Quantitative diagnostic criteria of hypertension according to 24-hour blood pressure monitoring
https://doi.org/10.18705/1607-419X-2010-16-1-104-107
Abstract
Objective. To study the opportunities of 24-h blood pressure (BP) monitoring in verifi cation of arterial hypertension
(AH). Design and methods. The retrospective analysis of the 24-hour BP monitoring results of 395 patients was performed.
Sensitivity and specifi city of the hypertensive indices were studied. Results. Ambulatory BP monitoring revealed 90 % of
patients, who had BP over 140/90 mm Hg; however within 100 % sensibility, specifi city of this method was only 17 %.
Based on the average daily BP (over 130/80 mm Hg) AH was verifi ed in 51 %. This index has 100 % sensitivity and 64 %
specifi city. According to the time hypertensive indices (HISx и HIDx ≥ 50 %) that show the same specifi city and sensitivity
AH was established in 28 %, but these values ranging from 30 to 50 % made diffi cult the interpretation of the results The
maximal density of BP, refl ecting the range of systolic and diastolic BP values at 10 mm Hg stepout, demonstrates both
presence and stage of AH with the specifi city and sensitiviy 82 and 87 % respectively. Conclusion. The application of
several highly sensitive and specifi c quantitative indices of 24-h BP monitoring in complex diagnostic approach allows
diagnosing AH.
(AH). Design and methods. The retrospective analysis of the 24-hour BP monitoring results of 395 patients was performed.
Sensitivity and specifi city of the hypertensive indices were studied. Results. Ambulatory BP monitoring revealed 90 % of
patients, who had BP over 140/90 mm Hg; however within 100 % sensibility, specifi city of this method was only 17 %.
Based on the average daily BP (over 130/80 mm Hg) AH was verifi ed in 51 %. This index has 100 % sensitivity and 64 %
specifi city. According to the time hypertensive indices (HISx и HIDx ≥ 50 %) that show the same specifi city and sensitivity
AH was established in 28 %, but these values ranging from 30 to 50 % made diffi cult the interpretation of the results The
maximal density of BP, refl ecting the range of systolic and diastolic BP values at 10 mm Hg stepout, demonstrates both
presence and stage of AH with the specifi city and sensitiviy 82 and 87 % respectively. Conclusion. The application of
several highly sensitive and specifi c quantitative indices of 24-h BP monitoring in complex diagnostic approach allows
diagnosing AH.
About the Authors
E. M. Khurs
Ural State Medical Academy
Russian Federation
Russian Federation
P. V. Andreev
Ural State Medical Academy
Russian Federation
Russian Federation
A. V. Poddubnaya
Ural State Medical Academy
Russian Federation
Russian Federation
M. G. Evsina
Ural State Medical Academy
Russian Federation
Russian Federation
O. G. Smolenskaya
Ural State Medical Academy
Russian Federation
Russian Federation
References
1. Чазова И.Е. Руководство по артериальной гипертензии. - М.: Медицина, 2005. - 112 с.
2.
3. Рекомендации Российского медицинского общества по арте- риальной гипертонии и Всероссийского научного общества кардио- логов // Кардиоваск. терапия и профилактика. - 2008. - Т. 7, № 6 (приложение 2). - С. 35.
4.
5. Рекомендации по диагностике и лечению артериальной ги- пертензии Европейского общества по артериальной гипертензии и Европейского общества кардиологов // Артериальная гипертензия. - 2004. - T. 10, № 2. - C. 65-97.
6.
7. Lenfant C. Гипертензия и ее последствия: состояние проблемы в мире // Артериальная гипертензия. - 2005. - T. 11, № 2. - C. 15.
8.
9. Шальнова С.А., Баланова Ю.А., Константинов В.В. и др. Артериальная гипертония: распространенность, осведомленность, прием антигипертензивных препаратов и эффективность лечения среди населения Российской Федерации // Рос. кардиол. журн. - 2006. - T. 4. - C. 45-50.
10.
11. Mancia G., Zanchetti A. 100 лет аускультативному методу измере- ния артериального давления: к юбилею Н.С. Короткова // Артериальная гипертензия. - 2005. - T. 11, № 2. - C. 3-5.
12.
13. Rugnath T., Pillay B.J., Cassimjee M.H. Twenty-four hour ambulatory blood pressure monitoring in general practice // S. Afr.Med J. - 2000. - Vol. 90, № 9. - P. 898-904.
14.
15. Рогоза А.Н., Ощепкова Е.В., Цагареишвили Е.В. и др. Современ- ные неинвазивные методы измерения артериального давления для диа- гностики артериальной гипертонии и оценки эффективности антиги- пертензивной терапии. - Глава 6. - М.: Медика, 2007. - С. 9-14.
16.
17. Chrysant S.G. Treatment of white coat hypertension // Curr. Hypertens. Rep. - 2000. - Vol. 2, № 4. - P. 412-417.
18.
19. Boggia J., Li Y., Thijs L. et al. Prognostic accuracy of day versus night ambulatory blood pressure: a cohort study // Lancet. - 2007. - Vol. 370, № 9594. - P. 1219-1229.
20.
21. Гаджиев А.Н. Гипертензия белого халата // Клинич. меди- цина. - 2004. - T. 2 - C. 15-19.
22.
23. Котовская Ю.В., Кобалава Ж.Д. Суточное мониторирование артериального давления в клинической практике: не переоцениваем ли мы его значение? // Артериальная гипертензия. - 2004. - Т. 10, № 1. - С. 5-12.
24.
25. Рогоза А.Н. Суточное мониторирование артериального давле- ния // Сердце. - 2002. - Т. 1, № 5. - С. 240-242.
26.
27. Chobanian A.V., Bakris G.L., Black H.R. et al. Seventh report of the Joit national committee on prevention, detection, evaluation, and treatment of high blood pressure. JNC-7. Complete version // Hypertension. - 2003. - Vol. 42, № 6. - P. 1206-1252.
28.
29. Реброва О.Ю. Статистический анализ медицинских данных. Применение пакета прикладных программ STATISTIСA. - М.: Ме- диаСфера, 2003. - 312 с.
30.
Review
For citations:
Khurs E.M., Andreev P.V., Poddubnaya A.V., Evsina M.G., Smolenskaya O.G. Quantitative diagnostic criteria of hypertension according to 24-hour blood pressure monitoring. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2010;16(1):104-107. (In Russ.) https://doi.org/10.18705/1607-419X-2010-16-1-104-107
Views:
1784
Email this article 