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The Prevalence and Clinical Correlates of an Auscultatory Gap in Systemic Sclerosis Patients
Joint Authors
Stults, Barry M.
Frech, Tracy M.
Penrod, Jason
Sawitzke, Allen D.
Battistone, Michael J.
Source
International Journal of Rheumatology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-16
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Introduction.
Accurate blood pressure (BP) measurement is essential to the diagnosis and management of hypertension in patients with systemic sclerosis (SSc) to help prevent renal and cardiovascular complications.
The presence of an auscultatory gap during manual BP measurement—the temporary disappearance of the Korotkoff sounds during cuff deflation—leads to a potentially important underestimate of systolic BP if undetected.
Objectives.
Since the presence of an auscultatory gap is frequently associated with increased vascular stiffness, we investigated its presence and correlates in 50 consecutive SSc patients.
Methods.
For each patient, BP was measured sequentially using three different approaches performed in the same order.
Results.
Sixteen of 50 patients (32%) had an auscultatory gap which if undetected would have resulted in clinically important underestimates of systolic BP in 4 patients.
The presence of an auscultatory gap was statistically associated with the presence of antibodies to RNA polymerase III (P<0.0068) and SSc diagnosis type (P<0.01).
Conclusions.
Our study demonstrates that auscultatory gaps are relatively common in SSc and correlate with markers for SSc vasculopathy.
If undetected auscultatory gaps may result in clinically important underestimation of BP.
Thus, electronic oscillometric BP may be preferred in SSc patients.
American Psychological Association (APA)
Frech, Tracy M.& Penrod, Jason& Battistone, Michael J.& Sawitzke, Allen D.& Stults, Barry M.. 2012. The Prevalence and Clinical Correlates of an Auscultatory Gap in Systemic Sclerosis Patients. International Journal of Rheumatology،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-483284
Modern Language Association (MLA)
Frech, Tracy M.…[et al.]. The Prevalence and Clinical Correlates of an Auscultatory Gap in Systemic Sclerosis Patients. International Journal of Rheumatology No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-483284
American Medical Association (AMA)
Frech, Tracy M.& Penrod, Jason& Battistone, Michael J.& Sawitzke, Allen D.& Stults, Barry M.. The Prevalence and Clinical Correlates of an Auscultatory Gap in Systemic Sclerosis Patients. International Journal of Rheumatology. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-483284
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-483284