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001-es BibID:	BIBFORM025490
Első szerző:	Páll Dénes (belgyógyász, kardiológus)
Cím:	Blood pressure distribution in a Hungarian adolescent population : comparison with normal values in the USA / Dénes Páll, Éva Katona, Béla Fülesdi, Miklós Zrínyi, János Zatik, Dániel Bereczki, Péter Polgár, György Kakuk
Dátum:	2003
Megjegyzések:	To describe the blood pressure characteristics and distribution of all adolescent high school students (aged 15-18 years) in Debrecen (total population 230 000), Hungary. To define threshold values for normal blood pressure by age-, sex- and height-specific groups. To compare our data with results from a USA meta-analysis, which forms the basis of current guidelines. PARTICIPANTS AND METHODS: All young people attending high school in Debrecen (final sample = 10 359) participated in the study. After they had rested for 10 min, three blood pressure measurements were taken from the right upper arm, separated by 5 min intervals. All measurements were obtained by a validated, automated, digital Omron M4 device. RESULTS: The 50th, 90th and 95th percentile values of blood pressure were defined by dividing the adolescent population into age-, sex- and height-specific subgroups. In comparison with USA guidelines, in our sample the systolic blood pressure of boys in the different subgroups was 6-11 mmHg greater, whereas this difference was less marked for girls (1-5 mmHg). There were no marked differences in diastolic blood pressure, but our values were slightly lower. CONCLUSIONS: Our findings demonstrate the influence of geographical and ethnic variations on blood pressure. Acceptance and use of non-population-specific blood pressure distributions may lead to under- or overdiagnosis of adolescent hypertension. The use of geographically more relevant data should be encouraged.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban egyetemen (Magyarországon) készült közlemény
Megjelenés:	Journal of hypertension. - 21 : 1 (2003), p. 41-47. -
További szerzők:	Katona Éva (1967-) (belgyógyász, diabetológus) Fülesdi Béla (1961-) (aneszteziológus) Zrínyi Miklós (1969-) (közgazdász) Zatik János (1961-) (szülész-nőgyógyász) Bereczki Dániel (1960-) (neurológus) Polgár Péter Kakuk György (1938-2018) (belgyógyász)
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat DOI
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001-es BibID:	BIBFORM016773
Első szerző:	Páll Dénes (belgyógyász, kardiológus)
Cím:	Assessment of target-organ damage in adolescent white-coat and sustained hypertensives / Páll Dénes, Juhász Mária, Lengyel Szabolcs, Molnár Csilla, Paragh György, Fülesdi Béla, Katona Éva
Dátum:	2010
ISSN:	0263-6352
Megjegyzések:	The aim of the present study was to assess whether a difference exists between intima-media thickness and the left ventricular mass index in healthy nonhypertensive, white-coat hypertensive and sustained hypertensive adolescents. PATIENTS AND METHODS: Fifty-nine normotensive and 120 hypertensive adolescents were enrolled in our study. Hypertensive patients were classified into white-coat hypertension (WCH) and sustained hypertension groups based on 24-h ambulatory blood pressure measurements. Both normotensive and hypertensive individuals underwent routine laboratory tests, intima-media thickness measurements on the common carotid arteries and transthoracic echocardiography to measure the left ventricular mass index (LVMI). RESULTS: Intima-media thickness was higher both in WCH and sustained hypertension compared with healthy normotensive individuals (controls: 0.048 ± 0.01 cm, WCH: 0.056 ± 0.01 cm, sustained hypertension: 0.054 ± 0.012 cm, both P < 0.001 compared with controls, nonsignificant difference between the two hypertensive groups). There was no difference between the LVMI of control individuals and WCH (LVMI: 35.5 ± 10.3 g/m and 37.7 ± 11.2 g/m respectively, P = 0.87). LVMI in sustained hypertension group (LVMI: 44.1 ± 14.1 g/m) was significantly higher both compared with WCH (P < 0.05), and healthy adolescents (P < 0.001). CONCLUSION: Target-organ damage develops in a stepwise fashion in adolescent hypertension. An increased intima-media thickness can be demonstrated not only in the sustained but also in the white-coat form of adolescent hypertension.
Tárgyszavak:	Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban egyetemen (Magyarországon) készült közlemény
Megjelenés:	Journal Of Hypertension. - 28 : 10 (2010), p. 2139-2144. -
További szerzők:	Juhász Mária (1975-) (belgyógyász) Lengyel Szabolcs (1981-) (belgyógyász) Molnár Csilla (1962-) (aneszteziológus) Paragh György (1953-) (belgyógyász) Fülesdi Béla (1961-) (aneszteziológus) Katona Éva (1967-) (belgyógyász, diabetológus)
Internet cím:	Szerző által megadott URL Intézményi repozitóriumban (DEA) tárolt változat DOI
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