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AUTOMATED - 24 H BLOOD PRESSURE PARAMETERS EVALUATED * IN A *GROUP OF PATIENTS WITH ESSENTIAL HYPERTENSION

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Information about AUTOMATED - 24 H BLOOD PRESSURE PARAMETERS EVALUATED * IN A *GROUP...
Health & Medicine

Published on March 6, 2014

Author: cezar1962

Source: slideshare.net

Description

ABPM in HPB evaluation of young male patients
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AUTOMATED - 24 H BLOOD PRESSURE PARAMETERS EVALUATED IN A GROUP OF PATIENTS WITH ESSENTIAL HYPERTENSION A. ANDRITOIU , G. ANDRITOIU, M. SURDULESCU, N. GAVRILA MILITARY HOSPITAL - CRAIOVA DEPARTAMENT OF INTERNAL MEDICINE

OBJECTIVE • to quantify the pulsatile , tonic and variability parameters by ABPM - 24 h in the absence of treatment, in a group of patients with arterial hypertension

METHODS • monitor evaluation - oscillometric device INNOMED- EBPM ( Hungary ) • record BP every * 15 min. ; daytime 7.00 - 22.00 ** 60 min. ; night - time 22.00 - 7.00 • comparing to upper limits of the normal ( control subjects) BP daytime 130 / 85 mmHg BP night- time 125 / 80 mmHg

STUDY GROUP • no . of pts. = 45 ( 84 % males ) • mean age : 50,4 +/- 12,5 ( 32 - 77 yr) • BMI : 26,8 +/- 3,4 ( 21-- 34 Kg/m2) • history of HBP = 1 - 15 yr • office BP (mmHg) SBP = 173,4 +/- 12,6 DBP = 109,5 +/- 13,4

RESULTS PARAMETER SBP (mmHg) DBP (mmHg) MAP(mmHg) PP (mmHg) HR ( mmHg) DAYTIME NIGHT-TIME 138,3 +/- 17,6 128,2 +/- 20,1 89,6 +/- 18,1 80,0 +/- 19,7 105,6 +/- 17,7 96,0 +/- 19,4 48,3 +/- 8,0 46,7 +/- 9,6 71,7 +/- 12,4 63,5 +/- 11,4 24 - H 136,5 +/- 17,4 87,6 +/- 17,9 103,8 +/- 17,3 48,1 +/- 8,1 70,1 +/- 12,0

VARIABILITY PARAMETERS • • • • • DI - MAP ……………………..9,6 +/- 7 % SBP-SD / 24 h ………. 13,4 +/- 4,7 mmHg DIPPER ……………………………. 56 % NON- DIPPER ……………………...44 % BP LOAD = mean 41,4 +/- 4% ( 0 - 100 %)

PATTERNS OF HBP ( ABPM method) 40 % 28 % 24 % 8% WCH EPISODIC SUSTAINED DIURNAL

ACCURACY ( 1381 readings) 17% 83%

CONCLUSIONS • ABPM may offer supplemental informations concerning the type and severity of arterial hypertension in pre - treatment phase of clinical evaluation ; • the dipper and sustained form is more frecquently in essential HBP, but the white coate or episodic HBP are also frecquently encountered ; • the accuracy of ABPM device is a important aspect in this diagnostic procedure .

CONCLUSIONS • ABPM may offer supplemental informations concerning the type and severity of arterial hypertension in pre - treatment phase of clinical evaluation ; • the dipper and sustained form is more frecquently in essential HBP, but the white coate or episodic HBP are also frecquently encountered ; • the accuracy of ABPM device is a important aspect in this diagnostic procedure .

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