Risk factors for silent myocardial ischemia in patients with well-controlled essential hypertension
| Autor: | Domenico Benvenuto, Ferruccio Galletti, Gianpaolo De Filippo, Silvana De Bonis, Maurizio Galderisi, Pasquale Strazzullo, Renato Ippolito, Daniela De Palma, Domenico Rendina, Michele Schiano di Cola, Riccardo Muscariello |
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| Přispěvatelé: | Rendina, Domenico, Ippolito, Renato, de Filippo, Gianpaolo, Muscariello, Riccardo, DE PALMA, Daniela, de Bonis, Silvana, SCHIANO DI COLA, Michele, Benvenuto, Domenico, Galderisi, Maurizio, Strazzullo, Pasquale, Galletti, Ferruccio |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Ambulatory blood pressure Asymptomatic coronary artery disease education Myocardial Ischemia Blood Pressure 030204 cardiovascular system & hematology Essential hypertension 24-h ambulatory electrocardiogram 03 medical and health sciences 0302 clinical medicine Risk Factors Internal medicine mental disorders medicine Internal Medicine ST segment Humans 030212 general & internal medicine Risk factor Retrospective Studies business.industry Blood Pressure Monitoring Ambulatory medicine.disease Impaired fasting glucose Prognosis 24-h ambulatory blood pressure monitoring Surgery Circadian Rhythm Blood pressure Blood pressure control Asymptomatic Diseases Hypertension Cardiology Emergency Medicine Metabolic syndrome business Dyslipidemia |
| Zdroj: | Internal and emergency medicine. 12(2) |
| ISSN: | 1970-9366 |
| Popis: | Silent myocardial ischemia (SMI) is frequently observed in patients with essential hypertension (EH). The major risk factor for SMI is uncontrolled blood pressure (BP), but SMI is also observed in patients with well-controlled BP. To evaluate the prevalence of SMI and the factors associated with SMI in EH patients with well-controlled BP. The medical records of 859 EH patients who underwent simultaneous 24-h ambulatory blood pressure monitoring (ABPM) and 24-h ambulatory electrocardiogram recording (AECG) were retrospectively evaluated. Each SMI episode was characterized by: (a) ST segment depression ≥0.5 mm; (b) duration of ST segment depression >60 s; and (c) reversibility of the ST segment depression. Overall 126 EH patients (14.7 %) had at least one episode of SMI. The SMI events were more frequent among patients with poorly controlled compared to those with well-controlled BP [86/479 (17.95 %) vs. 40/380 (10.52 %), p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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