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"documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Med Clin. 2000;115:726-9" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 8039 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 7707 "PDF" => 326 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Dieta y riesgo cardiovascular en España (DRECE II). Descripción de la evolución del perfil cardiovascular" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "726" "paginaFinal" => "729" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Diet and cardiovascular risk in Spain (DRECE II study). Description of the evolution of cardiovascular profile" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "José Antonio Gutiérrez Fuentes, Juan Gómez-Jerique, Agustín Gómez de la Cámarac, Miguel Ángel Rubio, Alberto García Hernández, Ignacio Arístegui" "autores" => array:7 [ 0 => array:2 [ "nombre" => "José" "apellidos" => "Antonio Gutiérrez Fuentes" ] 1 => array:2 [ "nombre" => "Juan" "apellidos" => "Gómez-Jerique" ] 2 => array:2 [ "nombre" => "Agustín" "apellidos" => "Gómez de la Cámarac" ] 3 => array:2 [ "nombre" => "Miguel" "apellidos" => "Ángel Rubio" ] 4 => array:2 [ "nombre" => "Alberto" "apellidos" => "García Hernández" ] 5 => array:2 [ "nombre" => "Ignacio" "apellidos" => "Arístegui" ] 6 => array:1 [ "colaborador" => "en nombre del grupo Drece II" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0025775300716757?idApp=UINPBA00004N" "url" => "/00257753/0000011500000019/v1_201307291749/S0025775300716757/v1_201307291749/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Automedidas domiciliarias de presión arterial y su relación con el diagnóstico de la hipertensión arterial y con la afección orgánica: estudio comparativo con monitorización ambulatoria" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "730" "paginaFinal" => "735" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Juan Antonio Divisón, A. Puras, M. Aguilera, C. Sanchis, L.M. Artigao, L. Carrión, E. Martínez Navarro, F. García Gosálvez, J. Carbayo" "autores" => array:9 [ 0 => array:4 [ "nombre" => "Juan" "apellidos" => "Antonio Divisón" "email" => array:1 [ 0 => "jdivisong@semergen.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Puras" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Aguilera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "C." "apellidos" => "Sanchis" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "L.M." "apellidos" => "Artigao" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "L." "apellidos" => "Carrión" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 6 => array:3 [ "nombre" => "E." "apellidos" => "Martínez Navarro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 7 => array:3 [ "nombre" => "F." "apellidos" => "García Gosálvez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 8 => array:3 [ "nombre" => "J." "apellidos" => "Carbayo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Grupo de Estudio de Enfermedades Vasculares de Albacete (GEVA). Hospital General de Albacete." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cardiología. Hospital General de Albacete." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Dr. J.A. Divisón. Cuenca, 8, 2.° G. 02002 Albacete." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Home self-measurements of blood pressure and relationship with diagnosis of hypertension and target organ damage: comparative study with ambulatory monitoring" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2000-07-06" "fechaAceptado" => "2000-11-07" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec223124" "palabras" => array:3 [ 0 => "Automedida domiciliaria" 1 => "Presión arterial" 2 => "Afección orgánica" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec223125" "palabras" => array:3 [ 0 => "Home self-measurement" 1 => "Blood pressure" 2 => "Organ damage" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El diagnóstico de la hipertensión arterial (HTA) requiere una metodología de la medición exacta y precisa. Las técnicas clásicas sobrestiman con frecuencia su prevalencia y no se relacionan bien con la repercusión orgánica. El objetivo de este trabajo es conocer la asociación entre la automedición domiciliaria de la presión arterial y la afección orgánica de la HTA.</p> <span class="elsevierStyleSectionTitle">Pacientes y método</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo en el cual se comparaba la asociación de diferentes técnicas de medida de la presión arterial (PA) con el diagnóstico de HTA y su repercusión orgánica. Mediante muestreo de selección de casos consecutivos, se seleccionaron 64 pacientes con HTA no tratados mayores de 18 años. A todos se les realizaron tres mediciones de PA con es-figmomanómetro de mercurio en la consulta y se les adiestró para hacer 20 automedidas por la mañana en la consulta y 20 automedidas por la tarde en su domicilio con un aparato automático Omron 705CP. El mismo día se realizó una monitorización ambulatoria de la PA (MAPA) de 24 h con un dispositivo Takeda TM-2420; además, se realizó visualización del fondo de ojo, determinación de microalbuminuria y ecocardiografía.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los valores medios de las presiones clínicas fueron significativamente superiores a los de las automedidas domiciliarias y a los de la MAPA, que tenían una buena correlación y concordancia entre sí. La correlación de las automedidas domiciliarias con el índice de masa ventricular izquierda (IMVI) fue significativamente superior a la de las presiones arteriales clínicas y similar a la de la MAPA, siendo esta correlación independiente de la edad, el sexo y el índice de masa corporal de los sujetos. La mejor correlación de las automedidas domiciliarias de PA con la MAPA y con el IMVI se obtuvo con los valores medios de la segunda a la sexta automedida.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Un programa mínimo de automedidas domiciliarias de PA con aparatos automáticos obtiene un valor pronóstico y de relación con la afección orgánica de la HTA similar al de la MAPA.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The diagnosis of arterial of hypertension (AH) requires an accurate and precise measurement methodology. The habitual techniques overstimate the prevalence of AH and have a poor correlation with organ damage. The objective of the study is to know the associations between self-measurements of blood pressure (BP) at home and target organ damage of AH.</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Descriptive study which compare the association of different techniques of BP measurement with the diagnosis of AH and its organ damage. Sampling selection of consecutive cases; we select 64 cases of hypertensives not treated hypertensive patients, older than 18 years. We achieved 3 BP measurements with mercury sphygmomanometer in the office and 20 self-measurements in the morning in the office and 20 self-measurements in the afternon at home with a automatic validated device, Omron 705CP; the same day BP was measured with ambulatory blood pressure measurement (ABPM) of 24 h with a Takeda TM-2420 device; we achieved eye fundus study, microalbuminuria analysis and echocardiogram.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Mean values of office BP was higher than self-measurements at home and ABPM; these techniques had good correlations and concordance between them. The correlation of self-measurements at home with LVMI was higher than office BP and similar to ABPM; this correlation is independent of age, sex and body mass index. The best correlation of self-measurements at home with APBM and LVMI was with the mean values of 2nd-6th self-measurements.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A minimum program of self-measurements of BP at home with automatic devices has a prognostic value and relationship with organ damage of AH similar to ABPM.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias bibliográficas" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:45 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "titulo" => "The Pooling Project Research Group: Relationship of blood pressure, serum cholesterol, smoking habit, relative weigth and ECG abnormalities to incidence of major coronary events. 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2024 Agosto | 0 | 9 | 9 |
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2021 Abril | 0 | 2 | 2 |
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2021 Febrero | 0 | 5 | 5 |
2020 Diciembre | 0 | 2 | 2 |
2020 Noviembre | 0 | 1 | 1 |
2020 Octubre | 0 | 1 | 1 |
2020 Septiembre | 0 | 1 | 1 |
2020 Agosto | 0 | 2 | 2 |
2020 Julio | 0 | 4 | 4 |
2020 Junio | 0 | 4 | 4 |
2020 Mayo | 0 | 4 | 4 |
2020 Abril | 0 | 4 | 4 |
2020 Marzo | 0 | 5 | 5 |
2020 Febrero | 0 | 1 | 1 |
2020 Enero | 0 | 8 | 8 |
2019 Diciembre | 0 | 6 | 6 |
2019 Noviembre | 0 | 1 | 1 |
2019 Octubre | 0 | 2 | 2 |
2019 Septiembre | 0 | 5 | 5 |
2019 Agosto | 0 | 2 | 2 |
2019 Julio | 0 | 10 | 10 |
2019 Junio | 0 | 16 | 16 |
2019 Mayo | 0 | 25 | 25 |
2017 Noviembre | 1 | 0 | 1 |
2017 Octubre | 2 | 1 | 3 |
2017 Septiembre | 3 | 5 | 8 |
2017 Agosto | 2 | 1 | 3 |
2017 Julio | 4 | 2 | 6 |
2017 Junio | 6 | 15 | 21 |
2017 Mayo | 17 | 8 | 25 |
2017 Abril | 5 | 6 | 11 |
2017 Marzo | 12 | 30 | 42 |
2017 Febrero | 16 | 5 | 21 |
2017 Enero | 14 | 1 | 15 |
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2016 Noviembre | 36 | 3 | 39 |
2016 Octubre | 24 | 6 | 30 |
2016 Septiembre | 15 | 4 | 19 |
2016 Agosto | 9 | 2 | 11 |
2016 Julio | 19 | 2 | 21 |
2016 Junio | 30 | 7 | 37 |
2016 Mayo | 17 | 10 | 27 |
2016 Abril | 15 | 7 | 22 |
2016 Marzo | 12 | 9 | 21 |
2016 Febrero | 16 | 6 | 22 |
2016 Enero | 23 | 9 | 32 |
2015 Diciembre | 11 | 3 | 14 |
2015 Noviembre | 16 | 3 | 19 |
2015 Octubre | 20 | 5 | 25 |
2015 Septiembre | 22 | 3 | 25 |
2015 Agosto | 16 | 5 | 21 |
2015 Julio | 11 | 5 | 16 |
2015 Junio | 9 | 3 | 12 |
2015 Mayo | 9 | 2 | 11 |
2015 Abril | 22 | 10 | 32 |
2015 Marzo | 11 | 5 | 16 |
2015 Febrero | 9 | 1 | 10 |
2015 Enero | 16 | 2 | 18 |
2014 Diciembre | 12 | 3 | 15 |
2014 Noviembre | 2 | 0 | 2 |
2014 Octubre | 4 | 1 | 5 |
2014 Septiembre | 16 | 1 | 17 |
2014 Agosto | 6 | 2 | 8 |
2014 Julio | 8 | 2 | 10 |
2014 Junio | 5 | 2 | 7 |
2014 Mayo | 4 | 1 | 5 |
2014 Abril | 3 | 2 | 5 |
2014 Marzo | 4 | 1 | 5 |
2014 Febrero | 3 | 2 | 5 |
2014 Enero | 5 | 3 | 8 |
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2013 Octubre | 14 | 0 | 14 |
2013 Septiembre | 5 | 3 | 8 |
2013 Agosto | 3 | 1 | 4 |
2000 Diciembre | 2032 | 0 | 2032 |