AMBULATORY BLOOD PRESSURE MONITORING IN IN-TREATED HYPERTENSIVES: WHAT ARE THE TARGET PARAMETERS

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AMBULATORY BLOOD PRESSURE MONITORING IN IN-TREATED HYPERTENSIVES: WHAT ARE THE TARGET PARAMETERS

Journal Title: World Science - Year 2017, Vol 4, Issue 12

Abstract

Ambulatory blood pressure monitoring (ABPM) as out-of-office method of evaluation blood pressure (BP) is recommended in guidelines for the practical clinical use of the diagnosis and management of hypertension. However, there is poor information about the algorithm of ABPM analysis strategy in treated cohort individuals. To this purpose, we analyzed 150 ABPM records in hypertensive individuals with essential hypertension. We have selected ABPM data in 150 patients conducted ABPM with a bifunctional recorder (Incart, S.-P., RF) using an oscillometric method. For analyzing matter, we defined awake and asleep periods as the fixed periods of time (from 9:00 AM to 9:00 PM as day time and from 01:00 to 06:00 AM as a nighttime period). We have also calculated BP averages for systolic BP (SBP), diastolic BP (DBP) and pulse pressure (PP) for 24-h, day and nighttime periods. Moreover, we calculated sleep-through morning surge as the average morning SBP minus moving lowest nocturnal SBP [5], a dipping status and SBPnight variability. Results. The age of participants was 61 (10,4) yrs, 54 % was male. We found average SBPday < 135 mmHg and/or average DBPday< 85 mmHg in 53 cases. In that subgroup SBPnight variability < 12.2 mmHg, average PBP24 < 53 mmHg, sleep-through morning surge < 37mmHg and a dipping status was found in 11 cases. Conclusion. In this retrospective study 35 % of hypertensive subjects achieve target level of ABPM component basis on a day-time BP and only 7 % of subjects in the same hypertensive population reach target level of five ambulatory BP parameters as pulse presse, morning surge, dipping status and SBP variability in night period.

Authors and Affiliations

V. D. Syvolap, S. P. Zhemanyuk, L. V. Lukashenko

Keywords

Ambulatory blood pressure monitoring; ABPM; arterial hypertension; blood pressure; target parameters

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