DAILY BLOOD PRESSURE PROFILES IN PATIENTS WITH ARTERIAL HYPERTENSION: IS IT ENOUGH TO USE SYSTOLIC BLOOD PRESSURE ONLY
Abstract
The systolic blood pressure (SBP), diastolic blood pressure (DBP) and pulse pressure (PP) daily profiles incidence was studied in 53 patients with arterial hypertension. A significant difference in the frequency of occurrence of different types of SBP, DBP and PP daily profile was revealed. In the structure of SBP daily profile «nondipper» and «dipper» types were dominated, DBP - «dipper» and «overdipper» types, PP - «night-picker» type. The conclusion about the need to evaluate not only the SBP circadian pattern, but DBP and PP also to improve the quality of arterial hypertension diagnosis, prognosis and treatment was made.Downloads
References
Mahabala C. Antihypertensive therapy. Nocturnal dippers and nondippers. Do we treat them differently / C. Mahabala, P. Kamath, U. Bhaskaran [et al.] // Vascular Health and Risk Management. - 2013. - Vol. 9. – P. 125-133.
Turner J. Ambulatory Blood Pressure Monitoring in Clinical Practice: A Review / J.R. Turner, A.J. Viera, D. Shimbo // The American Journal of Medicine. – 2015. – Vol. 128. - P. 14–20.
Hermida R. 2013 Ambulatory Blood Pressure Monitoring Recommendations for the Diagnosis of Adult Hypertension, Assessment of Cardiovascular and other Hypertension-associated Risk and Attainment of Therapeutic Goals / Ramón C. Hermida, Michael H. Smolensky , Diana E. Ayala [et al.] // Chronobiology International. – 2013. – Vol. 30 (3). – P. 355–410.
Unifikovaniy klinichniy protocol pervynnoyi, ekstrenoyi ta vtorynnoyi (spetsializovanoyi) medychnoyi dopomohy «Arterialʹna hipertenziya» (Standardized clinical protocol of primary, emergency and secondary (specialized) medical care «Hypertension»). – Practicuyuchiy likar. – 2013. – № 2. – P. 43–51.
Sertsevo-sudinnі zahvoryuvannya. Klasifіkatsіya, standarti dіagnostiki ta lіkuvannya kardіologіchnih hvorih (Cardio-vascular diseses. Classification, standards of diagnonsis and treatment patients with cardio-vascular diseases) / Editors V.M. Kovalenko, M. I. Lutaya, YM Sіrenko // Ukraine Association of cardiologists, 2007, 128 pages.
Metoki H. Diurnal blood pressure variation and cardiovascular prognosis in a community-based study of Ohasama, Japan / Hirohito Metoki, Takayoshi Ohkubo, Yutaka Imai // Hypertension Research. - 2010. – Vol. 33. – P.652–656.
Roush G.C. Prognostic impact from clinic, daytime, and night-time systolic blood pressure in nine cohorts of 13 844 patients with hypertension / George C. Roush, Robert H. Fagard, Gil F. Salles [et al.] // Journal of Hypertension. – 2014. – Vol. 32. Is. 12. – P. 2332–2340.
Ivanovic B. To dip or not to dip? The unique relationship between different blood pressure patterns and cardiac function and structure / B.A. Ivanovic, M.V. Tadic, V.P. Celic // Journal of Human Hypertension. – 2013. – Vol. 27. – P. 62–70.
Albassam T. Management of hypertension in clinical practice: can we forget about diastolic blood pressure? / T. Albassam, A. Coca, S. Filipova [et al.] // Medicographia. – 2010. – Vol. 32 (3). – P. 269–280.
O'Brien, E. Ambulatory blood pressure monitoring: 24-hour blood pressure control as a therapeutic goal for improving cardiovascular prognosis / E. O'Brien // Medicographia. – 2010. – Vol. 32 (3). – P. 241–249.
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