![](/images/graphics-bg.png)
Arterial Hypertension, Metabolic Syndrome and Subclinical Cardiovascular Organ Damage in Patients with Asymptomatic Primary Hyperparathyroidism before and after Parathyroidectomy : Preliminary Results
Joint Authors
Giorgio, De Toma
Zinnamosca, Laura
Sabrina, Cerci
Luciano, Colangelo
Giuseppe, Panzironi
Susanna, Sciomer
Giuseppe, Cavallaro
Claudio, Letizia
Chiara, Formicuccia Maria
Petramala, Luigi
Cristiano, Marinelli
Antonio, Ciardi
Giuseppina, Cilenti
Source
International Journal of Endocrinology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-06-07
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Background.
Primary hyperparathyroidism (PHPT) is associated with high cardiovascular morbidity, and the role of calcium and parathyroid hormone is still controversial.
Objective.
To evaluate the prevalence and outcomes of metabolic syndrome, hypertension, and some cardiovascular alterations in asymptomatic PHPT, and specific changes after successful parathyroidectomy.
Material and Methods.
We examined 30 newly diagnosed PHPT patients (8 males, 22 females; mean age 56±6 yrs), 30 patients with essential hypertension (EH) (9 males, 21 females; mean age 55±4), and 30 normal subjects (NS) (9 males, 21 females: mean age 55±6).
All groups underwent evaluation with ambulatory monitoring blood pressure, echocardiography, and color-Doppler artery ultrasonography and were successively revaluated after one year from parathyroidectomy.
Results.
PHPT patients presented a higher prevalence of metabolic syndrome (38%) with respect to EH (28%).
Prevalence of hypertension in PHPT was 81%, and 57% presented altered circadian rhythm of blood pressure, with respect to EH (35%) and NS (15%).
PHPT showed an important myocardial and vascular remodelling.
During follow-up in PHPT patients, we found significant reduction of prevalence of metabolic syndrome, blood pressure, and “non-dipping phenomenon.” Conclusions.
Cardiovascular and metabolic alterations should be considered as added parameters in evaluation of patients with asymptomatic PHPT.
American Psychological Association (APA)
Petramala, Luigi& Chiara, Formicuccia Maria& Zinnamosca, Laura& Cristiano, Marinelli& Giuseppina, Cilenti& Luciano, Colangelo…[et al.]. 2012. Arterial Hypertension, Metabolic Syndrome and Subclinical Cardiovascular Organ Damage in Patients with Asymptomatic Primary Hyperparathyroidism before and after Parathyroidectomy : Preliminary Results. International Journal of Endocrinology،Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-469781
Modern Language Association (MLA)
Petramala, Luigi…[et al.]. Arterial Hypertension, Metabolic Syndrome and Subclinical Cardiovascular Organ Damage in Patients with Asymptomatic Primary Hyperparathyroidism before and after Parathyroidectomy : Preliminary Results. International Journal of Endocrinology No. 2012 (2012), pp.1-10.
https://search.emarefa.net/detail/BIM-469781
American Medical Association (AMA)
Petramala, Luigi& Chiara, Formicuccia Maria& Zinnamosca, Laura& Cristiano, Marinelli& Giuseppina, Cilenti& Luciano, Colangelo…[et al.]. Arterial Hypertension, Metabolic Syndrome and Subclinical Cardiovascular Organ Damage in Patients with Asymptomatic Primary Hyperparathyroidism before and after Parathyroidectomy : Preliminary Results. International Journal of Endocrinology. 2012. Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-469781
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-469781