بررسی نتايج حاصل از مانيتورينگ فشار خون سرپايي 24 ساعته در کودکان ونوجوانان و مقايسه اين نتايج با بزرگسالان
کد: G-1013
نویسندگان: زهرا خیراندیش -محبوبه شفیعیان © ℗
زمان بندی: زمان بندی نشده!
دانلود: دانلود پوستر
خلاصه مقاله:
خلاصه مقاله
Background: hypertension (HTN) is related to most diseases, including diabetes and cardiovascular diseases, but the important issue is that high blood pressure (BP) in childhood endangers health in adulthood. Objective: To investigate the results of 24-hour ambulatory BP monitoring in children and adolescents and compare these results with adults after detecting high BP in office . Materials and methods: In this case-control study, 120 patients who underwent 24-hour BP holter monitoring in two groups of children/adolescents and adults were investigated. HTN was determined based on the increase in BP in the studied groups based on the criteria of the American Heart Association (AHA) and the European Society of HTN. Based on this, patients with White Coat HTN and Masked HTN and people with true high BP were identified and finally the results obtained in adults and children were compared by appropriate statistical tests. Results: According to the high BP defined by the American guidelines, 13.3% of children and adolescents have daytime HTN but by using the European guidelines it was 10% & night time HTN was about 50.8% by American and 30% by European one . The prevalence of high blood pressure was more in the adult group. Also, the prevalence of masked HTN was 16.7%and white coat blood HTN in 25% of children and adolescents, , which did not show a significant difference with the adult group. In total, 50.4% of patients were non-dipper, which did not show a significant difference between the group of adults and children/adolescents. In the elderly group, there is a direct and relatively weak correlation between BMI and systolic BP (values reported at night and day) and also BMI correlated with the lowest nocturnal BP Correlation was also observed between BMI & Mean heart rate In the age group of children/adolescents, a moderate and direct relationship was observed between minimum systolic and diastolic nocturnal blood pressure with BMI . conclusion: considering the high prevalence of HTN in the studied community, screening in the community, informing people about the lifestyle, nutrition and follow-up of treatment in patients with high blood pressure seems to be essential.
