Endocrinology & Metabolic Syndrome
Open Access

Reem Esmail

Publications

• Research Article
  Evaluation of Blood Pressure and Left Ventricular Parameters in Children with Classical Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency: An Egyptian Experience
  Author(s): Shereen Abdelghaffar, Reem Esmail, Usama Abdelaziz and Hassan AbuzaidShereen Abdelghaffar, Reem Esmail, Usama Abdelaziz and Hassan Abuzaid
  
  Background/Aims: Congenital Adrenal Hyperplasia (CAH) patients are at higher risk of systemic hypertension secondary to high steroid dose therapy. Our aim was to look for early cardiovascular changes in young CAH patients, by the analysis of BP levels and echocardiographic parameters. We aimed also to investigate the possible risk factors that may contribute to such effects. Methods: We evaluated blood pressure measurements (using international percentiles) and echocardiography in 53 CAH pediatric patients. Thirty healthy age and sex matched children were included as controls. Results: It was found that 10(18.9%) patients had elevated BP and 23(43.4%) patients had hypertension. Out of those hypertensive patients, 7 (13.2%) patients had systolic hypertension, 3 (5.6%) patients had diastolic hypertension, and 13 (24.5%) patients had combined systolic and diastolic hypertension. BP level.. View More»
  DOI: 10.4172/2161-1017.1000188

  Abstract PDF

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