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G. C. Tartarelli, F. Corsini, L. DiPalma, A. Leone, P-472: Bone calcium metabolism and blood pressure, American Journal of Hypertension, Volume 14, Issue S1, April 2001, Page 189A, https://doi.org/10.1016/S0895-7061(01)01686-7
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Abstract
Stiffness Index (SI) is an effective parameter for estimating mineralization of trabecular bone related to Calcium metabolism. Moreover, antihypertensive drugs, especially diuretics, can interfere with Calcium metabolism. The purpose of this study was to assess SI in patients (pts) with normal blood pressure (NBP) - <140/80 mmHg-, and hypertensive pts with and without antihypertensive therapy. Study population undergone heel ultrasonography to measure SI: 209 pts, 36 males (17%) and 173 females (87%), age from 39 to 79 years. They were divided into three groups. 1. Pts with NBP: 85 (41%), 12 males (14%) and 73 females (86%), with a mean age of 55+/-12 years, mean BP of 119(+/-9)/74(+/-8) mmHg, and mean SI of 89+/-17. 2. Pts with untreated hypertension: 70 (33%), 19 males (27%) and 51 females (73%), with a mean age of 56+/-11 years, mean BP of 148(+/-21)/89(+/-9) mmHg, and mean SI of 75+/-17. 3. Hypertensive pts under therapy (Beta-blockers 17, Calcium channel antagonists 11, Angiotensin-converting enzyme inhibitors 24, Diuretics 22): 54 (26%), 5 males (9%) and 49 females (91%), with a mean age of 61+/- 9 years, mean BP of 150(+/-18)/92(+/-6.5) mmHg, and mean SI of 80+/-19. Statistical analysis (t-test, P <0.05 statistically significant) showed that there was a statistically significant difference (P<0.01) between NBP pts and hypertensive pts for SI and age with a major evidence for untreated pts. In conclusion, SI would be reduced in hypertensive pts, especially without antihypertensive therapy, who could undergo earlier to age related osteoporosis.
- angiotensin-converting enzyme inhibitors
- antihypertensive agents
- osteoporosis
- beta-blockers
- calcium channel blockers
- diuretics
- hypertension
- ultrasonography
- blood pressure
- brachial plexus neuritis
- heel
- normal blood pressure
- antihypertensive therapy
- mean arterial pressure
- calcium metabolism
- trabecular bone
- calcification
- tp63 gene