Exaggerated morning blood pressure surge and cardiovascular events. A 5-year longitudinal study in normotensive and well-controlled hypertensive elderly.

Cardiovascular events (CE) occur most frequently in the morning hours in hypertensive subjects. We studied the association between the morning blood pressure (BP) surge and CE in prognosis of 10 normotensive and 32 well-controlled hypertensive elderly, in whom ambulatory BP monitoring was performed and who were followed prospectively for 5 years. The morning surge (MS) of BP was calculated as mean systolic BP during 2h after awakening--mean systolic BP during 1h that included the lowest sleep BP.

[Recurrent digestive hemorrhage of jejunal angioma].

A case of obscure recurrent gastrointestinal bleeding in a 78 year old man is reported. Selective mesenteric angiography made it possible to identify the site of hemorrhage in the upper jejunum. The pre- and intraoperative problems in case of small bowel vascular lesions are reviewed.