RESUMEN
Up to 20% of women with hypertensive pregnancy disorders might persist with chronic hypertension. This study compared clinical and echocardiographic features between women whose hypertension began as hypertensive pregnancy disorders (PH group) and women whose diagnosis of hypertension did not occur during pregnancy (NPH group). Fifty PH and 100 NPH women were cross-sectionally evaluated by clinical, laboratory, and echocardiography analysis, and the groups were matched by duration of hypertension. PH exhibited lower age (46.6 ± 1.4 vs. 65.3 ± 1.1 years; P < .001), but higher systolic (159.8 ± 3.9 vs. 148.0 ± 2.5 mm Hg; P = .009) and diastolic (97.1 ± 2.4 vs. 80.9 ± 1.3 mm Hg; P < .001) blood pressure than NPH, although used more antihypertensive classes (3.4 ± 0.2 vs. 2.6 ± 0.1; P < .001). Furthermore, PH showed higher left ventricular wall thickness and increased prevalence of concentric hypertrophy than NPH after adjusting for age and blood pressure. In conclusion, this study showed that PH may exhibit worse blood pressure control and adverse left ventricular remodeling compared with NPH.
Asunto(s)
Hipertensión Inducida en el Embarazo/diagnóstico , Hipertensión Inducida en el Embarazo/tratamiento farmacológico , Disfunción Ventricular Izquierda/diagnóstico por imagen , Remodelación Ventricular/fisiología , Adulto , Antihipertensivos/uso terapéutico , Determinación de la Presión Sanguínea , Distribución de Chi-Cuadrado , Intervalos de Confianza , Estudios Transversales , Ecocardiografía Doppler , Femenino , Estudios de Seguimiento , Humanos , Modelos Lineales , Cuidados a Largo Plazo , Embarazo , Resultado del Embarazo , Valores de Referencia , Estudios Retrospectivos , Medición de Riesgo , Índice de Severidad de la Enfermedad , Estadísticas no Paramétricas , Factores de Tiempo , Disfunción Ventricular Izquierda/epidemiología , Adulto JovenRESUMEN
A dor epigástrica é um sintoma muito freqüente em pacientes com diversas patologias abdominais. O objetivo deste estudo foi avaliar a possibilidade de comprometimento cerebral, evidenciado pelo eletrencefalograma (EEG), em um grupo de oito pacientes que apresentavam persistência de sintomatologia álgica epigástrica, após tratamento clínico medicamentoso ou, associadamente, dieta. A presença de alterações eletrencefalográficas mostra a importância de determinar outros fatores etiológicos