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Arterial hypertension in Turner syndrome: a review of the literature and a practical approach for diagnosis and treatment

Katya De Groote (UGent) , Laurent Demulier (UGent) , Julie De Backer (UGent) , Daniël De Wolf (UGent) , Jean De Schepper (UGent) , Guy T'Sjoen (UGent) and Tine De Backer (UGent)
(2015) JOURNAL OF HYPERTENSION. 33(7). p.1342-1351
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Abstract
Turner syndrome is a rare chromosomal disorder with complete or partial absence of one X chromosome that only occurs in women. Clinical presentation is variable, but congenital and acquired cardiovascular diseases are frequently associated diseases that add significantly to the increased morbidity and mortality in Turner syndrome patients. Arterial hypertension is reported in 13-58% of adult Turner syndrome patients and confers an increased risk for stroke and aortic dissection. Hypertension can be present from childhood on and is reported in one-quarter of the paediatric Turner syndrome patients. This article reviews the prevalence and cause of arterial hypertension in Turner syndrome and describes the relationship between blood pressure, aortic dilation and increased cardiovascular risk. We compare current treatment strategies and also propose an integrated practical approach for the diagnosis and treatment of hypertension in Turner syndrome applicable in daily practice.
Keywords
aortic dissection, aortic dilation, arterial hypertension, cardiovascular risk, clinical practice guidelines, hypertension children, hypertension treatment, pathophysiology, Turner syndrome, CARDIOVASCULAR MAGNETIC-RESONANCE, AMBULATORY BLOOD-PRESSURE, SEX-HORMONE REPLACEMENT, RISK-FACTORS, AORTIC ROOT, GLUCOSE-METABOLISM, CLINICAL-PRACTICE, REFERENCE VALUES, ASCENDING AORTA, WOMEN

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MLA
De Groote, Katya, et al. “Arterial Hypertension in Turner Syndrome: A Review of the Literature and a Practical Approach for Diagnosis and Treatment.” JOURNAL OF HYPERTENSION, vol. 33, no. 7, 2015, pp. 1342–51, doi:10.1097/HJH.0000000000000599.
APA
De Groote, K., Demulier, L., De Backer, J., De Wolf, D., De Schepper, J., T’Sjoen, G., & De Backer, T. (2015). Arterial hypertension in Turner syndrome: a review of the literature and a practical approach for diagnosis and treatment. JOURNAL OF HYPERTENSION, 33(7), 1342–1351. https://doi.org/10.1097/HJH.0000000000000599
Chicago author-date
De Groote, Katya, Laurent Demulier, Julie De Backer, Daniël De Wolf, Jean De Schepper, Guy T’Sjoen, and Tine De Backer. 2015. “Arterial Hypertension in Turner Syndrome: A Review of the Literature and a Practical Approach for Diagnosis and Treatment.” JOURNAL OF HYPERTENSION 33 (7): 1342–51. https://doi.org/10.1097/HJH.0000000000000599.
Chicago author-date (all authors)
De Groote, Katya, Laurent Demulier, Julie De Backer, Daniël De Wolf, Jean De Schepper, Guy T’Sjoen, and Tine De Backer. 2015. “Arterial Hypertension in Turner Syndrome: A Review of the Literature and a Practical Approach for Diagnosis and Treatment.” JOURNAL OF HYPERTENSION 33 (7): 1342–1351. doi:10.1097/HJH.0000000000000599.
Vancouver
1.
De Groote K, Demulier L, De Backer J, De Wolf D, De Schepper J, T’Sjoen G, et al. Arterial hypertension in Turner syndrome: a review of the literature and a practical approach for diagnosis and treatment. JOURNAL OF HYPERTENSION. 2015;33(7):1342–51.
IEEE
[1]
K. De Groote et al., “Arterial hypertension in Turner syndrome: a review of the literature and a practical approach for diagnosis and treatment,” JOURNAL OF HYPERTENSION, vol. 33, no. 7, pp. 1342–1351, 2015.
@article{7083295,
  abstract     = {{Turner syndrome is a rare chromosomal disorder with complete or partial absence of one X chromosome that only occurs in women. Clinical presentation is variable, but congenital and acquired cardiovascular diseases are frequently associated diseases that add significantly to the increased morbidity and mortality in Turner syndrome patients. Arterial hypertension is reported in 13-58% of adult Turner syndrome patients and confers an increased risk for stroke and aortic dissection. Hypertension can be present from childhood on and is reported in one-quarter of the paediatric Turner syndrome patients. This article reviews the prevalence and cause of arterial hypertension in Turner syndrome and describes the relationship between blood pressure, aortic dilation and increased cardiovascular risk. We compare current treatment strategies and also propose an integrated practical approach for the diagnosis and treatment of hypertension in Turner syndrome applicable in daily practice.}},
  author       = {{De Groote, Katya and Demulier, Laurent and De Backer, Julie and De Wolf, Daniël and De Schepper, Jean and T'Sjoen, Guy and De Backer, Tine}},
  issn         = {{0263-6352}},
  journal      = {{JOURNAL OF HYPERTENSION}},
  keywords     = {{aortic dissection,aortic dilation,arterial hypertension,cardiovascular risk,clinical practice guidelines,hypertension children,hypertension treatment,pathophysiology,Turner syndrome,CARDIOVASCULAR MAGNETIC-RESONANCE,AMBULATORY BLOOD-PRESSURE,SEX-HORMONE REPLACEMENT,RISK-FACTORS,AORTIC ROOT,GLUCOSE-METABOLISM,CLINICAL-PRACTICE,REFERENCE VALUES,ASCENDING AORTA,WOMEN}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{1342--1351}},
  title        = {{Arterial hypertension in Turner syndrome: a review of the literature and a practical approach for diagnosis and treatment}},
  url          = {{http://doi.org/10.1097/HJH.0000000000000599}},
  volume       = {{33}},
  year         = {{2015}},
}

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