Fonseca-Reyes S, Fonseca-Cortés K, Parra-Carrillo JZ, Romero-Velarde E

Idioma: Español
Referencias bibliográficas: 33
Paginas: 78-84
Archivo PDF: 241.81 Kb.

RESUMEN

Objetivo: Conocer el efecto de los cambios estacionales en la temperatura externa sobre la presión arterial (PA) y el nivel de control en pacientes con hipertensión arterial. Sujetos y métodos: El estudio fue realizado en un grupo de pacientes tratados por hipertensión arterial quienes completaron cuatro visitas correspondientes a cada una de las cuatros estaciones del año. El lugar donde se efectuaron las lecturas de PA carecía de aire acondicionado o calefacción. En cada visita se obtuvo el promedio de tres lecturas de PA sistólica y diastólica, índice de masa corporal (IMC), y el tipo, número y dosis de antihipertensivos utilizados. Resultados: Se incluyeron cien pacientes. No hubo diferencias estadísticas en el IMC o en el uso de los medicamentos antihipertensivos. La PA sistólica y diastólica (promedio/±DE) fue más alta en el otoño; 142.9±19.5/83.5 ±11.2 mm Hg y en el invierno; 141.3 ±17/84.1±12.1mm Hg que durante la primavera; 137±14.3/80.8 ±10.3 mm Hg. El porcentaje de pacientes controlados fue de 54%, 49%, 34% and 32% (p‹ 0.01) para primavera, verano, otoño e invierno, respectivamente. Conclusión: El nivel de control de hipertensión mostró diferentes resultados dependiendo del período estacional. Estos hallazgos pueden tener implicaciones en la toma de decisiones terapéuticas durante el seguimiento de estos pacientes.

REFERENCIAS (EN ESTE ARTÍCULO)

1. Westrin A, Lam RW. Seasonal aff ective disorder: a clinical update. Ann Clin Psychiatry. 2007;19:239-46.

2. Porojnicu AC, Robsahm TE, Dahlback A, Berg JP, Christiani D, Bruland OS, et al. Seasonal and geographical variations in lung cancer prognosis in Norway. Does Vitamin D from the sun play a role? Lung Cancer. 2007;55:263-70.

3. Th e Eurowinter Group. Cold exposure and winter mortality from ischaemic heart disease, cerebrovascular disease, respiratory disease, and all causes in warm and cold regions of Europe. Lancet. 1997;349:1341-46.

4. Moan J, Lagunova Z, Lindberg FA, Porojnicu AC. Seasonal variation of 1,25 dihydroxyvitamin D and its association with body mass index and age. J Steroid Biochem Mol Biol. 2009;113:217-21.

5. Ockene IS, Chiriboga DE, Stanek EJ, Harmatz MG, Nicolosi R, Saperia G, et al. Seasonal variation in serum colesterol levels. Arch Intern Med 2004;164:863-70.

6. Mavri A, Guzic-Salobir B, Salobir-Pajnic B, Keber I, Stare J, Stegnar M. Seasonal variation of some metabolic and haemostatic risk factors in subjects with and without coronary artery disease. Blood Coagul Fibrinolysis. 2001;12:359-65.

7. Pell JP, Cobbe SM. Seasonal variations in coronary heart disease. Q J Med 1999;92:689-96.

8. Douglas AS, Dunnigan MG, Allan TM, Rawles JM. Seasonal variation in coronary heart disease in Scotland. J Epidemiol Community Health. 1995;49:575-82.

9. Mitchell R, Blane D, Bartley M. Elevated risk of high blood pressure: climate and the inverse housing law. Int J Epidemiol. 2002;31:831-8.

10. Chang CL, Shipley M, Marmot M, Poulter N. Lower ambient temperature was associated with an increased risk of hospitalization for stroke and acute myocardial infarction in young women. J Clin Epidemiol. 2004;57:749-57.

11. Yanovski JA, Yanovski SZ, Sovik KN, Nguyen TT, O’Neil PM, Sebring NG. A prospective study of holiday weight gain. N Engl J Med. 2000;23;342:861- 7.

12. Brennan PJ, Greenberg G, Miall WE, Th ompson SG. Seasonal variation in arterial blood pressure. BMJ. 1982;285:919-23.

13. Polat M, Akil I, Yuksel H, Coskun S, Yilmaz D, Erguder I, et al. Th e eff ect of seasonal changes on blood pressure and urine specifi c gravity in children living in Mediterranean climate. Med Sci Monit. 2006;12:186-90.

14. Alpérovitch A, Lacombe JM, Hanon O, Dartigues JF, Ritchie K, Ducimetière P, et al. Relationship between blood pressure and outdoor temperature in a large sample of elderly individuals: the Th ree-City study. Arch Intern Med. 2009;169:75-80.

15. Metoki H, Ohkubo T, Watanabe Y, Nishimura M, Sato Y, Kawaguchi M, et al. BOSHI Study Group. Seasonal trends of blood pressure during pregnancy in Japan: the babies and their parents’ longitudinal observation in Suzuki Memorial Hospital in Intrauterine Period study. J Hypertens. 2008;26:2406-13.

16. Sega R, Cesana G, Bombelli M, Grassi G, Stella ML, Zanchetti A, et al. Seasonal variations in home and ambulatory blood pressure in the PAMELA population. Pressione Arteriose Monitorate E Loro Associazioni. J Hypertens. 1998;16:1585-92.

17. Madsen C, Nafstad P. Associations between environmental exposure and blood pressure among participants in the Oslo Health Study (HUBRO). Eur J Epidemiol. 2006;21:485-91.

18. Barnett AG, Sans S, Salomaa V, Kuulasmaa K, Dobson AJ; WHO MONICA Project. Th e eff ect of temperature on systolic blood pressure. Blood Press Monit. 2007;12:195-203.

19. Chow CK, Teo KK, Rangarajan S, Islam S, Gupta R, Avezum A, et al. PURE (Prospective Urban Rural Epidemiology) Study investigators prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries. JAMA. 2013;310:959-68.

20. Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, et al. Global Disparities of Hypertension Prevalence and Control: A Systematic Analysis of Population-Based Studies From 90 Countries. Circulation. 2016;134:441-50.

21. Rubinstein AL, Irazola VE, Calandrelli M, Chen CS, Gutierrez L, Lanas F, et al. Prevalence, Awareness, Treatment, and Control of Hypertension in the Southern Cone of Latin America. Am J Hypertens. 2016;29:1343-52.

22. Bakris G, Hill M, Mancia G, Steyn K, Black HR, Pickering T, et al. Achieving blood pressure goals globally: fi ve core actions for health-care professionals. A worldwide call to action. J Hum Hypertens. 2008;22:63-70.

23. Su D, Du H, Zhang X, Qian Y, Chen L, Chen Y, et al. Season and outdoor temperature in relation to detection and control of hypertension in a large rural Chinese population. Int J Epidemiol. 2014;43:1835-45.

24. Pickering TG, Hall JE, Appel LJ, Falkner BE, Graves J, Hill MN, et al. Recommendations for blood pressure measurement in humans and experimental animals. Part 1: blood pressure measurement in humans. Hypertension 2005;45:142–61.

25. Rose G. Seasonal variation in blood pressure in man. Nature. 1961;189:235

26. Modesti PA, Rapi S, Rogolino A, Tosi B, Galanti G. Seasonal blood pressure variation: implications for cardiovascular risk stratifi cation. Hypertens Res. 2018;41:475-82.

27. Lewington S, Li L, Sherliker P, Guo Y, Millwood I, Bian Z, et al. Seasonal variation in blood pressure and its relationship with outdoor temperature in 10 diverse regions of China: the China Kadoorie Biobank. J Hypertens. 2012;30:1383-91.

28. Goyal A, Aslam N, Kaur S, Soni RK, Midha V, Chaudhary A, et al. Factors aff ecting seasonal changes in blood pressure in North India: A population based four-seasons study. Indian Heart J. 2018;70:360-7.

29. Charach G, Rabinovich PD, Weintraub M. Seasonal changes in blood pressure and frequency of related complications in elderly Israeli patients with essential hypertension. Gerontology. 2004; 50:315-21.

30. Al-Tamer YY, Al-Hayali JMT, Al-Ramadhan EAH. Seasonality of hypertension. J Clin Hypertens. 2008;10:125-9.

31. Iwabu A, Konishi K, Tokutake H, Yamane S, Ohnishi H, Tominaga Y, et al. Inverse correlation between seasonal changes in home blood pressure and atmospheric temperature in treatedhypertensive patients. Clin Exp Hypertens. 2010;32:221-6.

32. Miquel A, Martínez MA, Vendreli JJ, Hidalgo Y, Nevado A, Puig JG.Cambios estacionales de la presión arterial en la hipertensión leve. Med Clin 2001;117:372-4

33. Fletcher RD, Amdur RL, Kolodner R, McManus C, Jones R, Faselis C et al. Blood pressure control among US veterans: a large multiyear analysis of blood pressure data from the Veterans Administration health data repository. Circulation. 2012;125:2462-8.