Adolescent hypertension identified with correct cuff and its cardiovascular and gestational problems after 29 years

Revista Latino-Americana de Enfermagem

Sandra Regina Ramos Silva¹  Edna Apparecida Moura Arcuri¹  Adriana Paula Jordão Isabella¹  Silvia Maria Arcuri¹  Jair Lício Ferreira Santos¹ 

关键词: Arterial Pressure;    Adolescent;    Hypertension;    Risk Factors;    Pressão Arterial;    Adolescente;    Hipertensão;    Fatores de Risco;    Presión Arterial;    Adolescente;    Hipertensión;    Factores de Riesgo;   

DOI  :  10.1590/0104-1169.3006.2380

来源: SciELO

【 摘 要 】

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.

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