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  1. Article ; Online: Brazilian multicenter study on efficacy and tolerability of trandolapril in mild-to-moderate essential arterial hypertension. EMBATHE substudy with ambulatory blood pressure monitoring

    Kohlmann Jr Osvaldo / Jardim Paulo César B. Veiga / Oigman Wille

    Arquivos Brasileiros de Cardiologia, Vol 72, Iss 5, Pp 553-

    1999  Volume 557

    Abstract: OBJECTIVE: A double-blind, placebo-controlled multicenter study involving 34 centers from different Brazilian regions was performed to evaluate the antihypertensive efficacy and tolerability of trandolapril, an angiotensin I converting enzyme inhibitor, ... ...

    Abstract OBJECTIVE: A double-blind, placebo-controlled multicenter study involving 34 centers from different Brazilian regions was performed to evaluate the antihypertensive efficacy and tolerability of trandolapril, an angiotensin I converting enzyme inhibitor, in the treatment of mild-to-moderate systemic arterial hypertension. METHODS: Of 262 patients enrolled in this study, 127 were treated with trandolapril 2 mg/day for 8 consecutive weeks, and the remaining 135 patients received placebo for the same period of time. Reduction in blood pressure (BP) and the occurrence of adverse events during this period were evaluated in both groups. RESULTS: Significant reductions in both systolic and diastolic pressures were observed in patients treated with trandolapril when compared with those on placebo. Antihypertensive efficacy was achieved in 57.5% of the patients on trandolapril and in 42% of these normal values of BP were obtained. The efficacy of trandolapril was similar in all centers, regardless of the area of the country. In a subset of 30 patients who underwent ABPM, responders showed a significant hypotensive effect to trandolapril throughout the 24 hour day. The adverse event profile was similar in both trandolapril and placebo groups. CONCLUSION: Our results demonstrate, for the first time in a large group of hypertensive patients from different regions in Brazil, good efficacy and tolerability of trandolapril during treatment of mild-to-moderate essential systemic hypertension.
    Keywords mild-to-moderate hypertension ; trandolapril ; ACE inhibitor ; Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Subject code 610
    Language English
    Publishing date 1999-01-01T00:00:00Z
    Publisher Sociedade Brasileira de Cardiologia - SBC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Cross-sectional Study on Blood Pressure Control in the Department of Nephrology of the Escola Paulista de Medicina - UNIFESP

    Freitas João Batista de / Tavares Agostinho / Kohlmann Jr Osvaldo / Zanella Maria Tereza / Ribeiro Artur Beltrame

    Arquivos Brasileiros de Cardiologia, Vol 79, Iss 2, Pp 123-

    2002  Volume 128

    Abstract: OBJECTIVE - To assess hypertension control rates in a specialized university-affiliated medical department, the influence of sex, diabetes, and obesity on that control, and the strategies for the treatment of hypertension. METHODS - We carried out a ... ...

    Abstract OBJECTIVE - To assess hypertension control rates in a specialized university-affiliated medical department, the influence of sex, diabetes, and obesity on that control, and the strategies for the treatment of hypertension. METHODS - We carried out a cross-sectional study with 1,210 patients followed up for at least 6 months. Information was gathered from medical and nursing records and comprised the following data: sex, age, weight, height, abdominal and hip circumferences, blood pressure, and class and number of the antihypertensive drugs prescribed. To assess obesity, we used body mass index and waist/hip ratio. Blood pressure was considered under control when its levels were below 140/90 mmHg. RESULTS - The study consisted of 73% females and 27% males. Most females (31.7%) were 50 to 59 years of age, and most males (28.3%) were 60 to 69 years. The blood pressure control rate found was 20.9% for the 1,210 patients and 23.4% for the hypertensive diabetic patients (n=290). Despite the low control rates found, 70% of the patients used 1 or 2 antihypertensive medications. A high prevalence of obesity (38%) was observed, and females had a greater abdominal obesity index than males did (90% vs 82%, p<0.05). Patients with a greater body mass index had less control of blood pressure. CONCLUSION - The percentage of hypertensive patients with controlled blood pressure levels was low and was associated with a high prevalence of obesity. These data indicate the need for reviewing the strategies of global treatment for hypertension.
    Keywords hypertension ; blood pressure control ; treatment ; Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Subject code 616
    Language English
    Publishing date 2002-01-01T00:00:00Z
    Publisher Sociedade Brasileira de Cardiologia - SBC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: IV Diretrizes Brasileiras de Hipertensão Arterial

    Mion Jr. Décio / Gomes Marco Antônio Mota / Nobre Fernando / Amodeo Celso / Kohlmann Jr. Osvaldo / Praxedes José Nery / Machado Carlos Alberto / Pascoal Istênio / Magalhães Lucélia C.

    Arquivos Brasileiros de Cardiologia, Vol 82, Iss suppl.4, Pp 7-

    2004  Volume 14

    Keywords Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2004-01-01T00:00:00Z
    Publisher Sociedade Brasileira de Cardiologia - SBC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: IV Diretrizes Brasileiras de Hipertensão Arterial

    Mion Jr. Decio / Machado Carlos Alberto / Gomes Marco Antonio Mota / Nobre Fernando / Kohlmann Jr. Osvaldo / Amodeo Celso / Praxedes José Nery / Pascoal Istenio / Magalhães Lucélia C.

    Arquivos Brasileiros de Cardiologia, Vol 82, Iss suppl.4, Pp 1-

    2004  Volume 1

    Keywords Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2004-01-01T00:00:00Z
    Publisher Sociedade Brasileira de Cardiologia - SBC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Left Ventricular Diastolic Function in Essential Hypertensive Patients

    Rosa Eduardo Cantoni / Moysés Valdir Ambrósio / Rivera Ivan / Sesso Ricardo da Cintra / Kohlmann Nárcia / Zanella Maria Tereza / Ribeiro Artur Beltrame / Kohlmann Jr. Osvaldo

    Arquivos Brasileiros de Cardiologia, Vol 78, Iss 5, Pp 472-

    Influence of Age and Left Ventricular Geometry

    2002  Volume 477

    Abstract: PURPOSE - To evaluate diastolic dysfunction (DD) in essential hypertension and the influence of age and cardiac geometry on this parameter. METHODS - Four hundred sixty essential hypertensive patients (HT) underwent Doppler echocardiography to obtain E/A ...

    Abstract PURPOSE - To evaluate diastolic dysfunction (DD) in essential hypertension and the influence of age and cardiac geometry on this parameter. METHODS - Four hundred sixty essential hypertensive patients (HT) underwent Doppler echocardiography to obtain E/A wave ratio (E/A), atrial deceleration time (ADT), and isovolumetric relaxation time (IRT). All patients were grouped according to cardiac geometric patterns (NG - normal geometry; CR - concentric remodeling; CH- concentric hypertrophy; EH - eccentric hypertrophy) and to age (<40; 40 - 60; >60 years). One hundred six normotensives (NT) persons were also evaluated. RESULTS - A worsening of diastolic function in the HT compared with the NT, including HT with NG (E/A: NT - 1.38±0.03 vs HT - 1.27±0.02, p<0.01), was observed. A higher prevalence of DD occurred parallel to age and cardiac geometry also in the prehypertrophic groups (CR). Multiple regression analysis identified age as the most important predictor of DD (r²=0.30, p<0.01). CONCLUSION - DD was prevalent in this hypertensive population, being highly affected by age and less by heart structural parameters. DD is observed in incipient stages of hypertensive heart disease, and thus its early detection may help in the risk stratification of hypertensive patients.
    Keywords essential hypertension ; diastolic function ; age ; cardiac geometry ; Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Subject code 610
    Language English
    Publishing date 2002-01-01T00:00:00Z
    Publisher Sociedade Brasileira de Cardiologia - SBC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Left Ventricular Hypertrophy Evaluation in Obese Hypertensive Patients

    Rosa Eduardo Cantoni / Moysés Valdir Ambrósio / Sesso Ricardo Cintra / Plavnik Frida Liane / Ribeiro Fernando Flexa / Kohlmann Nárcia E. B. / Ribeiro Artur Beltrame / Zanella Maria Tereza / Kohlmann Jr. Osvaldo

    Arquivos Brasileiros de Cardiologia, Vol 78, Iss 4, Pp 347-

    Effect of Left Ventricular Mass Index Criteria

    2002  Volume 351

    Abstract: PURPOSE: To evaluate left ventricular mass (LVM) index in hypertensive and normotensive obese individuals. METHODS: Using M mode echocardiography, 544 essential hypertensive and 106 normotensive patients were evaluated, and LVM was indexed for body ... ...

    Abstract PURPOSE: To evaluate left ventricular mass (LVM) index in hypertensive and normotensive obese individuals. METHODS: Using M mode echocardiography, 544 essential hypertensive and 106 normotensive patients were evaluated, and LVM was indexed for body surface area (LVM/BSA) and for height² (LVM/h²). The 2 indexes were then compared in both populations, in subgroups stratified according to body mass index (BMI): <27; 27-30; > or = 30kg/m². RESULTS: The BSA index does not allow identification of significant differences between BMI subgroups. Indexing by height² provides significantly increased values for high BMI subgroups in normotensive and hypertensive populations. CONCLUSION: Left ventricular hypertrophy (LVH) has been underestimated in the obese with the use of LVM/BSA because this index considers obesity as a physiological variable. Indexing by height² allows differences between BMI subgroups to become apparent and seems to be more appropriate for detecting LVH in obese populations.
    Keywords essential hypertension ; obesity ; left ventricular hypertrophy ; left ventricular mass index ; Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Subject code 001
    Language English
    Publishing date 2002-01-01T00:00:00Z
    Publisher Sociedade Brasileira de Cardiologia - SBC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article: IV Diretriz para uso da monitorização ambulatorial da pressão arterial. II Diretriz para uso da monitorização residencial da pressão arterial. IV MAPA/II MRPA.

    Alessi, Alexandre / Brandão, Andréa A / Pierin, Angela / Feitosa, Audes Magalhães / Machado, Carlos Alberto / de Moraes Forjaz, Cláudia Lúcia / Atie, Cristina S / Giorgi, Dante Marcelo Artigas / Mion Jr, Décio / Rosa, Eduardo Cantoni / Nobre, Fernando / Silva, Giovânio Vieira / Chaves Jr, Hilton / Pascoal, Istênio José Fernandes / Guimarães, Jorge Ilha / Santello, José Luis / Ribeiro, José Márcio / Praxedes, José Nery / Ortega, Kátia Coelho /
    da Costa, Lílian Soares / Bortolotto, Luis Aparecido / Gomes, Marco Antonio Mota / Wajngarten, Maurício / Gus, Miguel / Kohlmann Jr, Osvaldo / Jardim, Paulo César Veiga / Geleilete, Tufik José Magalhães / Koch, Vera

    Arquivos brasileiros de cardiologia

    2005  Volume 85 Suppl 2, Page(s) 1–18

    Title translation IV Guideline for ambulatory blood pressure monitoring. II Guideline for home blood pressure monitoring. IV ABPM/II HBPM.
    MeSH term(s) Blood Pressure Determination/standards ; Blood Pressure Monitoring, Ambulatory/standards ; Humans ; Self Care/standards
    Language Portuguese
    Publishing date 2005-07
    Publishing country Brazil
    Document type Guideline ; Journal Article ; Practice Guideline
    ZDB-ID 730261-7
    ISSN 0066-782X
    ISSN 0066-782X
    DOI /S0066-782X2005002100001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: IV Diretrizes Brasileiras de Hipertensão Arterial Grupos de trabalho

    Gomes Marco Antonio Mota / Pierin Angela Maria Geraldo / Sbissa Antonio Silveira / Nogueira Armando da Rocha / Brandão Ayrton Pires / Rodrigues Cibeli I. Saad / Mello Edgar Pessoa de / Mello Filho José Xavier de / Bodanese Luiz Carlos / Toscano Paulo / Ferreira Filho Sebastião / Nobre Fernando / Tavares Agostinho / Lopes Antonio Carlos / Ribeiro Jorge Pinto / Ayoub José Carlos Aydar / Ribeiro José Márcio / Introcaso Luiz / Corrêa Marcelo /
    Maranhão Mario / Jabur Pedro / Nascimento Raimundo Marques / Cunha Roberto de Sá / Mulinari Rogério Andrade / Machado Carlos Alberto / Avila Adriana / Andrade Clóvis Oliveira / Rocha João Carlos / Lopes Margarida Maria Veríssimo / Arruda Maria Cecília G. Marinho / Azevedo Maria Fátima / Carvalho Maria Helena C. / Lipp Marilda Novaes / Kohlmann Nárcia Elisa B. / Jesus Neide de / Jardim Paulo César da Veiga / Amodeo Celso / Negrão Carlos Eduardo / Ferreira Celso / Cunha Cláudio Pereira da / Toscano Eli / Lima Eliuden Galvão de / Monego Estelamaris Tronco / Braga Fátima Lúcia Machado / Chaves Jr. Hilton de Castro / Heiman Joel / Carvalho Tales de / Kohlmann Jr. Osvaldo / Avezum Alvaro / Ribeiro Artur Beltrame / Gomes Carlos Alberto / Giorgi Dante Marcelo Artigas / Feitosa Gilson / Ohashi Harue / Ramirez José Antonio Franchini / Machado Marcelo Marcondes / Salgado Filho Natalino / Luna Rafael Leite / Franco Roberto Jorge da Silva / Santos Robson Augusto dos / Oigman Wille / Pascoal Istênio Fernandes / Massaro Airton / Atallah Álvaro Nagib / Brandão Andréa / Freitas Elizabete Viana de / Cordovil Ivan / Oliveira José Egídio Paulo de / Ramos José Geraldo L. / Zanella Maria Teresa / Wajngarten Maurício / Miranda Roberto Dischinger / Kahhale Soubihe / Koch Vera / Mion Jr. Décio / Guimarães Armênio C. / Palmeira Catia Sueli / Forjaz Claudia Lucia de Moraes / Coelho Eduardo B. / Almeida Fernando Antonio / Pellizari Isabel Cristina Estefano / Ribeiro Marcos Ausenka / Batlouni Michel / Lotufo Paulo / Capelari Regina Teresa / Magalhães Lucélia C. / Afiune Neto Abrahão / Cury Abrão / Moreira Alci / Souza Ana Luisa de / Fuchs Flavio Danni / Lessa Ines / Malachias Marcus V. Bolívar / Bezerra Romero / Fuchs Sandra / Praxedes José Nery / Cambara Antonio / Lucon Antonio Marmo / Mendonça Berenice / Borelli Flavio / Silva Helio B. / Romão Jr. João Egidio / Carvalho José Gastão Rocha / Santello José Luiz / Bortolotto Luiz / Matavelli Luis Celso / Pinheiro Maria Eliete / Guimarães Valéria

    Arquivos Brasileiros de Cardiologia, Vol 82, Iss suppl.4, Pp 5-

    2004  Volume 5

    Keywords Diseases of the circulatory (Cardiovascular) system ; RC666-701 ; Specialties of internal medicine ; RC581-951 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Cardiovascular ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Language English
    Publishing date 2004-01-01T00:00:00Z
    Publisher Sociedade Brasileira de Cardiologia - SBC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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