity and Reintegration Into Sports Structures

The relationship between chest pain intensity and physiological indicators after coronary artery bypass grafting: A correlational study

Monitorización Ambulatoria de Presión Arterial (MAPA): recomendaciones de la rama de nefrología pediátrica

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