Prospective appraisal of the prevalence of primary aldosteronism in hypertensive patients presenting with atrial flutter or fibrillation (PAPPHY Study): rationale and study design.

Abstract:

:Primary aldosteronism (PA) is the most common endocrine form of hypertension and may carry an increased risk of atrial flutter or fibrillation (AFF). The primary goal of this multicentre cohort study is thus to prospectively establish the prevalence of PA in consecutive hypertensive patients referred for lone (non-valvular), paroxysmal or permanent AFF. Secondary objectives are to determine: (1) the predictors of AFF in patients with PA; (2) the rate of AFF recurrence at follow-up after specific treatment in the patients with PA; (3) the effect of AFF that can increase atrial natriuretic peptide via the atrial stretch and thereby blunt aldosterone secretion, on the aldosterone-to-renin ratio (ARR), and thus the case detection of PA; (4) the diagnostic accuracy of ARR based on plasma renin activity or on the measurement of active renin (DRA) for diagnosing PA in AFF patients. Case detection and subtyping of PA will be performed according to established criteria, including the 'four corners criteria' for diagnosing aldosterone-producing adenoma. Pharmacologic or direct current cardioversion will be undertaken whenever indicated following current guidelines. The hormonal values and ARR will be compared within patient between AFF and sinus rhythm. Organ damage, cardiovascular events and recurrence of AFF will also be assessed during follow-up in patients with PA.

journal_name

J Hum Hypertens

authors

Rossi GP,Seccia TM,Gallina V,Muiesan ML,Leoni L,Pengo M,Ragazzo F,Caielli P,Belfiore A,Bernini G,Cipollone F,Cottone S,Ferri C,Giacchetti G,Grassi G,Letizia C,Maccario M,Olivieri O,Palumbo G,Rizzoni D,Rossi E,Se

doi

10.1038/jhh.2012.21

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

158-63

issue

3

eissn

0950-9240

issn

1476-5527

pii

jhh201221

journal_volume

27

pub_type

杂志文章,多中心研究
  • Salt reduction in the United Kingdom: a successful experiment in public health.

    abstract::The United Kingdom has successfully implemented a salt reduction programme. We carried out a comprehensive analysis of the programme with an aim of providing a step-by-step guide of developing and implementing a national salt reduction strategy, which other countries could follow. The key components include (1) settin...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:10.1038/jhh.2013.105

    authors: He FJ,Brinsden HC,MacGregor GA

    更新日期:2014-06-01 00:00:00

  • Arterial compliance and baroreceptor sensitivity after chronic treatment with indapamide.

    abstract::Arterial compliance, assessed by the ratio of stroke volume to pulse pressure, and baroreceptor sensitivity (Oxford method), were determined in ten patients with essential hypertension, treated with placebo or indapamide (2.5 mg/day), in a cross-over, single blind study. After three months of therapy, mean arterial pr...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章

    doi:

    authors: Carretta R,Fabris B,Bardelli M,Muiesan S,Fischetti F,Vran F,Bianchetti A,Campanacci L

    更新日期:1988-10-01 00:00:00

  • Social network, presence of cardiovascular events and mortality in hypertensive patients.

    abstract::The aim of this study was to ascertain the relationship between social network and the appearance of mortality (cardiovascular events (CVEs)) in patients with arterial hypertension (AHT). This is a cohort study of 236 patients with a 9-year follow-up. Measurements included age, sex, blood pressure (BP), diabetes, hype...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2014.116

    authors: Menéndez-Villalva C,Gamarra-Mondelo MT,Alonso-Fachado A,Naveira-Castelo A,Montes-Martínez A

    更新日期:2015-07-01 00:00:00

  • Race specific altitude effects on blood pressure.

    abstract::Altitude affects blood pressure (BP) depending on duration and absolute altitude of exposure. Until now changes in BP during exposure to altitude were studied only in Caucasians. It is not known whether BP is affected differently in black and white people in response to altitude. During a 6-day climb on Kilimanjaro, B...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000468

    authors: Hasler E,Suter PM,Vetter W

    更新日期:1997-07-01 00:00:00

  • Relationship between cardio-ankle vascular index and plasma lipids in hypertension subjects.

    abstract::An increasing of arterial stiffness is the path physiological characteristic of hypertension. Cardio-ankle vascular index (CAVI) is a new index of arterial stiffness. In the present study, we investigated the relationship between CAVI and plasma lipids in hypertension subjects. A total of 542 subjects (male/female 336...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2014.37

    authors: Wang H,Liu J,Zhao H,Zhao X,Li L,Shi H,Zhan S,Liu J

    更新日期:2015-02-01 00:00:00

  • Elevated blood pressure in primary care varies in relation to circadian and seasonal changes.

    abstract::Blood pressure (BP) is known to vary by time of day and day of year. Studies differ substantially on the magnitude of the effect and there is doubt whether variation is clinically meaningful. We used more than 2 million BP measurements obtained between 1996 and 2004 from Geisinger Clinic primary care patients. General...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2008.44

    authors: Thomas C,Wood GC,Langer RD,Stewart WF

    更新日期:2008-11-01 00:00:00

  • Abnormalities of rheology and coagulation in hypertension.

    abstract::While the arterial tree is exposed to increased pressure flow, paradoxically the complications of hypertension are mainly thrombotic rather than haemorrhage. Improved techniques have allowed the identification of haemorrheological indices, coagulation factors and markers of arteriolar endothelial and platelet dysfunct...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Lip GY,Beevers DG

    更新日期:1994-09-01 00:00:00

  • A randomized controlled trial to assess the central hemodynamic response to exercise in patients with transient ischaemic attack and minor stroke.

    abstract::Early exercise engagement elicits meaningful changes in peripheral blood pressure in patients diagnosed with transient ischaemic attack (TIA) or minor stroke. However, central hemodynamic markers may provide clinicians with important diagnostic and prognostic information beyond that provided by peripheral blood pressu...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,随机对照试验

    doi:10.1038/jhh.2016.72

    authors: Faulkner J,Tzeng YC,Lambrick D,Woolley B,Allan PD,O'Donnell T,Lanford J,Wong L,Stoner L

    更新日期:2017-03-01 00:00:00

  • Elevated microRNA-34a contributes to trophoblast cell apoptosis in preeclampsia by targeting BCL-2.

    abstract::Preeclampsia (PE) is one of the most common pregnancy-specific pathologic complications, and is characterised by onset of hypertension and proteinuria. Placental trophoblast cell apoptosis is generally accepted as a major cause of PE. However, the details of the mechanism underlying the condition remain unclear. Here,...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2017.65

    authors: Guo M,Zhao X,Yuan X,Li P

    更新日期:2017-12-01 00:00:00

  • Acute effect of clonidine on left ventricular pressure-volume relation in hypertensive patients with diastolic heart dysfunction.

    abstract::We sought to assess the haemodynamic effects of clonidine on left ventricular (LV) pressure-volume relation in patients with diastolic heart dysfunction due to essential hypertension. Towards this end, simultaneous recordings of LV volume (acoustic quantification) and LV pressure (micromanometer) were obtained in 10 s...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1038/sj.jhh.1001243

    authors: Stefanadis C,Manolis A,Dernellis J,Tsioufis C,Tsiamis E,Gavras I,Gavras H,Toutouzas P

    更新日期:2001-09-01 00:00:00

  • Prevalence of high blood pressure and high normal blood pressure among 7- to 17-year-old children and adolescents in developed regions, China from 2014 to 2017: using new national blood pressure reference for Chinese children and adolescents.

    abstract::As the first blood pressure (BP) reference considering influence of height in China, national blood pressure reference for Chinese han children and adolescents aged 7 to 17 years (CCBP) was issued in 2017. The current study aimed to observe the short-term trends in BP and prevalence of high blood pressure (HBP) and hi...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/s41371-019-0183-1

    authors: Hu J,Shen H,Wu JZ,Xiao Q,Chu GP,Teng CG,Liu F,Yang HB

    更新日期:2019-05-01 00:00:00

  • Does the Hawksley random zero sphygmomanometer underestimate blood pressure, and by how much?

    abstract::The study objective was to compare blood pressure (BP) measurement by the Hawksley random-zero sphygmomanometer and the standard mercury sphygmomanometer. Comparison of simultaneous 'blind' BP measurements were made using the Hawksley random-zero sphygmomanometer and the standard mercury sphygmomanometer linked by a Y...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Mackie A,Whincup P,McKinnon M

    更新日期:1995-05-01 00:00:00

  • Antihypertensive efficacy of telmisartan vs ramipril over the 24-h dosing period, including the critical early morning hours: a pooled analysis of the PRISMA I and II randomized trials.

    abstract::Cardiovascular risk is subject to circadian variation, with peak morning incidence of myocardial infarction and stroke correlating with the early morning blood pressure (BP) surge (EMBPS). Ideally, antihypertensive therapy should maintain control of BP throughout the 24-h dosing cycle. In two sister studies, Prospecti...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,随机对照试验

    doi:10.1038/jhh.2009.4

    authors: Williams B,Lacourcière Y,Schumacher H,Gosse P,Neutel JM

    更新日期:2009-09-01 00:00:00

  • Spironolactone reduces severity of obstructive sleep apnoea in patients with resistant hypertension: a preliminary report.

    abstract::Obstructive sleep apnoea (OSA) and hyperaldosteronism are very common in subjects with resistant hypertension. We hypothesized that aldosterone-mediated chronic fluid retention may influence OSA severity in patients with resistant hypertension. We tested this in an open-label evaluation by assessing the changes in the...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1038/jhh.2009.96

    authors: Gaddam K,Pimenta E,Thomas SJ,Cofield SS,Oparil S,Harding SM,Calhoun DA

    更新日期:2010-08-01 00:00:00

  • Double-blind crossover study of once daily nifedipine coat core in essential hypertension.

    abstract::Nineteen patients with essential hypertension on regular treatment with nifedipine tablets 20 mg twice daily and whose DBP was < 95 mmHg on at least two occasions two weeks apart were entered in a double-blind randomised crossover study of three weeks treatment with nifedipine coat core (new formulation) either as 30 ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Missouris CG,Cappuccio FP,Markandu ND,Singer DR,MacGregor GA

    更新日期:1994-04-01 00:00:00

  • Intrarenal production of dopamine and natriuresis following DOPA and saline infusions in healthy human volunteers.

    abstract::The interactions of intrarenal dopamine (DA) synthesis and natriuresis were studied in 11 healthy volunteers by giving a low and high sodium diet (LoSo, 50 mmol Na+; HiSo, 250 mmol Na+). On 2 days in both dietary phases an acute saline load was given, without or with an infusion of the DA precursor 3, 4-dihydroxypheny...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Barendregt JN,Muizert Y,van Nispen tot Pannerden LL,Chang PC

    更新日期:1995-03-01 00:00:00

  • Effects of hypertension control on stroke incidence and fatality: report from Syst.-China and post-stroke antihypertensive treatment.

    abstract::Syst. China Trial aimed to determine whether titrated antihypertensive treatment could reduce the risk of stroke incidence and other cardiovascular complications among 2,298 older Chinese patients (> or = 60) with isolated systolic hypertension. The data from 3 years follow-up showed that the blood pressure reduction ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,评审

    doi:

    authors: Lisheng L

    更新日期:1996-02-01 00:00:00

  • Doxazosin in 'resistant' hypertension.

    abstract::A study of doxazosin added to baseline therapy with a beta-adrenoceptor blocker plus a diuretic in the treatment of patients 'resistant' to the baseline therapy, showed that it was effective and generally well tolerated. The study was, however, open-label and lacked comparison with other third-line drugs. ...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章

    doi:

    authors: Maclean D,McDevitt DG

    更新日期:1990-10-01 00:00:00

  • Investigation of chromosome 17q as a locus for human essential hypertension in African Caribbeans.

    abstract::Essential hypertension is a major risk factor for cardiovascular disease in humans, and originates from both genetic and environmental factors. Data from animal and more recently human studies have indicated the presence of a gene influencing blood pressure on human chromosome 17. This study tested for linkage of mark...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001025

    authors: Knight J,Gardner GT,Clark AJ,Caulfield MJ

    更新日期:2000-06-01 00:00:00

  • Monitoring population sodium intake using spot urine samples: validation in a New Zealand population.

    abstract::Although 24-h urine collection is widely considered the 'gold standard' for estimation of population sodium intake, spot urine collection is increasingly used as a convenient and affordable alternative. We used four published formulae to convert spot urine sodium into estimates of 24-h sodium excretion in order to est...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2014.10

    authors: McLean R,Williams S,Mann J

    更新日期:2014-11-01 00:00:00

  • Microalbuminuria in essential hypertension.

    abstract::The prevalence of microalbuminuria in patients with essential hypertension ranges between 10 and 25%. The level of albuminuria is highly correlated with arterial pressure and more closely ambulatory arterial pressure. The interaction between albuminuria and arterial pressure is clearly enhanced by overweight and smoki...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:

    authors: Mimran A,Ribstein J

    更新日期:1996-10-01 00:00:00

  • C-reactive protein and hypertension.

    abstract::C-reactive protein (CRP), the prototypical acute-phase reactant, is one of the most widely known biomarkers of cardiovascular disease. Circulating levels of CRP are clinically used to predict the occurrence of cardiovascular events and to aide in the selection of therapies based on more accurate risk assessment in ind...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,评审

    doi:10.1038/jhh.2013.111

    authors: Hage FG

    更新日期:2014-07-01 00:00:00

  • No deterioration of insulin secretion by the potassium channel opener pinacidil in essential hypertension.

    abstract::Hypertension has been associated with hyperinsulinemia and insulin resistance. The elevations in plasma insulin are the apparent adaptation of the pancreatic beta cell to the resistance to insulin. Maintenance of normal insulin release is therefore of great importance for subjects with hypertension. The potassium chan...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Ligtenberg JJ,Leenaers AD,Van Haeften TW,Smit AJ,Sluiter WJ,Reitsma WD

    更新日期:1996-04-01 00:00:00

  • Kinetic characteristics of the erythrocyte sodium-lithium countertransporter in black normotensive subjects compared with three other ethnic groups.

    abstract::Sodium-lithium countertransport activity has been proposed as a marker for hypertension and is lower in black compared to Caucasian subjects both with and without vascular disease. The question arises of what is the primary kinetic locus of the altered behaviour of the countertransporter in black subjects and whether ...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000555

    authors: Hardman TC,Croft P,Morrish Z,Anto-Awoakye K,Lant AF

    更新日期:1998-01-01 00:00:00

  • Factors influencing the development of malignant hypertension in Nigeria.

    abstract::Hypertension prevalence rates remain comparatively low in Nigeria, although the associated morbidity and mortality including that due to malignant hypertension (MHT) is considerable. To determine the factors that may be associated with the development of MHT we compared 74 patients with essential MHT (age 48 +/- 9 yea...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1000963

    authors: Kadiri S,Olutade BO,Osobamiro O

    更新日期:2000-03-01 00:00:00

  • Prevalence, awareness, treatment, and control of hypertension in the Czech Republic. Results of two nationwide cross-sectional surveys in 1997/1998 and 2000/2001, Czech Post-MONICA Study.

    abstract::Hypertension is an easily diagnosed and eminently modifiable risk factor for the development of all clinical manifestations of atherosclerosis. Despite the availability of a simple, non-invasive, and rather accurate method of measuring blood pressure (BP), and overwhelming evidence that reducing BP effectively prevent...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/sj.jhh.1001686

    authors: Cífková R,Skodová Z,Lánská V,Adámková V,Novozámská E,Jozífová M,Plásková M,Hejl Z,Petrzílková Z,Galovcová M,Palous D

    更新日期:2004-08-01 00:00:00

  • Epidemiology of elevated blood pressure and associated risk factors in Chinese children: the SNEC study.

    abstract::Despite the association of childhood blood pressure (BP) with hypertension later in the life course, there remains dearth of information regarding the prevalence and emergence of hypertension in children, especially in China. To investigate the current status of BP, prevalence of elevated BP and related factors in Chi...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章,多中心研究

    doi:10.1038/jhh.2015.104

    authors: Zhou Y,Qian Z,Vaughn MG,Boutwell BB,Yang M,Zeng XW,Liu RQ,Qin XD,Zhu Y,Dong GH

    更新日期:2016-04-01 00:00:00

  • Impairment of skin blood flow during post-occlusive reactive hyperhemy assessed by laser Doppler flowmetry correlates with renal resistive index.

    abstract::We lack non-invasive tools for evaluating the coronary and renal microcirculations. Since cutaneous Doppler laser exploration has evidenced impaired cutaneous microvascular responses in coronary artery disease and in impaired renal function, we wanted to find out if there was a link between the impairments in the cuta...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:10.1038/jhh.2010.117

    authors: Coulon P,Constans J,Gosse P

    更新日期:2012-01-01 00:00:00

  • Prevalence of renal artery stenosis in patients with peripheral vascular disease and hypertension.

    abstract::The aim of this study was to evaluate the prevalence of renal artery stenosis in patients with clinical signs of peripheral vascular disease and hypertension. One hundred patients, mean age 69 years (range 45-88) with symptoms and clinical signs of severe peripheral ischemia, underwent aortography to determine the deg...

    journal_title:Journal of human hypertension

    pub_type: 杂志文章

    doi:

    authors: Wachtell K,Ibsen H,Olsen MH,Laybourn C,Christoffersen JK,Nørgaard H,Mantoni M,Lund JO

    更新日期:1996-02-01 00:00:00

  • Lisinopril and enalapril in hypertension: a comparative study using ambulatory monitoring.

    abstract::Detecting differences in the effect of two antihypertensive agents is bedevilled by the inherent variability of blood pressure itself. Using an ambulatory blood pressure monitoring technique, we compared, in a cross-over design study, the effects of four weeks' treatment with enalapril, 10 mg once daily, to lisinopril...

    journal_title:Journal of human hypertension

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Conway J,Coats AJ,Bird R

    更新日期:1990-06-01 00:00:00