Alterations of cardiac structure in patients with isolated office, ambulatory, or home hypertension : Data from the general population (Pressione Arteriose Monitorate E Loro Associazioni [Pamela] Study)

The prevalence and clinical significance of isolated office (or white coat) hypertension is controversial, and population data are limited. We studied the prevalence of this condition and its association with echocardiographic left ventricular mass in the general population of the PAMELA (Pressione...

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Veröffentlicht in:Circulation (New York, N.Y.) N.Y.), 2001-09, Vol.104 (12), p.1385-1392
Hauptverfasser: SEGA, Roberto, TROCINO, Giuseppe, MANCIA, Giuseppe, LANZAROTTI, Arturo, CARUGO, Stefano, CESANA, Giancarlo, SCHIAVINA, Riccardo, VALAGUSSA, Franco, BOMBELLI, Michele, GIANNATTASIO, Cristina, ZANCHETTI, Alberto
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Sprache:eng
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Zusammenfassung:The prevalence and clinical significance of isolated office (or white coat) hypertension is controversial, and population data are limited. We studied the prevalence of this condition and its association with echocardiographic left ventricular mass in the general population of the PAMELA (Pressione Arteriose Monitorate E Loro Associazioni) Study. The study involved a large, randomized sample (n=3200) representative of the Monza (Milan) population, 25 to 74 years of age. Participants in the study (64% of the sample) underwent measurements of office, home, 24-hour ambulatory blood pressure, and echocardiography. Isolated office hypertension was defined as systolic or diastolic values >/=140 mm Hg or >/=90 mm Hg, respectively. Home and ambulatory normotension were defined according to criteria previously established from the PAMELA Study, for example,
ISSN:0009-7322
1524-4539
DOI:10.1161/hc3701.096100