Benaiges Foix, DavidSagué Vilavella, MariaFlores-Le-Roux, Juana AntoniaPedro-Botet, Juan CarlosRamón Moros, José ManuelVillatoro Moreno, MontserratChillarón Jordan, Juan JoséPera Roman, Manuel RamónMás-Lorenzo, AntonioGrande Posa, LuísGoday Arno, Alberto2016-05-032016Benaiges D, Sagué M, Flores-Le Roux JA, Pedro-Botet J, Ramón JM4, Villatoro M. et al. Predictors of hypertension remission and recurrence after bariatric surgery. Am J Hypertens. 2016 May;29(5):653-9. doi: 10.1093/ajh/hpv1530895-7061http://hdl.handle.net/10230/26238BACKGROUND: Few data exist on factors associated with hypertension (HTN) remission post-bariatric surgery. No information on factors that may predict HTN relapse is available. The aims were to assess the HTN remission and relapse rates at 1 and 3 years, respectively, post-bariatric surgery, and determine predictive factors. METHODS: A nonrandomized prospective cohort study on severely obese patients undergoing laparoscopic Roux-en-Y gastric bypass (LRYGB) or laparoscopic sleeve gastrectomy (LSG) with a follow-up of 36 months was conducted between 2005 and 2011. Criteria for HTN diagnosis were current treatment with antihypertensive agents and/or systolic blood pressure (BP) >140mm Hg and/or diastolic BP >90mm Hg. HTN remission was defined as normalization of BP maintained after discontinuation of medical treatment. RESULTS: A total of 197 patients were included in the study. HTN was present in 47.7%; 68.1% of hypertensive patients showed HTN remission 1 year after the surgical procedure, 21.9% of whom had relapsed at 3 years. The number of antihypertensive drugs prior to surgery was associated with a lower remission rate at the first year and a higher recurrence at 3 years. However, a smaller weight loss during the first year was associated with increased HTN recurrence at 3 years. CONCLUSION: HTN relapses in 1 of 5 hypertensives who have achieved remission at the first year of follow-up. Weight loss during the first postoperative year should be encouraged to avoid HTN relapse at 3 years.application/pdfeng© Oxford University Press. This is a pre-copy-editing, author-produced PDF of an article accepted for publication in American Journal of Hypertension following peer review. The definitive publisher-authenticated version Benaiges D, Sagué M, Flores-Le Roux JA, Pedro-Botet J, Ramón JM4, Villatoro M. et al. Predictors of hypertension remission and recurrence after bariatric surgery. Am J Hypertens. 2016 May;29(5):653-9. doi: 10.1093/ajh/hpv153] is available online at: http://dx.doi.org/10.1093/ajh/hpv153Obesitat -- CirurgiaPressió sanguíniaHipertensióinfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1093/ajh/hpv153info:eu-repo/semantics/openAccess