1. The role of bariatric surgery for improvement of hypertension in obese patients
- Author
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Altorio Sf, Silvio Romano, Di Mauro M, A. Petroni, Renata Petroni, and Maria Penco
- Subjects
Adult ,Male ,medicine.medical_specialty ,Blood Pressure ,030209 endocrinology & metabolism ,030204 cardiovascular system & hematology ,Morbid obesity ,03 medical and health sciences ,0302 clinical medicine ,Weight loss ,medicine ,Humans ,Obesity ,Bariatric surgery ,Hypertension ,Female ,Middle Aged ,Retrospective Studies ,Bariatric Surgery ,Cardiology and Cardiovascular Medicine ,business.industry ,Retrospective cohort study ,General Medicine ,Surgery ,Blood pressure ,medicine.symptom ,business - Abstract
OBJECTIVE Evaluate if bariatric surgery can improve hypertension (HPT) control leading to both reduction of blood pressure values and antihypertensive therapy withdrawal. METHODS Eight-hundred and sixty-four consecutive patients who referred to our hospital, from March 2001 to February 2011, because of morbid obesity were initially enrolled in this retrospective study. To obtain two comparable groups, propensity-matching was applied. Finally, the study included 444 (51% out of initial 864 patients), 222 on diet (group D) and 222 patients undergoing surgery (group S). RESULTS In group D, sistolic blook pressure (SBP) showed a significant increase (135 ± 14 vs 138 ± 11 mmHg; P = 0.006); conversely in group S, SBP decreased (130 ± 14 vs 124 ± 9 mmHg; P = 0.001). In group D, diastolic blood pressure (DBP) showed a significant increase (80 ± 6 vs 82 ± 6 mmHg; P = 0.004); conversely in group S, DBP decreased (81 ± 9 vs 79 ± 8 mmHg; P = 0.015). Among 136 patients with HPT, 73 (53%) withdrew antihypertensive therapy: significantly more in group S (55/63, 87%) than in group D (17/56, 23%), P
- Published
- 2017
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