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001-es BibID:	BIBFORM106314
035-os BibID:	(cikkazonosító)1081986
Első szerző:	Kovács Beáta (orvos)
Cím:	Determining the prevalence of childhood hypertension and its concomitant metabolic abnormalities using data mining methods in the Northeastern region of Hungary / Beáta Kovács, Ákos Németh, Bálint Daróczy, Zsolt Karányi, László Maroda, Ágnes Diószegi, Bíborka Nádró, Tamás Szabó, Mariann Harangi, Dénes Páll
Dátum:	2023
ISSN:	2297-055X
Megjegyzések:	Objective: Identifying hypertension in children and providing treatment for it have a marked impact on the patients' long-term cardiovascular outcomes. The global prevalence of childhood hypertension is increasing, yet its investigation has been rather sporadic in Eastern Europe. Therefore, our goal was to determine the prevalence of childhood hypertension and its concomitant metabolic abnormalities using data mining methods. Methods: We evaluated data from 3 to 18-year-old children who visited the University of Debrecen Clinical Center's hospital throughout a 15-year study period (n = 92,198; boys/girls: 48/52%). Results: We identified a total of 3,687 children with hypertension (2,107 boys and 1,580 girls), with a 4% calculated prevalence of hypertension in the whole study population and a higher prevalence in boys (4.7%) as compared to girls (3.2%). Among boys we found an increasing prevalence in consecutive age groups in the study population, but among girls the highest prevalences are identified in the 12-15-year age group. Markedly higher BMI values were found in hypertensive children as compared to non-hypertensives in all age groups. Moreover, significantly higher total cholesterol (4.27 ? 0.95 vs. 4.17 ? 0.88 mmol/L), LDL-C (2.62 ? 0.79 vs. 2.44 ? 0.74 mmol/L) and triglyceride (1.2 (0.85-1.69) vs. 0.94 (0.7-1.33) mmol/L), and lower HDL-C (1.2 ? 0.3 vs. 1.42 ? 0.39 mmol/L) levels were found in hypertensive children. Furthermore, significantly higher serum uric acid levels were found in children with hypertension (299.2 ? 86.1 vs. 259.9 ? 73.3 ?mol/L), while glucose levels did not differ significantly. Conclusion: Our data suggest that the calculated prevalence of childhood hypertension in our region is comparable to data from other European countries and is associated with early metabolic disturbances. Data mining is an effective method for identifying childhood hypertension and its metabolic consequences.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk adolescents blood pressure children data mining hypertension metabolic parameters obesity prevalence
Megjelenés:	Frontiers in Cardiovascular Medicine. - 9 (2023), p. 1-10. -
További szerzők:	Németh Ákos (1984-) (vegyész) Daróczy Bálint (1984-) (informatikus, matematikus) Karányi Zsolt (1961-) (biostatisztikus, bioinformatikus) Maroda László (1979-) (gyógyszerész) Diószegi Ágnes (1987-) (belgyógyász) Nádró Bíborka (1992-) (általános orvos) Szabó Tamás (1968-) (gyermekgyógyász) Harangi Mariann (1974-) (belgyógyász, endokrinológus) Páll Dénes (1967-) (belgyógyász, kardiológus)
Pályázati támogatás:	K142273 OTKA MTA Premium Postdoctoral Fund MTA European Union Project RRF-2.3.1-21-2022-00004 Egyéb
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001-es BibID:	BIBFORM102018
035-os BibID:	(cikkazonosító)2872 (WoS)000803149000001 (Scopus)85130240685
Első szerző:	Kovács Beáta (orvos)
Cím:	The Importance of Arterial Stiffness Assessment in Patients with Familial Hypercholesterolemia / Beáta Kovács, Orsolya Cseprekál, Ágnes Diószegi, Szabolcs Lengyel, László Maroda, György Paragh, Mariann Harangi, Dénes Páll
Dátum:	2022
ISSN:	2077-0383
Megjegyzések:	Cardiovascular diseases are still the leading cause of mortality due to increased atherosclerosis worldwide. In the background of accelerated atherosclerosis, the most important risk factors include hypertension, age, male gender, hereditary predisposition, diabetes, obesity, smoking and lipid metabolism disorder. Arterial stiffness is a firmly established, independent predictor of cardiovascular risk. Patients with familial hypercholesterolemia are at very high cardiovascular risk. Non-invasive measurement of arterial stiffness is suitable for screening vascular dysfunction at subclinical stage in this severe inherited disorder. Some former studies found stiffer arteries in patients with familial hypercholesterolemia compared to healthy controls, while statin treatment has a beneficial effect on it. If conventional drug therapy fails in patients with severe familial hypercholesterolemia, PCSK9 inhibitor therapy should be administered; if these agents are not available, performing selective LDL apheresis could be considered. The impact of recent therapeutic approaches on vascular stiffness is not widely studied yet, even though the degree of accelerated athero and arteriosclerosis correlates with cardiovascular risk. The authors provide an overview of the diagnosis of familial hypercholesterolemia and the findings of studies on arterial dysfunction in patients with familial hypercholesterolemia, in addition to presenting the latest therapeutic options and their effects on arterial elasticity parameters.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk PCSK9 inhibitor monoclonal antibody arterial stiffness familial hypercholesterolemia selective LDL apheresis
Megjelenés:	Journal of Clinical Medicine. - 11 : 10 (2022), p. 1-14. -
További szerzők:	Cseprekál Orsolya (1983-) (Orvos) Diószegi Ágnes (1987-) (belgyógyász) Lengyel Szabolcs (1981-) (belgyógyász) Maroda László (1979-) (gyógyszerész) Paragh György (1953-) (belgyógyász) Harangi Mariann (1974-) (belgyógyász, endokrinológus) Páll Dénes (1967-) (belgyógyász, kardiológus)
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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