Masked hypertension in young patients
https://doi.org/10.18705/1607-419X-2010-16-4-368-372
Abstract
Objective. To study the benefits of 24-hour blood pressure monitoring (ABPM) for diagnosing «masked» arterial hypertension (AH) in young men and characteristics of the blood pressure daily profile in this group. Design and methods. 224 men were examined; Among them 100 men were aged 18-30 years, mean age was 23,6 [22,8-24,3] years. Clinical study and instrumental (ABPM) examination were performed. Results and conclusions. It is reasonable to use ABPM as obligatory method to diagnose «masked» AH in young subjects, since in 1/3 cases ABPM data confirm AH when office BP is normal. Main types of alteration of night BP decrease included «over-dipper» (16,0 %) and «non-dipper» (33,0 %) types in young subjects, while «non-dipper» type was predominant (48,4 %) in middle-aged group.
About the Authors
V. S. Bubnova
Chelyabinsk State Medical Academy
Russian Federation
Russian Federation
I. I. Shaposhnik
Chelyabinsk State Medical Academy
Russian Federation
Russian Federation
References
1. Леонтьева И.В., Агапитов Л.И. Метод суточного мониторирования артериального давления в диагностике артериальной гипертензии у детей // Рос. вестн. перинатологии и педиатрии. - 2000. - № 2. - С. 32-38.
2.
3. Профилактика, диагностика и лечение артериальной гипертензии. Российские рекомендации (третий пересмотр), разработаны комитетом экспертов ВНОК // Кардиоваск. терапия и профилактика. - 2008. - Т. 7, № 6, прил. 2. - С. 3-30.
4.
5. Pickering T.G. The clinical significance of diurnal blood pressure variations: dippers and non-dippers // Circulation. - 1990. - Vol. 81, № 2. - P. 700.
6.
7. Verdecchia P., Schillaci G., Gatteschi C. et al. Blunted noctural faal in blood pressure in hypertensive women with future cardiovascular morbid events // Circulation. - 1993. - Vol. 88, № 3. - P. 986-992.
8.
9. Кисляк О.А. Принципы диагностики и лечения артериальной гипертензии у подростков и лиц молодого возраста // Актуальные вопр. артериальной гипертензии. - 2004. - № 9. - С. 4-10.
10.
11. Ohkudo T., Imai Y., Tsuji I. et al. Nocturnal decline in blood pressure. In combination with 24 hour blood pressure, better predicts future death: The Ohasama study // J. Hypertens. - 1998. - Vol. 16 (Suppl. 2). - P. 35.
12.
Review
For citations:
Bubnova V.S., Shaposhnik I.I. Masked hypertension in young patients. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2010;16(4):368-372. (In Russ.) https://doi.org/10.18705/1607-419X-2010-16-4-368-372
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