Архивъ внутренней медицины (Dec 2014)

КОНТРОЛЬ ЭФФЕКТИВНОСТИ ГИПОТЕНЗИВНОЙ ТЕРАПИИ: СОПОСТАВЛЕНИЕ ОФИСНЫХ ИЗМЕРЕНИЙ И ПОКАЗАТЕЛЕЙ СУТОЧНОГО МОНИТОРИРОВАНИЯ АРТЕРИАЛЬНОГО ДАВЛЕНИЯ

  • Г. Е. Ройтберг,
  • И. Д. Сластникова,
  • О. Е. Платонова

DOI
https://doi.org/10.20514/2226-6704-2014-0-6-14-19
Journal volume & issue
Vol. 0, no. 6
pp. 14 – 19

Abstract

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We analyzed data of ambulatory blood pressure monitoring (ABPM) in 58 treated hypertensive patients with well-controlled office BP. It was demonstrated the high prevalence of masked uncontrolled hypertension (31%) and a blunted nighttime BP decline (38%), associated with a poor treatment efficiency and a high risk of cardiovascular events. These findings were observed more often in aged patients with carbohydrate metabolism disorder, obesity and myocardial hypertrophy. In addition to office BP measurement ABPM should be a priority for patients with elevated CVD risk to assess the effect of hypotensive treatment.

Keywords