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Adolescent hypertension identified with correct cuff and its cardiovascular and gestational problems after 29 years
Sandra Regina Ramos Silva1, Edna Apparecida Moura Arcuri2, Adriana Paula Jordão Isabella3
1Universidade Mogi das Cruzes, São PauloSP, Brazil, MSc, Professor, Universidade Mogi das Cruzes, São Paulo, SP, Brazil.
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.
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