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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
Home self-measurements of blood pressure and relationship with diagnosis of hypertension and target organ damage: comparative study with ambulatory monitoring
Juan Antonio Divisóna,
Autor para correspondencia
jdivisong@semergen.es

Dr. J.A. Divisón. Cuenca, 8, 2.° G. 02002 Albacete.
, A. Purasa, M. Aguilerab, C. Sanchisa, L.M. Artigaoa, L. Carrióna, E. Martínez Navarroa, F. García Gosálveza, J. Carbayoa
a Grupo de Estudio de Enfermedades Vasculares de Albacete (GEVA). Hospital General de Albacete.
b Servicio de Cardiología. Hospital General de Albacete.
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        "resumen" => "<span class="elsevierStyleSectionTitle">Fundamento</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El diagn&#243;stico de la hipertensi&#243;n arterial &#40;HTA&#41; requiere una metodolog&#237;a de la medici&#243;n exacta y precisa&#46; Las t&#233;cnicas cl&#225;sicas sobrestiman con frecuencia su prevalencia y no se relacionan bien con la repercusi&#243;n org&#225;nica&#46; El objetivo de este trabajo es conocer la asociaci&#243;n entre la automedici&#243;n domiciliaria de la presi&#243;n arterial y la afecci&#243;n org&#225;nica de la HTA&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo en el cual se comparaba la asociaci&#243;n de diferentes t&#233;cnicas de medida de la presi&#243;n arterial &#40;PA&#41; con el diagn&#243;stico de HTA y su repercusi&#243;n org&#225;nica&#46; Mediante muestreo de selecci&#243;n de casos consecutivos&#44; se seleccionaron 64 pacientes con HTA no tratados mayores de 18 a&#241;os&#46; A todos se les realizaron tres mediciones de PA con es-figmoman&#243;metro de mercurio en la consulta y se les adiestr&#243; para hacer 20 automedidas por la ma&#241;ana en la consulta y 20 automedidas por la tarde en su domicilio con un aparato autom&#225;tico Omron 705CP&#46; El mismo d&#237;a se realiz&#243; una monitorizaci&#243;n ambulatoria de la PA &#40;MAPA&#41; de 24 h con un dispositivo Takeda TM-2420&#59; adem&#225;s&#44; se realiz&#243; visualizaci&#243;n del fondo de ojo&#44; determinaci&#243;n de microalbuminuria y ecocardiograf&#237;a&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los valores medios de las presiones cl&#237;nicas fueron significativamente superiores a los de las automedidas domiciliarias y a los de la MAPA&#44; que ten&#237;an una buena correlaci&#243;n y concordancia entre s&#237;&#46; La correlaci&#243;n de las automedidas domiciliarias con el &#237;ndice de masa ventricular izquierda &#40;IMVI&#41; fue significativamente superior a la de las presiones arteriales cl&#237;nicas y similar a la de la MAPA&#44; siendo esta correlaci&#243;n independiente de la edad&#44; el sexo y el &#237;ndice de masa corporal de los sujetos&#46; La mejor correlaci&#243;n 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&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Un programa m&#237;nimo de automedidas domiciliarias de PA con aparatos autom&#225;ticos obtiene un valor pron&#243;stico y de relaci&#243;n con la afecci&#243;n org&#225;nica de la HTA similar al de la MAPA&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The diagnosis of arterial of hypertension &#40;AH&#41; requires an accurate and precise measurement methodology&#46; The habitual techniques overstimate the prevalence of AH and have a poor correlation with organ damage&#46; The objective of the study is to know the associations between self-measurements of blood pressure &#40;BP&#41; at home and target organ damage of AH&#46;</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&#46; Sampling selection of consecutive cases&#59; we select 64 cases of hypertensives not treated hypertensive patients&#44; older than 18 years&#46; 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&#44; Omron 705CP&#59; the same day BP was measured with ambulatory blood pressure measurement &#40;ABPM&#41; of 24 h with a Takeda TM-2420 device&#59; we achieved eye fundus study&#44; microalbuminuria analysis and echocardiogram&#46;</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&#59; these techniques had good correlations and concordance between them&#46; The correlation of self-measurements at home with LVMI was higher than office BP and similar to ABPM&#59; this correlation is independent of age&#44; sex and body mass index&#46; The best correlation of self-measurements at home with APBM and LVMI was with the mean values of 2nd-6th self-measurements&#46;</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&#46;</p>"
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ISSN: 00257753
Idioma original: Español
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