Frecuencia cardíaca y taquicardia clínica aislada en pacientes con hipertensión arterial
Heart rate and isolated clinical tachycardia in hypertensive patients
Ernest Vinyoles
, Mariano de la Figuera, Maria Bosom, Cristina González, Núria Moreno, Valeria Pacheco
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23561evb@comb.es
Correspondencia: Dr. E. Vinyoles.CAP La Mina. Mar, s/n. 08930 Sant Adrià de Besòs. Barcelona.
Correspondencia: Dr. E. Vinyoles.CAP La Mina. Mar, s/n. 08930 Sant Adrià de Besòs. Barcelona.
CAP La Mina. Sant Adri àde Besòs. Unitat Docent de Medicina Familiar i Comuniària de Barcelona.
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Sant Adri àde Besòs. Unitat Docent de Medicina Familiar i Comuniària de Barcelona</span>." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: Dr. E. Vinyoles.CAP La Mina. Mar, s/n. 08930 Sant Adrià de Besòs. Barcelona." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Heart rate and isolated clinical tachycardia in hypertensive patients" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-04-27" "fechaAceptado" => "2000-09-21" "PalabrasClave" => array:1 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec223110" "palabras" => array:4 [ 0 => "Frecuencia cardíaca" 1 => "Hipertensión arterial" 2 => "Monitorización ambulatoria de la presión arterial" 3 => "Taquicardia" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Existe muy poca información sobre la taquicardia clínica aislada (TCA), es decir, taquicardia en la consulta pero frecuencia cardíaca (FC) ambulatoria normal. Nuestro objetivo fue describirla y conocer las diferencias entre pacientes afectados de hipertensión arterial (HTA) con y sin TCA.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio comparativo tras intervención diagnóstica (monitorización ambulatoria de presión arterial, MAPA, SpaceLabs 90202-90207), con muestreo a conveniencia de hipertensos no tratados atendidos en atención primaria. Se excluyeron los pacientes con afecciones cardíacas, tiroideas o pulmonares. Definimos TCA a partir del percentil 90 de la FC de consulta y de vigilia de toda la muestra.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se incluyeron 256 hipertensos, 128 (50%) mujeres, de 49,1 (16,1) años de edad, y presión arterial (PA) en la consulta 151 (17,1)/92 (11,9) mmHg. La prevalencia de TCA fue del 7,03% (IC del 95%, 4,03-11,07) (n = 18). No hallamos asociación entre hipertensión clínica aislada y TCA (p = 0,87). Los pacientes con TCA presentan menores PA en la consulta y sistólica nocturna, menor variabilidad nocturna, mayor caída tensional nocturna aunque mayores FC de 24 h y diurnas en comparación con el resto de hipertensos. En el modelo multiva-riante, únicamente la PA diastólica (OR, 0,93 [IC del 95%, 0,87-0,98], por cada mmHg de incremento) y la FC (OR, 1,2 [IC del 95%, 1,11-1,28], por cada latido por minuto de incremento), ambas de consulta, fueron predictoras de TCA.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En este estudio, un 7,03% de pacientes con HTA presenta TCA, entidad con características que sugieren un perfil de riesgo cardiovascular más favorable que en el resto de hipertensos. Unicamente la PA diastólica y la FC-ambas en la consulta- fueron variables predictoras de TCA.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">There is poor information for isolated clinical tachycardia (ICT), that is to say, office tachycardia but normal ambulatory heart rate (HR). Our objective was to describe it and to know differences between hypertensive subjects with and without ICT.</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Comparative study after a diagnostic intervention (ambulatory blood pres-sure monitoring, ABPM, SpaceLabs 90202-90207), with convenience sampling of non-treated hypertensive patients attended in primary care. We excluded subjects with heart, thyroid or lung disease. ICT were defined on the basis of office and daytime HR percentil 90 of the whole sample.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">A total of 256 subjects were included, 128 (50%) women, age 49.1 (16.1) years, with mean office blood pressure (BP) 151 (17.1)/92 (11.9) mmHg. The prevalence of ICT was 7.03% (CI 95%, 4.03-11.07) (n = 18). We didn't find any association between isolated clinical hypertension and ICT (p = 0.87). Patients with ICT have lower office and systolic nightime BP, lower nightime variability, higher nightime BP fall, although higher 24 hours-HR and dayti-me-HR in comparison with non ICT hipertensive patients. In the multivariate analysis only office diastolic BP (OR, 0.93 [CI 95%, 0.87-0.98], for each mmHg increment) and office HR (OR, 1.2 [CI 95%, 1.11-1.28], for each beat for minute increment) were predictive of ICT.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In this study 7.03% of non treated hipertensive patients present ICT, which suggest a profile of more favorable cardiovascular risk than that without ICT. Only office diastolic BP and office HR were predictive variables of ICT.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias Bibliográficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:23 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Octubre | 0 | 8 | 8 |
| 2024 Septiembre | 0 | 17 | 17 |
| 2024 Agosto | 0 | 14 | 14 |
| 2024 Julio | 0 | 1 | 1 |
| 2024 Junio | 0 | 5 | 5 |
| 2024 Mayo | 0 | 9 | 9 |
| 2024 Abril | 0 | 4 | 4 |
| 2024 Marzo | 0 | 15 | 15 |
| 2024 Febrero | 0 | 28 | 28 |
| 2024 Enero | 1 | 21 | 22 |
| 2023 Diciembre | 0 | 23 | 23 |
| 2023 Noviembre | 0 | 21 | 21 |
| 2023 Octubre | 0 | 31 | 31 |
| 2023 Septiembre | 0 | 13 | 13 |
| 2023 Agosto | 0 | 15 | 15 |
| 2023 Julio | 0 | 14 | 14 |
| 2023 Junio | 0 | 28 | 28 |
| 2023 Mayo | 0 | 55 | 55 |
| 2023 Abril | 0 | 42 | 42 |
| 2023 Marzo | 2 | 56 | 58 |
| 2023 Febrero | 0 | 34 | 34 |
| 2023 Enero | 0 | 27 | 27 |
| 2022 Diciembre | 0 | 9 | 9 |
| 2022 Noviembre | 0 | 9 | 9 |
| 2022 Octubre | 0 | 17 | 17 |
| 2022 Septiembre | 0 | 25 | 25 |
| 2022 Agosto | 1 | 9 | 10 |
| 2022 Julio | 0 | 1 | 1 |
| 2022 Junio | 0 | 9 | 9 |
| 2022 Mayo | 0 | 4 | 4 |
| 2022 Abril | 0 | 14 | 14 |
| 2022 Marzo | 0 | 2 | 2 |
| 2022 Febrero | 0 | 2 | 2 |
| 2022 Enero | 0 | 2 | 2 |
| 2021 Diciembre | 0 | 1 | 1 |
| 2021 Noviembre | 0 | 1 | 1 |
| 2021 Octubre | 0 | 17 | 17 |
| 2021 Septiembre | 0 | 14 | 14 |
| 2021 Agosto | 0 | 1 | 1 |
| 2021 Julio | 0 | 1 | 1 |
| 2021 Junio | 1 | 4 | 5 |
| 2021 Abril | 0 | 54 | 54 |
| 2021 Marzo | 0 | 22 | 22 |
| 2021 Febrero | 0 | 12 | 12 |
| 2021 Enero | 0 | 14 | 14 |
| 2020 Diciembre | 0 | 8 | 8 |
| 2020 Noviembre | 0 | 11 | 11 |
| 2020 Octubre | 0 | 11 | 11 |
| 2020 Septiembre | 0 | 5 | 5 |
| 2020 Agosto | 0 | 6 | 6 |
| 2020 Julio | 1 | 3 | 4 |
| 2020 Junio | 0 | 1 | 1 |
| 2020 Mayo | 9 | 2 | 11 |
| 2020 Abril | 1 | 7 | 8 |
| 2020 Marzo | 0 | 6 | 6 |
| 2020 Febrero | 0 | 2 | 2 |
| 2020 Enero | 0 | 3 | 3 |
| 2019 Diciembre | 0 | 11 | 11 |
| 2019 Octubre | 0 | 1 | 1 |
| 2019 Septiembre | 0 | 3 | 3 |
| 2019 Agosto | 0 | 3 | 3 |
| 2019 Julio | 1 | 5 | 6 |
| 2019 Mayo | 0 | 25 | 25 |
| 2019 Abril | 1 | 2 | 3 |
| 2017 Octubre | 2 | 2 | 4 |
| 2017 Septiembre | 6 | 5 | 11 |
| 2017 Agosto | 8 | 3 | 11 |
| 2017 Julio | 16 | 1 | 17 |
| 2017 Junio | 20 | 8 | 28 |
| 2017 Mayo | 11 | 7 | 18 |
| 2017 Abril | 6 | 4 | 10 |
| 2017 Marzo | 11 | 22 | 33 |
| 2017 Febrero | 14 | 2 | 16 |
| 2017 Enero | 11 | 2 | 13 |
| 2016 Diciembre | 36 | 4 | 40 |
| 2016 Noviembre | 47 | 4 | 51 |
| 2016 Octubre | 70 | 3 | 73 |
| 2016 Septiembre | 54 | 6 | 60 |
| 2016 Agosto | 28 | 2 | 30 |
| 2016 Julio | 23 | 1 | 24 |
| 2016 Junio | 29 | 0 | 29 |
| 2016 Mayo | 40 | 2 | 42 |
| 2016 Abril | 37 | 0 | 37 |
| 2016 Marzo | 20 | 1 | 21 |
| 2016 Febrero | 32 | 1 | 33 |
| 2016 Enero | 19 | 0 | 19 |
| 2015 Diciembre | 26 | 0 | 26 |
| 2015 Noviembre | 27 | 0 | 27 |
| 2015 Octubre | 26 | 0 | 26 |
| 2015 Septiembre | 23 | 0 | 23 |
| 2015 Agosto | 38 | 0 | 38 |
| 2015 Julio | 25 | 0 | 25 |
| 2015 Junio | 10 | 0 | 10 |
| 2015 Mayo | 11 | 0 | 11 |
| 2015 Abril | 25 | 0 | 25 |
| 2015 Marzo | 22 | 0 | 22 |
| 2015 Febrero | 12 | 0 | 12 |
| 2015 Enero | 11 | 0 | 11 |
| 2014 Diciembre | 15 | 0 | 15 |
| 2014 Noviembre | 5 | 0 | 5 |
| 2014 Octubre | 11 | 0 | 11 |
| 2014 Septiembre | 11 | 0 | 11 |
| 2014 Agosto | 11 | 0 | 11 |
| 2014 Julio | 10 | 0 | 10 |
| 2014 Junio | 14 | 0 | 14 |
| 2014 Mayo | 10 | 0 | 10 |
| 2014 Abril | 9 | 0 | 9 |
| 2014 Marzo | 11 | 0 | 11 |
| 2014 Febrero | 9 | 0 | 9 |
| 2014 Enero | 8 | 0 | 8 |
| 2013 Diciembre | 4 | 0 | 4 |
| 2013 Noviembre | 9 | 0 | 9 |
| 2013 Octubre | 12 | 0 | 12 |
| 2013 Septiembre | 12 | 0 | 12 |
| 2013 Agosto | 7 | 0 | 7 |
| 2013 Julio | 2 | 0 | 2 |
| 2000 Noviembre | 837 | 0 | 837 |
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