title: Adolescent hypertension identified with correct cuff and its cardiovascular and gestational problems after 29 years.
abstract: OBJECTIVE
  to identify, in 2011, rates of hypertension, cardiovascular and gestational problems in subjects presenting high blood pressure in 1982, when correct cuff size was used, according to the American Heart Association Arm Circumference/Cuff Width ratio of 0.40.
  
  
  METHODS
  high blood pressure was defined in 2011 as systolic = 115 mmHg and diastolic = 80mmHg, resulting in 20 subjects between 39 and 43 years old. (Risk Group). They were compared to 20 subjects from the original sample with lower blood pressure values (Control group).
  
  
  RESULTS
  the rates of hypertension, cardiovascular and gestational problems were significantly higher (Fisher: p=0.02) in the Risk Group, with one case of cardiovascular death. Our findings arouse speculations about whether, if a proper cuff had been used in clinical practice, the complications and death could have been avoided.
  
  
  CONCLUSIONS
  data suggest compliance with the use of cuff width corresponding to 40% of arm circumference, despite polemics concerning cuff availability and difficulties of using many sizes.
authors.affiliation: Universidade Mogi das Cruzes, São PauloSP, Brazil, MSc, Professor, Universidade Mogi das Cruzes, São Paulo, SP, Brazil.
authors.forename: Sandra Regina Ramos
authors.initials: SR
authors.lastname: Silva
authors.affiliation: Universidade Guarulhos, GuarulhosSP, Brazil, PhD, Full Professor, Universidade Guarulhos, Guarulhos, SP, Brazil.
authors.forename: Edna Apparecida Moura
authors.initials: EA
authors.lastname: Arcuri
authors.affiliation: Universidade Nove de Julho, São PauloSP, Brazil, MSc, Full Professor, Universidade Nove de Julho, São Paulo, SP, Brazil.
authors.forename: Adriana Paula Jordão
authors.initials: AP
authors.lastname: Isabella
authors.affiliation: Hospital Santa Catarina, São PauloSP, Brazil, PhD, Physician, Associação Congregação de Santa Catarina, Hospital Santa Catarina, São Paulo, SP, Brazil.
authors.forename: Silvia Maria
authors.initials: SM
authors.lastname: Arcuri
authors.affiliation: Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirão PretoSP, Brazil, PhD, Full Professor, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Jair Lício Ferreira
authors.initials: JL
authors.lastname: Santos
mesh_terms: D000293:Adolescent; D000328:Adult; D001795:Blood Pressure Determination / Q000295:instrumentation*; D002318:Cardiovascular Diseases / Q000453:epidemiology / Q000209:etiology*; D002648:Child; D004867:Equipment Design; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications* / Q000175:diagnosis* / Q000453:epidemiology; D008137:Longitudinal Studies; D008297:Male; D011247:Pregnancy; D011248:Pregnancy Complications / Q000453:epidemiology / Q000209:etiology*; D013997:Time Factors