Please use this identifier to cite or link to this item: https://hdl.handle.net/20.500.12104/40618
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dc.contributor.authorReyes, S.F.
dc.contributor.authorSedano, G.Z.
dc.contributor.authorGarcía De Alba García, J.E.
dc.contributor.authorParra Carrillo, J.Z.
dc.contributor.authorRosas, S.R.
dc.date.accessioned2015-09-15T17:41:27Z-
dc.date.available2015-09-15T17:41:27Z-
dc.date.issued2006
dc.identifier.urihttp://hdl.handle.net/20.500.12104/40618-
dc.identifier.urihttp://www.scopus.com/inward/record.url?eid=2-s2.0-35348845178&partnerID=40&md5=3064bb1fe5a24d49064e8bc62f4dd125
dc.description.abstractBackground: Diastolic dysfunction can be present in the hypertensive patients, even before the appearance of left ventricular hypertrophy. This change in the ventricular filling has not been found consistently in hypertensive patients with white coat hypertension. Objective: To measure the left ventricle structure and function in white coat hypertension patients and compare the findings in individuals with sustained hypertension. Patients and method: A total of 104 obese individuals (88% female, Quetelet index 30.4 ± 4.2), without diabetes, slightly hypertensive or in study for this diagnosis were studied. Based on auscultatory measurement and 24-hour ambulatory blood pressure monitoring, three groups were formed: sustained hypertensives, white coat hypertensives, and non-hypertensives. A Doppler color echocardiogram was done on each patient to identify cardiac structure and function. Results: Diastolic dysfunction was prevalent in all three groups; white coat hypertensives had greater diastolic dysfunction (32.2%) than non-hypertensives (22.8%) (p < 0.05). Left ventricular hypertrophy was greater in white coat hypertensives than in non-hypertensives, but there was no statistical significance. Ejection fraction was equal in the three groups. Conclusions: White coat hypertension is associated with a high prevalence of diastolic dysfunction, thus the identification of early cardiovascular damage in these patients could be used as a prognosis marker and to decide the treatment to be used.
dc.relation.isreferencedbyScopus
dc.titleDiastolic dysfunction in patients with white coat hypertension [Disfunción diastólica en pacientes con hipertensión de bata blanca]
dc.typeArticle
dc.relation.ispartofjournalMedicina Interna de Mexico
dc.relation.ispartofvolume22
dc.relation.ispartofissue2
dc.relation.ispartofpage85
dc.relation.ispartofpage92
dc.subject.keywordDiastolic dysfunction; Target organ damage; White coat hypertension
dc.contributor.affiliationReyes, S.F., Instituto de Investigación Cardiovascular, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Mexico, J. E. Rodo 2921, Prados Providencia, CP 44690, Guadalajara, Jalisco, Mexico; Sedano, G.Z., Unidad de Cardiología, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social., Mexico; García De Alba García, J.E., Unidad de Investigación Epidemiológica, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Mexico; Parra Carrillo, J.Z., Instituto de Investigación Cardiovascular, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Mexico; Rosas, S.R., Instituto de Investigación Cardiovascular, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Mexico
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