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

作者：Ramos Silva Sandra Regina; Moura Arcuri Edna Apparecida; Jordao Isabella Adriana Paula; Arcuri Silvia Maria; Ferreira Santos Jair Licio

来源：Revista Latino-Americana de Enfermagem, 2014, 22(1): 3-10.

DOI：10.1590/0104-1169.3006.2380

• Arterial Pressure
• Adolescent
• Hypertension
• Risk Factors

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.

• 出版日期2014-2