We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Spurious systolic hypertension of youth: fit young men with elastic arteries
- Authors
Mahmud, Azra; Feely, John
- Abstract
: BackgroundWe examined the role of high pulse pressure (PP) amplification in spurious systolic hypertension (SSH).: MethodsWe recorded demographic characteristics, brachial blood pressure (BP) (Omron Model HEM-705 CP, Vernon Hills, IL), aortic BP, and arterial wave reflection (Sphygmocor, AtCor Medical, version 6.2, NSW, Australia) and PP amplification in 174 healthy medical students (87 male) and 22 young male hypertensive subjects.: ResultsEleven subjects had SSH (147 ±2 v control 114 ±1 mm Hg, mean ± SEM,), normal aortic and brachial diastolic BP with an aortic pressure waveform that was normal in contour and amplitude. All were male, tall, nonsmokers, and active in sports, with slower heart rate, reduced arterial wave reflection (−8 ± 3 v −0.7 ±1) and enhanced PP amplification (31 ±1 v 18 ±1 mm Hg, P < .01. In contrast, male hypertensive subjects had reduced amplification (14 ±0.9 mm Hg) and enhanced arterial wave reflection (17 ±1.9).: ConclusionsThe SSH of youth, with raised brachial but normal aortic systolic BP, is commonly seen in tall men who are active in sports and are nonsmokers. It may be explained by the exaggerated first systolic peak in the brachial artery pressure waveform, which is due to very high PP amplification and low arterial wave reflection due to elastic arteries.
- Subjects
HYPERTENSION; YOUTH
- Publication
American Journal of Hypertension, 2003, Vol 16, Issue 3, p229
- ISSN
0895-7061
- Publication type
Article
- DOI
10.1016/S0895-7061(02)03255-7