[Hypertension during Takayasu's disease: An Algerian single center experience of 279 patients].
Identifieur interne : 000389 ( Main/Exploration ); précédent : 000388; suivant : 000390[Hypertension during Takayasu's disease: An Algerian single center experience of 279 patients].
Auteurs : A. Mammeri [Algérie] ; R. Guermaz [Algérie] ; A. Hatri [Algérie] ; F. Kessal [Algérie] ; S. Taharboucht [Algérie] ; F. Hamrour [Algérie] ; M. Ammi [Algérie] ; S. Zekri [Algérie] ; M. Brouri [Algérie]Source :
- Annales de cardiologie et d'angeiologie [ 1768-3181 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Algérie (épidémiologie), Femelle (MeSH), Humains (MeSH), Hypertension artérielle (diagnostic), Hypertension artérielle (épidémiologie), Indice de gravité de la maladie (MeSH), Maladie de Takayashu (épidémiologie), Mâle (MeSH), Occlusion artérielle rénale (diagnostic), Occlusion artérielle rénale (épidémiologie), Pronostic (MeSH), Études prospectives (MeSH), Études rétrospectives (MeSH).
- MESH :
English descriptors
- KwdEn :
- Adult (MeSH), Algeria (epidemiology), Female (MeSH), Humans (MeSH), Hypertension (diagnosis), Hypertension (epidemiology), Male (MeSH), Prognosis (MeSH), Prospective Studies (MeSH), Renal Artery Obstruction (diagnosis), Renal Artery Obstruction (epidemiology), Retrospective Studies (MeSH), Severity of Illness Index (MeSH), Takayasu Arteritis (epidemiology).
- MESH :
- diagnosis : Hypertension, Renal Artery Obstruction.
- epidemiology : Algeria, Hypertension, Renal Artery Obstruction, Takayasu Arteritis.
- Adult, Female, Humans, Male, Prognosis, Prospective Studies, Retrospective Studies, Severity of Illness Index.
Abstract
INTRODUCTION
Takayasu arteritis (TA) is an uncommon large vessel arteritis. Lesions produced by the inflammatory process can be stenotic, occlusive, or aneurysmal. Vascular changes lead to the main complications, including hypertension, most often due to renal artery stenosis or, more rarely, stenosis of the suprarenal aorta.
AIM OF STUDY
Our study will assess the prevalence of hypertension during TA and describe its clinical profile.
MATERIAL AND METHODS
Among 279 patients with TA resulting from single center study over a period of 35 years, we collected 128 hypertensive patients. All have benefited from a vascular exploration. Renal angiography was performed in 85 patients. The classification of Lupi Herrera allowed us to distribute our patients according to the topography of their lesions. Patients are classified according to the degree of severity of their hypertension. Results are statistically analyzed with SPSS 10.0 database.
RESULTS
The prevalence of hypertension is 45.8%, mainly affecting young women (87%). It is indicative of arteritis in 24.7%. Its diagnosis is difficult and delayed when arterial stenosis exist: inter-arm blood pressure difference (53.8%), inverse coarctation (30.4%) or unmeasurable blood pressure at the 4 limbs (6.8%). In 54% of cases, hypertension was due to a renal artery stenosis. The presence of arterial hypertension was associated to a poor prognosis: it was severe in 54% of patients and was linked to 70% of deaths observed.
CONCLUSION
Arterial hypertension is common during TA. It remains a factor of bad prognosis specially when renovascular hypertension is present.
DOI: 10.1016/j.ancard.2017.04.006
PubMed: 28554696
Affiliations:
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Mammeri</name><affiliation wicri:level="3"><nlm:affiliation>Service de médecine interne, clinique Arezki Kehal, 17, rue Lamamri-Elbiar, Alger, Algérie. Electronic address: amel.mammeri@yahoo.fr.</nlm:affiliation><country xml:lang="fr">Algérie</country><wicri:regionArea>Service de médecine interne, clinique Arezki Kehal, 17, rue Lamamri-Elbiar, Alger</wicri:regionArea><placeName><settlement type="city">Alger</settlement><region nuts="2">Wilaya d'Alger</region></placeName></affiliation></author><author><name sortKey="Guermaz, R" sort="Guermaz, R" uniqKey="Guermaz R" first="R" last="Guermaz">R. Guermaz</name><affiliation wicri:level="3"><nlm:affiliation>Service de médecine interne, hôpital El Biar, Alger, Algérie.</nlm:affiliation><country xml:lang="fr">Algérie</country><wicri:regionArea>Service de médecine interne, hôpital El Biar, Alger</wicri:regionArea><placeName><settlement type="city">Alger</settlement><region nuts="2">Wilaya d'Alger</region></placeName></affiliation></author><author><name sortKey="Hatri, A" sort="Hatri, A" uniqKey="Hatri A" first="A" last="Hatri">A. Hatri</name><affiliation wicri:level="3"><nlm:affiliation>Service de médecine interne, hôpital El Biar, Alger, Algérie.</nlm:affiliation><country xml:lang="fr">Algérie</country><wicri:regionArea>Service de médecine interne, hôpital El Biar, Alger</wicri:regionArea><placeName><settlement type="city">Alger</settlement><region nuts="2">Wilaya d'Alger</region></placeName></affiliation></author><author><name sortKey="Kessal, F" sort="Kessal, F" uniqKey="Kessal F" first="F" last="Kessal">F. 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Taharboucht</name><affiliation wicri:level="3"><nlm:affiliation>Service de médecine interne, hôpital El Biar, Alger, Algérie.</nlm:affiliation><country xml:lang="fr">Algérie</country><wicri:regionArea>Service de médecine interne, hôpital El Biar, Alger</wicri:regionArea><placeName><settlement type="city">Alger</settlement><region nuts="2">Wilaya d'Alger</region></placeName></affiliation></author><author><name sortKey="Hamrour, F" sort="Hamrour, F" uniqKey="Hamrour F" first="F" last="Hamrour">F. Hamrour</name><affiliation wicri:level="3"><nlm:affiliation>Service de médecine interne, hôpital El Biar, Alger, Algérie.</nlm:affiliation><country xml:lang="fr">Algérie</country><wicri:regionArea>Service de médecine interne, hôpital El Biar, Alger</wicri:regionArea><placeName><settlement type="city">Alger</settlement><region nuts="2">Wilaya d'Alger</region></placeName></affiliation></author><author><name sortKey="Ammi, M" sort="Ammi, M" uniqKey="Ammi M" first="M" last="Ammi">M. Ammi</name><affiliation wicri:level="3"><nlm:affiliation>Service de médecine interne, hôpital El Biar, Alger, Algérie.</nlm:affiliation><country xml:lang="fr">Algérie</country><wicri:regionArea>Service de médecine interne, hôpital El Biar, Alger</wicri:regionArea><placeName><settlement type="city">Alger</settlement><region nuts="2">Wilaya d'Alger</region></placeName></affiliation></author><author><name sortKey="Zekri, S" sort="Zekri, S" uniqKey="Zekri S" first="S" last="Zekri">S. Zekri</name><affiliation wicri:level="3"><nlm:affiliation>Service de médecine interne, hôpital El Biar, Alger, Algérie.</nlm:affiliation><country xml:lang="fr">Algérie</country><wicri:regionArea>Service de médecine interne, hôpital El Biar, Alger</wicri:regionArea><placeName><settlement type="city">Alger</settlement><region nuts="2">Wilaya d'Alger</region></placeName></affiliation></author><author><name sortKey="Brouri, M" sort="Brouri, M" uniqKey="Brouri M" first="M" last="Brouri">M. Brouri</name><affiliation wicri:level="3"><nlm:affiliation>Service de médecine interne, hôpital El Biar, Alger, Algérie.</nlm:affiliation><country xml:lang="fr">Algérie</country><wicri:regionArea>Service de médecine interne, hôpital El Biar, Alger</wicri:regionArea><placeName><settlement type="city">Alger</settlement><region nuts="2">Wilaya d'Alger</region></placeName></affiliation></author></analytic><series><title level="j">Annales de cardiologie et d'angeiologie</title><idno type="eISSN">1768-3181</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Algeria (epidemiology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Hypertension (diagnosis)</term><term>Hypertension (epidemiology)</term><term>Male (MeSH)</term><term>Prognosis (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Renal Artery Obstruction (diagnosis)</term><term>Renal Artery Obstruction (epidemiology)</term><term>Retrospective Studies (MeSH)</term><term>Severity of Illness Index (MeSH)</term><term>Takayasu Arteritis (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Algérie (épidémiologie)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Hypertension artérielle (diagnostic)</term><term>Hypertension artérielle (épidémiologie)</term><term>Indice de gravité de la maladie (MeSH)</term><term>Maladie de Takayashu (épidémiologie)</term><term>Mâle (MeSH)</term><term>Occlusion artérielle rénale (diagnostic)</term><term>Occlusion artérielle rénale (épidémiologie)</term><term>Pronostic (MeSH)</term><term>Études prospectives (MeSH)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Hypertension</term><term>Renal Artery Obstruction</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Hypertension artérielle</term><term>Occlusion artérielle rénale</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Algeria</term><term>Hypertension</term><term>Renal Artery Obstruction</term><term>Takayasu Arteritis</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Algérie</term><term>Hypertension artérielle</term><term>Maladie de Takayashu</term><term>Occlusion artérielle rénale</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Prognosis</term><term>Prospective Studies</term><term>Retrospective Studies</term><term>Severity of Illness Index</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Femelle</term><term>Humains</term><term>Indice de gravité de la maladie</term><term>Mâle</term><term>Pronostic</term><term>Études prospectives</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b></p><p>Takayasu arteritis (TA) is an uncommon large vessel arteritis. Lesions produced by the inflammatory process can be stenotic, occlusive, or aneurysmal. Vascular changes lead to the main complications, including hypertension, most often due to renal artery stenosis or, more rarely, stenosis of the suprarenal aorta.</p></div><div type="abstract" xml:lang="en"><p><b>AIM OF STUDY</b></p><p>Our study will assess the prevalence of hypertension during TA and describe its clinical profile.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIAL AND METHODS</b></p><p>Among 279 patients with TA resulting from single center study over a period of 35 years, we collected 128 hypertensive patients. All have benefited from a vascular exploration. Renal angiography was performed in 85 patients. The classification of Lupi Herrera allowed us to distribute our patients according to the topography of their lesions. Patients are classified according to the degree of severity of their hypertension. Results are statistically analyzed with SPSS 10.0 database.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The prevalence of hypertension is 45.8%, mainly affecting young women (87%). It is indicative of arteritis in 24.7%. Its diagnosis is difficult and delayed when arterial stenosis exist: inter-arm blood pressure difference (53.8%), inverse coarctation (30.4%) or unmeasurable blood pressure at the 4 limbs (6.8%). In 54% of cases, hypertension was due to a renal artery stenosis. The presence of arterial hypertension was associated to a poor prognosis: it was severe in 54% of patients and was linked to 70% of deaths observed.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Arterial hypertension is common during TA. It remains a factor of bad prognosis specially when renovascular hypertension is present.</p></div></front></TEI><affiliations><list><country><li>Algérie</li></country><region><li>Wilaya d'Alger</li></region><settlement><li>Alger</li></settlement></list><tree><country name="Algérie"><region name="Wilaya d'Alger"><name sortKey="Mammeri, A" sort="Mammeri, A" uniqKey="Mammeri A" first="A" last="Mammeri">A. Mammeri</name></region><name sortKey="Ammi, M" sort="Ammi, M" uniqKey="Ammi M" first="M" last="Ammi">M. Ammi</name><name sortKey="Brouri, M" sort="Brouri, M" uniqKey="Brouri M" first="M" last="Brouri">M. Brouri</name><name sortKey="Guermaz, R" sort="Guermaz, R" uniqKey="Guermaz R" first="R" last="Guermaz">R. Guermaz</name><name sortKey="Hamrour, F" sort="Hamrour, F" uniqKey="Hamrour F" first="F" last="Hamrour">F. Hamrour</name><name sortKey="Hatri, A" sort="Hatri, A" uniqKey="Hatri A" first="A" last="Hatri">A. Hatri</name><name sortKey="Kessal, F" sort="Kessal, F" uniqKey="Kessal F" first="F" last="Kessal">F. Kessal</name><name sortKey="Taharboucht, S" sort="Taharboucht, S" uniqKey="Taharboucht S" first="S" last="Taharboucht">S. Taharboucht</name><name sortKey="Zekri, S" sort="Zekri, S" uniqKey="Zekri S" first="S" last="Zekri">S. Zekri</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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