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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read the article &#8220;Prevalence of hypertension in Portuguese adolescents in Lisbon&#44; Portugal&#8221; by Silva et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> with interest&#46; They investigated the prevalence of pre-hypertension and hypertension &#40;HT&#41; in Portuguese adolescents in Lisbon to ascertain the relationship between blood pressure &#40;BP&#41; levels and the risk factors of gender&#44; obesity&#44; smoking&#44; alcohol consumption&#44; exercise and family history of HT&#46; They demonstrated a high prevalence of pre-hypertension and hypertension&#59; hypertension was more prevalent in boys and pre-hypertension was more prevalent in girls&#46; The results of this study should help to alert society and the medical community to the current problem of hypertension in adolescents&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">HT is a major risk factor for stroke &#40;ischemic and hemorrhagic&#41;&#44; myocardial infarction&#44; heart failure&#44; chronic kidney disease&#44; peripheral vascular disease&#44; cognitive decline and premature death&#46; HT is thus one of the most preventable causes of premature morbidity and mortality world-wide&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Hypertension is highly prevalent in Portugal&#46; The percentages of hypertensives who are aware of their condition&#44; are being treated&#44; and whose hypertension is controlled are unacceptably low&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> The clinical concepts of BP and hypertension in children and adolescents have changed significantly&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Cardiovascular disease is the leading cause of death and hypertension is one of the main risk factors&#44; although often underdiagnosed or poorly controlled&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Firstly&#44; prevalence studies&#58; the patients included in the study should be representative of the entire target population&#46; It would have contributed to the study if schools in other regions of the city &#40;Lisbon&#41; had been included&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Secondly&#44; the authors chose the method of BP measurement that was recommended in the Fourth Report on the Diagnosis&#44; Evaluation&#44; and Treatment of High Blood Pressure in Children and Adolescents &#40;2005&#41;&#46; With that guidance only right arm BPs were measured&#44; whereas blood pressure may be different between the two arms and this could affect the results of the study&#46; So&#44; we think it would be better if BP were measured in both arms&#44; the measurement were repeated &#40;with at least 10-minute intervals&#41; in the arm that has higher BP and the average of them were noted&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">In addition&#44; some factors &#40;e&#46;g&#46; diabetes mellitus&#44; hypercholesterolemia&#44; lower socioeconomic status&#44; urban living and stress&#41; may affect HT&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> It would be useful if the authors provided data about these risk factors and their possible relationship with HT&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Finally&#44; secondary hypertension should be considered in patients with early onset of hypertension&#46; Furthermore&#44; the authors should explain the baseline of laboratory parameters and they have to exclude secondary hypertension&#46; We believe that these findings will provide useful information about HT&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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Letter to the Editor
Prevalence of hypertension in Portuguese adolescents
Prevalência de hipertensão em adolescentes portugueses
Sait Demirkola, Omer Kurtb, Sevket Baltaa,
Corresponding author
drsevketb@gmail.com

Corresponding author.
, Mustafa Cakarb
a Department of Cardiology, Gulhane Medical Academy Ankara, Turkey
b Department of Internal Medicine, Gulhane Medical Academy Ankara, Turkey
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read the article &#8220;Prevalence of hypertension in Portuguese adolescents in Lisbon&#44; Portugal&#8221; by Silva et al&#46;<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> with interest&#46; They investigated the prevalence of pre-hypertension and hypertension &#40;HT&#41; in Portuguese adolescents in Lisbon to ascertain the relationship between blood pressure &#40;BP&#41; levels and the risk factors of gender&#44; obesity&#44; smoking&#44; alcohol consumption&#44; exercise and family history of HT&#46; They demonstrated a high prevalence of pre-hypertension and hypertension&#59; hypertension was more prevalent in boys and pre-hypertension was more prevalent in girls&#46; The results of this study should help to alert society and the medical community to the current problem of hypertension in adolescents&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">HT is a major risk factor for stroke &#40;ischemic and hemorrhagic&#41;&#44; myocardial infarction&#44; heart failure&#44; chronic kidney disease&#44; peripheral vascular disease&#44; cognitive decline and premature death&#46; HT is thus one of the most preventable causes of premature morbidity and mortality world-wide&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Hypertension is highly prevalent in Portugal&#46; The percentages of hypertensives who are aware of their condition&#44; are being treated&#44; and whose hypertension is controlled are unacceptably low&#46;<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> The clinical concepts of BP and hypertension in children and adolescents have changed significantly&#46;<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">4</span></a> Cardiovascular disease is the leading cause of death and hypertension is one of the main risk factors&#44; although often underdiagnosed or poorly controlled&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">5</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Firstly&#44; prevalence studies&#58; the patients included in the study should be representative of the entire target population&#46; It would have contributed to the study if schools in other regions of the city &#40;Lisbon&#41; had been included&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Secondly&#44; the authors chose the method of BP measurement that was recommended in the Fourth Report on the Diagnosis&#44; Evaluation&#44; and Treatment of High Blood Pressure in Children and Adolescents &#40;2005&#41;&#46; With that guidance only right arm BPs were measured&#44; whereas blood pressure may be different between the two arms and this could affect the results of the study&#46; So&#44; we think it would be better if BP were measured in both arms&#44; the measurement were repeated &#40;with at least 10-minute intervals&#41; in the arm that has higher BP and the average of them were noted&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">In addition&#44; some factors &#40;e&#46;g&#46; diabetes mellitus&#44; hypercholesterolemia&#44; lower socioeconomic status&#44; urban living and stress&#41; may affect HT&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">6</span></a> It would be useful if the authors provided data about these risk factors and their possible relationship with HT&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">Finally&#44; secondary hypertension should be considered in patients with early onset of hypertension&#46; Furthermore&#44; the authors should explain the baseline of laboratory parameters and they have to exclude secondary hypertension&#46; We believe that these findings will provide useful information about HT&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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Article information
ISSN: 21742049
Original language: English
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2023 May 28 26 54
2023 April 17 7 24
2023 March 22 24 46
2023 February 17 22 39
2023 January 15 10 25
2022 December 23 22 45
2022 November 32 21 53
2022 October 18 15 33
2022 September 17 27 44
2022 August 24 20 44
2022 July 14 23 37
2022 June 18 17 35
2022 May 19 28 47
2022 April 11 15 26
2022 March 18 22 40
2022 February 17 12 29
2022 January 11 22 33
2021 December 14 20 34
2021 November 22 34 56
2021 October 28 32 60
2021 September 10 24 34
2021 August 21 25 46
2021 July 12 22 34
2021 June 15 13 28
2021 May 16 37 53
2021 April 24 31 55
2021 March 41 17 58
2021 February 40 6 46
2021 January 23 7 30
2020 December 15 2 17
2020 November 20 8 28
2020 October 18 11 29
2020 September 34 8 42
2020 August 21 8 29
2020 July 33 6 39
2020 June 14 7 21
2020 May 30 4 34
2020 April 22 5 27
2020 March 22 6 28
2020 February 27 15 42
2020 January 15 7 22
2019 December 39 12 51
2019 November 20 2 22
2019 October 20 6 26
2019 September 24 5 29
2019 August 15 6 21
2019 July 26 9 35
2019 June 25 4 29
2019 May 29 5 34
2019 April 18 13 31
2019 March 17 9 26
2019 February 32 11 43
2019 January 19 5 24
2018 December 26 11 37
2018 November 25 8 33
2018 October 60 21 81
2018 September 32 9 41
2018 August 36 5 41
2018 July 13 4 17
2018 June 36 6 42
2018 May 28 6 34
2018 April 31 3 34
2018 March 33 6 39
2018 February 21 5 26
2018 January 20 6 26
2017 December 30 6 36
2017 November 25 7 32
2017 October 19 6 25
2017 September 24 3 27
2017 August 27 7 34
2017 July 24 5 29
2017 June 30 7 37
2017 May 23 6 29
2017 April 25 4 29
2017 March 27 7 34
2017 February 16 2 18
2017 January 27 4 31
2016 December 27 7 34
2016 November 19 2 21
2016 October 19 7 26
2016 September 10 5 15
2016 August 6 2 8
2016 July 11 2 13
2016 June 7 6 13
2016 May 6 4 10
2016 April 9 1 10
2016 March 33 9 42
2016 February 47 21 68
2016 January 26 17 43
2015 December 33 13 46
2015 November 21 8 29
2015 October 32 20 52
2015 September 27 10 37
2015 August 32 6 38
2015 July 21 8 29
2015 June 8 1 9
2015 May 26 9 35
2015 April 18 14 32
2015 March 19 10 29
2015 February 13 10 23
2015 January 27 4 31
2014 December 28 7 35
2014 November 14 4 18
2014 October 23 4 27
2014 September 22 2 24
2014 August 25 4 29
2014 July 24 12 36
2014 June 15 3 18
2014 May 15 5 20
2014 April 21 0 21
2014 March 36 9 45
2014 February 48 8 56
2014 January 43 14 57
2013 December 31 7 38
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Revista Portuguesa de Cardiologia (English edition)
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