Blood pressure measurements and left ventricular mass in young adults with arterial hypertension screened at high school check-up.
The aim of this study was to determine which BP measurement is the best related to target organ damage. There were 49 young adults with a history of childhood hypertension (school check-up) and to increase the prevalence of hypertension in the study group, 25 males 24 females, aged 20.1 +/- 2.2 years old were included in the study. All patients had a diurnal ambulatory BP monitoring and office BP measurements taken with a sphygmomanometer and with an oscillometric device during a 15 minute period monitoring (Dinamap BP). Echocardiography and blood samples (cholesterol and triglycerides) were performed in all patients. In contrast with office BP, a mean ambulatory SBP and mean Dinamap SBP significantly correlated to left ventricular mass index (LVMI) (P < 0.01). There was also a correlation between triglycerides and mean Dinamap SBP (P < 0.01) which could suggest an early insulin resistance. In this selected population, a short period BP monitoring, as well as ambulatory BP, is more closely related to LVMI than office BP.
Chamontin
B
B
Internal Medicine and Hypertension Department, C.H.U. Purpan, Toulouse, France.
Amar
J
J
Barthe
P
P
Salvador
M
M
D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care; D001794:Blood Pressure; D001795:Blood Pressure Determination / Q000379:methods; D004452:Echocardiography; D005260:Female; D006352:Heart Ventricles; D006801:Humans; D006973:Hypertension / Q000473:pathology / Q000503:physiopathology* / Q000517:prevention & control*; D008297:Male; D008403:Mass Screening; D009206:Myocardium / Q000473:pathology*; D009819:Office Visits; D009991:Oscillometry; D012572:School Health Services