masked hypertension in low-income south african adults.[2016][journal of clinical hypertension(greenwich,conn.)][10.11.南非蒙面高血压在低收入成年人。[2016][临床高血压杂志》英文精品课件.pdf

ORIGINAL PAPER Masked Hypertension in Low-Income South African Adults Lisa J. Ware, PhD;1 Kirsten L. Rennie, PhD;2 Lebo F. Gafane, MSc;1 Tarryn M. Nell, B SocSc;3 Jane E.S. Thompson, PhD;1 Johannes M. Van Rooyen, PhD;1 Rudolph Schutte, PhD;1,4 Aletta E. Schutte, PhD1,4 From the Hypertension in Africa Research Team (HART), North-West University, Potchefstroom, South Africa; 1 Centre for Lifespan and Chronic Illness Research, University of Hertfordshire, Hertfordshire, UK;2 HIV Coordinator, North-West University, Potchefstroom, South Africa;3 and MRC Research Unit for Hypertension and Cardiovascular Disease, North-West University, Potchefstroom, South Africa4 While South Africa has one of the highest hypertension rates that 63% of patients were hypertensive. The frequency of globally, there are few data on masked hypertension (MHT) MHT was high (33 of 81, 41%) with only one case of WCHT. In and white-coat hypertension (WCHT). This study measured comparison to those with normal clinic and 24-hour BP, the frequency of MHT and WCHT in low-income (<$500 US augmentation index and pulse wave velocity were signifi- per month) South African adults, evaluating cardiovascular cantly higher in those with hypertensive 24-hour BP irrespec- risk by arterial stiffness. Participants (n=101, 50% male; mean tive of clinic BP, indicating that, in this group, masked and age 39.49.7 years) were recruited from a large North-West sustained hypertension carry a similar elevated cardiovascu- Province employer. Clinic and 24-hour blood pressure (BP) lar risk. J Clin Hypertens (Greenwich). 2016;18:396–404. and pulse wave analysis were recorded. Clinic BP identified ª 2016 Wiley Periodicals, Inc.