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Ambulatory blood pressure monitoring can unmask hypertension in patients with psoriasis vulgaris

BACKGROUND: Psoriasis vulgaris is one of the most prevalent chronic, inflammatory skin disorders. Patients with psoriasis have excess risk of essential hypertension. Masked hypertension (MH), defined as normal office blood pressure (BP) with elevated ambulatory BP (ABPM), has been drawing attention...

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Autores principales: Bacaksiz, Ahmet, Erdogan, Ercan, Sonmez, Osman, Sevgili, Emrah, Tasal, Abdurrahman, Onsun, Nahide, Topukcu, Bugce, Kulaç, Beytullah, Uysal, Omer, Goktekin, Omer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scientific Literature, Inc. 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3699538/
https://www.ncbi.nlm.nih.gov/pubmed/23800996
http://dx.doi.org/10.12659/MSM.889197
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author Bacaksiz, Ahmet
Erdogan, Ercan
Sonmez, Osman
Sevgili, Emrah
Tasal, Abdurrahman
Onsun, Nahide
Topukcu, Bugce
Kulaç, Beytullah
Uysal, Omer
Goktekin, Omer
author_facet Bacaksiz, Ahmet
Erdogan, Ercan
Sonmez, Osman
Sevgili, Emrah
Tasal, Abdurrahman
Onsun, Nahide
Topukcu, Bugce
Kulaç, Beytullah
Uysal, Omer
Goktekin, Omer
author_sort Bacaksiz, Ahmet
collection PubMed
description BACKGROUND: Psoriasis vulgaris is one of the most prevalent chronic, inflammatory skin disorders. Patients with psoriasis have excess risk of essential hypertension. Masked hypertension (MH), defined as normal office blood pressure (BP) with elevated ambulatory BP (ABPM), has been drawing attention recently due to its association with increased risk of developing sustained hypertension, cardiovascular morbidity, and mortality. The aim of this study was to investigate the prevalence of MH in psoriatic patients. MATERIAL/METHODS: On hundred and ten middle-aged, normotensive, non-obese patients with psoriasis vulgaris and 110 age- and sex-matched normotensive controls were included in the study. ABPM was performed in all participants over a 24-h period. The clinical severity of the disease was determined according to current indexes. RESULTS: The prevalence of MH among subjects with psoriasis vulgaris was 31.8% and increased compared to control subjects (p<0.01). Predictors of MH in patients with psoriasis vulgaris were detected as male sex, smoking, obesity-related anthropometric measures, and disease activity. Male sex, waist circumference, and diffuse psoriatic involvement were detected as independent predictors of MH. CONCLUSIONS: MH is prevalent in patients with psoriasis vulgaris. Assessment with ABPM and close follow-up for development of hypertension is reasonable.
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spelling pubmed-36995382013-07-03 Ambulatory blood pressure monitoring can unmask hypertension in patients with psoriasis vulgaris Bacaksiz, Ahmet Erdogan, Ercan Sonmez, Osman Sevgili, Emrah Tasal, Abdurrahman Onsun, Nahide Topukcu, Bugce Kulaç, Beytullah Uysal, Omer Goktekin, Omer Med Sci Monit Clinical Research BACKGROUND: Psoriasis vulgaris is one of the most prevalent chronic, inflammatory skin disorders. Patients with psoriasis have excess risk of essential hypertension. Masked hypertension (MH), defined as normal office blood pressure (BP) with elevated ambulatory BP (ABPM), has been drawing attention recently due to its association with increased risk of developing sustained hypertension, cardiovascular morbidity, and mortality. The aim of this study was to investigate the prevalence of MH in psoriatic patients. MATERIAL/METHODS: On hundred and ten middle-aged, normotensive, non-obese patients with psoriasis vulgaris and 110 age- and sex-matched normotensive controls were included in the study. ABPM was performed in all participants over a 24-h period. The clinical severity of the disease was determined according to current indexes. RESULTS: The prevalence of MH among subjects with psoriasis vulgaris was 31.8% and increased compared to control subjects (p<0.01). Predictors of MH in patients with psoriasis vulgaris were detected as male sex, smoking, obesity-related anthropometric measures, and disease activity. Male sex, waist circumference, and diffuse psoriatic involvement were detected as independent predictors of MH. CONCLUSIONS: MH is prevalent in patients with psoriasis vulgaris. Assessment with ABPM and close follow-up for development of hypertension is reasonable. International Scientific Literature, Inc. 2013-06-26 /pmc/articles/PMC3699538/ /pubmed/23800996 http://dx.doi.org/10.12659/MSM.889197 Text en © Med Sci Monit, 2013 This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License
spellingShingle Clinical Research
Bacaksiz, Ahmet
Erdogan, Ercan
Sonmez, Osman
Sevgili, Emrah
Tasal, Abdurrahman
Onsun, Nahide
Topukcu, Bugce
Kulaç, Beytullah
Uysal, Omer
Goktekin, Omer
Ambulatory blood pressure monitoring can unmask hypertension in patients with psoriasis vulgaris
title Ambulatory blood pressure monitoring can unmask hypertension in patients with psoriasis vulgaris
title_full Ambulatory blood pressure monitoring can unmask hypertension in patients with psoriasis vulgaris
title_fullStr Ambulatory blood pressure monitoring can unmask hypertension in patients with psoriasis vulgaris
title_full_unstemmed Ambulatory blood pressure monitoring can unmask hypertension in patients with psoriasis vulgaris
title_short Ambulatory blood pressure monitoring can unmask hypertension in patients with psoriasis vulgaris
title_sort ambulatory blood pressure monitoring can unmask hypertension in patients with psoriasis vulgaris
topic Clinical Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3699538/
https://www.ncbi.nlm.nih.gov/pubmed/23800996
http://dx.doi.org/10.12659/MSM.889197
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