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Poor blood pressure...
Poor blood pressure control in adults with repaired coarctation of the aorta and hypertension : a register-based study of associated factors
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- Rinnström, Daniel, 1982- (author)
- Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Heart Centre,Umea Univ, Heart Ctr, Dept Publ Hlth & Clin Med, Moritzvagen 1B, S-90342 Umea, Vasterbotten, Sweden.,Umeå University, Sweden
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- Dellborg, Mikael, 1954 (author)
- Gothenburg University,Göteborgs universitet,University of Gothenburg,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine
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- Thilén, Ulf (author)
- Lund University,Lunds universitet,Kardiologi,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Cardiology,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Sörensson, Peder (author)
- Linköping University,Karolinska Institutet
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- Nielsen, Niels Erik (author)
- Linköping University,Linköpings universitet,Avdelningen för kardiovaskulär medicin,Hälsouniversitetet,Region Östergötland, Kardiologiska kliniken US
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- Christersson, Christina (author)
- Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Uppsala University, Sweden
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- Ugander, Martin (author)
- Lund University,Lunds universitet,Karolinska Institutet,Klinisk fysiologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Clinical Physiology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Johansson, Bengt (author)
- Karolinska Institute,Umeå universitet,Institutionen för folkhälsa och klinisk medicin,Heart Centre,Umea Univ, Heart Ctr, Dept Publ Hlth & Clin Med, Moritzvagen 1B, S-90342 Umea, Vasterbotten, Sweden.,Umeå University, Sweden
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(creator_code:org_t)
- Cambridge University Press, 2017
- 2017
- English.
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In: Cardiology in the Young. - : Cambridge University Press. - 1047-9511 .- 1467-1107. ; 27:9, s. 1708-1715
- Related links:
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http://dx.doi.org/10...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Arterial hypertension is common in adults with repaired coarctation of the aorta, and is associated with several severe complications.This study aimed to investigate the prevalence of poorly controlled (⩾140/90 mmHg) blood pressure among patients with diagnosed hypertension and to identify associated factors.In the national register for CHD, adults with repaired coarctation of the aorta and diagnosed hypertension – defined as a registry diagnosis and/or use of anti-hypertensive prescription medication – were identified. Logistic regression analysis was used to identify variables associated with poorly controlled blood pressure.Of the 243 included patients, 27.2% were female, the mean age was 45.4±15.3 years, and 52.3% had poorly controlled blood pressure at the last registration. In a multivariable model, age (years) (OR 1.03, CI 1.01–1.06, p=0.008) was independently associated with poorly controlled blood pressure and so was systolic arm–leg blood pressure gradient in the ranges [10, 20] mmHg (OR 4.92, CI 1.76–13.79, p=0.002) to >20 mmHg (OR 9.93, CI 2.99–33.02, p<0.001), in comparison with the reference interval [0, 10] mmHg. Patients with poorly controlled blood pressure had, on average, more types of anti-hypertensive medication classes prescribed (1.9 versus 1.5, p=0.003).Poorly controlled blood pressure is common among patients with repaired coarctation of the aorta and diagnosed hypertension, despite what seems to be more intensive treatment. A systolic arm–leg blood pressure gradient is associated with poorly controlled blood pressure, even at low levels usually not considered for intervention, and may be an indicator of hypertension that is difficult to treat.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine (hsv//eng)
Keyword
- Coarctation of the aorta
- hypertension
- adult CHD
- register
- adult CHD
- Coarctation of the aorta
- hypertension
- register
Publication and Content Type
- vet (subject category)
- art (subject category)
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