Association of the auscultatory gap with vascular disease in hypertensive patients

Article Abstract:

It appears that patients with high blood pressure who have a gap in audible sound called an auscultatory gap during blood pressure tests may be at greater risk for heart disease. Researchers evaluated blood pressure tests for an auscultatory gap and tested the heart and major blood vessel function of 168 otherwise healthy people with untreated high blood pressure. Twenty-one percent of the participants had some type of auscultatory gap. Participants with an auscultatory gap were more likely to have stiff blood vessel walls and were twice as likely to have plaque deposits or wall thickening of the vessel supplying blood to the head and neck. Women were more likely to have an auscultatory gap than men. Older participants were more likely to have the gap than younger participants. There were no other significant differences in heart and vessel measurements and function associated with the presence or absence of an auscultatory gap.

Diagnosis, Measurement, Heart diseases, Peripheral vascular diseases, Blood pressure, Carotid artery diseases, Blood pressure measurement

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Cardiac and Arterial Target Organ Damage in Adults with Elevated Ambulatory and Normal Office Blood Pressure

Article Abstract:

Many patients with hypertension may not be diagnosed immediately because their blood pressure is normal when measured in a doctor's office. This phenomenon is called white-coat normotension. Researchers evaluated the degree of damage caused by hypertension in 61 people with white-coat normotension, 234 with normal blood pressure all the time, and 64 with hypertension all the time. Patients with white-coat normotension were more likely to have this damage than those with normal blood pressure. Patients with white-coat normontension had damage similar to that seen in patients with hypertension.

Health aspects

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Obesity and hypertension: what should we do?

Article Abstract:

Doctors should advise all their obese patients to lose weight. A study published in 2001 showed that weight loss can lower blood pressure. Each patient may need an individualized approach, since some may respond better to behavioral and lifestyle changes better than others.

Care and treatment, Editorial, Prevention, Obesity

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