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

Authors

  • Sandra Regina Ramos Silva Universidade Mogi das Cruzes
  • Edna Apparecida Moura Arcuri Universidade Guarulhos
  • Adriana Paula Jordao Isabella Universidade Nove de Julho
  • Silvia Maria Arcuri Hospital Santa Catarina
  • Jair Licio Ferreira Santos Universidade de Sao Paulo; Faculdade de Medicina de Ribeirao Preto

DOI:

https://doi.org/10.1590/0104-1169.3006.2380

Abstract

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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Published

2014-01-01

Issue

Vol. 22 No. 1 (2014)

Section

Original Articles

License

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How to Cite

Adolescent hypertension identified with correct cuff and its cardiovascular and gestational problems after 29 years . (2014). Revista Latino-Americana De Enfermagem, 22(1), 3-10. https://doi.org/10.1590/0104-1169.3006.2380