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YAŞLı HIPERTANSIF HASTALARDA PSEUDOHIPERTANSIYON

PSEUDOHYPERTENSION IN ELDERLY HYPERTENSIVE PATIENTS

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2000

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The purpose of this study is to determine prevalence of pseudohypertension in elderly patients with hypertension by using intra-arterial blood pressure measurement and to evaluate sensitivity and specifity of Osier's maneuver. In this study indirect (cuff) and direct (intra-arterial) blood pressures were measured in seventeen hypertensive elderly patients over 55- year-old at emergency department. Osier's test was carried out. Six patients had systolic pseudohypertension and five of these had positive Osier's test. Eight patients had diastolic pseudohypertension. Three patients had both systolic and diastolic pseudohypertension. Osier's test was negative in patients without pseudohypertension. The specifity and sensivity of Osier's test in systolic pseudohypertension were 90% and 83% respectively. These results suggest that the incidance of pseudohypertension in elderly patient with hypertension is very high. Osier's test is reliable in diagnosis of systolic pseudohypertension.
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Abstract (Original Language): 
Bu çalışmanın amacı yaşlı hipertansiyonlu hastalarda intra-arteriyel kan basıncı ölçümü ile pseudohipertansiyon insidansını belirlemek ve Osler manevrasının sensitivite ve spesifitesini ortaya koymaktır. Bu çalışmamızda acil servise başvuran 55 yaşından büyük 17 hipertansif hastada indirek (cuff) ve intra-arteriyel kan basınçları ölçüldü. Osler testi uygulandı. Altı hastada sistolik pseudohipertansiyon tespit edildi, bunların 5'inde Osler testi pozitif bulundu. Sekiz hastada diastolik pseudohipertansiyon tespit edildi. Üç hastada hem sistolik hem diastolik pseudohipertansiyon mevcuttu. Pseudohipertansiyon tespit edilmeyen hastaların hepsinde Osler testi negatifti. Sistolik pseudohipertansiyonda Osler testinin spesifitesi %90, sensitivitesi %83 olarak belirlendi. Bu sonuçlar pseudohipertansiyon insidansının yaşlı hipertansiyonlu hastalarda yüksek olduğunu göstermektedir. Osler testi sistolik pseudohipertansiyon teşhisinde güvenilir bir yöntemdir
FULL TEXT (PDF): 
PDF icon pdf_tndt_304.pdf
  • 3
135-137
  • Turkish

REFERENCES

References: 

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