BACKGROUND: Silent @entity63 episodes rate is 4-5% among over fifty aged @entity1 . @entity1 affected by @entity101 have higher @entity453 rate than @entity1 with normal blood pressure. An increased mortality is present among @entity1 affected by essential @entity101 , especially if affected by silent @entity63 and /or @entity943 . In all previous study about @entity101 , the inclusion criterion was a diastolic blood pressure >95 mmHg, that is a low selective one. The aim of study is to evaluate @entity943 rate, in @entity101 @entity1 , without pharmacological therapy, and diagnosed by 24 hours ambulatory blood pressure monitoring (ABPM), so using a more selective criterion than WHO rules. METHODS: 128 consecutive @entity1 with @entity101 diagnosis by WHO rules, were screened for 24 hours ambulatory blood pressure measurement (ABPM); 85 of them (66.4%) had 24 hours mean blood pressure >135/85 mmHg. These 85 @entity1 were screened for M-mode, B-mode echocardiography and 24 hours electrocardiogram monitoring by Holter. RESULTS: Sixty @entity1 (70.6%) were affected by @entity4346 , 25 were free (29.4%) According to the Lown and Wolf classification for @entity943 20 @entity1 (23.5%) had a Grade I @entity943 , 5 (5.9%) had a Grade II, 4 (4.7%) had a Grade III, 9 (10.6%) had a Grade IV A, 20 (23.5%) had a Grade IV B, 12 (14.2%) had a Grade V and 15 @entity1 (17.6%) were free from @entity1540 . 40 @entity1 (47%) had one or more ST @entity308 episodes longer than 60 . The range of episodes number is 1-22, mean 6.8; their duration range is 1-16 minutes, mean 7.6 minutes. In our study, @entity4346 correlate significantly with @entity943 Lown score, r=0.552 for p<0.0001 and also with silent @entity63 as ST @entity308 r=0.51, p<0.004. The correlation, between @entity943 score and ST @entity308 , r=0.042, p<0.021 is not highly significant. CONCLUSIONS: The conclusion is drawn that using a more selective criterion for the diagnosis of @entity101 , it is possible to identify @entity1 affected by a more severe stage of disease, and detect them for primary prevention of coronary events.

[Silent @entity63 and XXXX in essential @entity101 ].

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'people'] @entity308 :: ('MESH:D003866', 'Disease') :: ['depression'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension', 'hypertensive'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemia'] @entity4346 :: ('MESH:D017379', 'Disease') :: ['left ventricular hypertrophy'] @entity1540 :: ('MESH:D018879', 'Disease') :: ['premature ventricular complexes'] @entity453 :: ('MESH:D003324', 'Disease') :: ['coronary artery disease'] @entity943 :: ('MESH:D001145', 'Disease') :: ['ventricular arrhythmias', 'arrhythmia']
@entity943 :: (MESH:D001145,Disease) :: ['ventricular arrhythmias']
