CLINICAL CHARACTERISTICS OF THE TYPES OF DAILY BLOOD PRESSURE PROFILES IN PATIENTS WITH ARTERIAL HYPERTENSION DEPENDING ON THE SELECTED ABPM INDEX
Abstract
The frequency characteristics of the clinical signs of arterial hypertension (AH) according to the daily profile type of systolic (SBP), diastolic (DBP) and pulse (PP) blood pressure were studied. The data showed a significant difference in the frequency of occurrence of AH clinical signs, depending on the type of daily profile of SBP, DBP, and PP. It was concluded that in patients with AH determination only SBP daily profile of is not enough, it's necessary to take into account the types of DBP and PP daily profiles also. AH 1 degree was more common among SBP-overdippers, DBP-night-peakers and PP-dippers, and AH 2 degree – among SBP-nondippers, DBP-dippers and PP-night-peakers, which as a whole accounted for more than half of all cases. AH 3 degree met more common only among the SBP-night-peakers, where it accounted for 1/3 of the observations. The highest incidence of AH stage I was noted in the group of DBP-overdippers. Stage II prevailed in all groups of patients, accounting for half and more of all cases, with minor differences between the groups. Stage III was more common among PP-overdippers. Patients with chronic HF prevailed and accounted for more than half of all cases in the vast majority of patients groups, with the highest incidence among SBP- and DBP-night-peakers and DBP-nondippers. I stage of HF significantly prevailed in all groups, accounting for half and more of all cases. Stage IIA was more common among SBP-night-peakers and DBP-nondippers, III stage – among SAD-nondippers, DBP-dippers and PP-night-peakers and didn’t exceed 1/10 of all cases. Chronic HF FC I met with the greatest frequency in groups of SBP- and DBP-night-peakers, II FC – in the group of DBP-nondippers, III FC - among DBP-dippers. Different frequency ratio of AH clinical signs dependently of SBP, DBP and PP daily profiles requires that in AH diagnosis, prognosis and monitoring of treatment all their multitude should be takeт into consideration, but not only SBP diurnal profiles alone.
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References
Turner J. R. Ambulatory Blood Pressure Monitoring in Clinical Practice: A Review / J. Rick Turner, Anthony J. Viera, Daichi Shimbo // The American Journal of Medicine. – 2015. – Vol 128. – № 1. – P. 14–20
Hermida R. 2013 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.
Tominа O.E. Heart rate variability in patients with hypertension, comorbid with peptic ulcer disease, taking into account circadian systolic blood pressure / О. E. Tominа, O. Yu. Bichkova, G. M. Fomych [at al.] // Journal of V. N. Karazin` KhNU, Series «Medicine». – 2012 – Issue 24– P. 52–62.
Soldatenko I.V. Efficacy of cormobid octeoarthrosis with arterial hypertension control considering the types of orthostatic reactions and carcadian profiles of arterial pressure / I. V. Soldatenko, N. V. Lysenko, O. E. Tomina [at al.] // Journal of V. N. Karazin` KhNU, Series «Medicine». – 2013 – Issue 25. – P. 47–53.
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.
Dart A.M. Pulse Pressure. A Review of Mechanisms and Clinical Relevance / Anthony M. Dart, Bronwyn A. Kingwell // Journal of the American College of Cardiology. – 2001. – Vol. 37. – № 4. – P. 975–984
Petrenko E.V. Daily blood pressure profiles in patients with arterial hypertension: is it enough to use systolic blood pressure only / Petrenko E.V., Yabluchansky N.I. // Journal of V. N. Karazin` KhNU, Series «Medicine». – 2015 – Issue 30 – P. 21–24.
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, Y. M. Sіrenko // Ukraine Association of cardiologists, 2007, 128 p.
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.
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