Hypertension and Masked Hypertension in a Small Town in Central Italy Revealed Using Ambulatory Blood Pressure Monitoring: A Descriptive Observational Study.
Br J Med Med Res
;
2015; 5(8): 1060-1065
Article
in English
| IMSEAR
| ID: sea-176020
ABSTRACT
Objective:
To evaluate the anamnestic prevalence of hypertension and the number of subjects with high blood pressure independently by clinical history; quantify how many subjects are in our population with masked hypertension.Design:
Descriptive observational study with simple random sampling of residents in Santarcangelo di Romagna. Setting andParticipants:
From February 2011 to February 2013 we carried out the prospective evaluation of 127participants:
59 females and 68 males, whose average age was 64 years (range 51 - 80). We performed office blood pressure, ambulatory blood pressure monitoring (ABPM) and recorded clinical history. Results andConclusion:
Our population was made of 62 cases with anamnesis of high blood pressure (the anti-hypertensive treatment works only in 79% cases) and of 65 persons without anamnestic hypertension. In this sub-population in 9 cases the office measurement performed before ABPM was normal, but ABPM found high values of blood pressure night time, and an increased average value, condition compatible with a MH diagnosis. The implications are that there is a substantial number of people in the general population who has untreated hypertension and an increased risk of cardiovascular disease that requires serious consideration. The results obtained in this work, in our opinion, suggest a more intensive use of ABPM in the management of patients with high blood pressure or without hypertension but with organ damage difficult to explain, particularly in diabetics and smokers.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Type of study:
Observational study
Language:
English
Journal:
Br J Med Med Res
Year:
2015
Type:
Article
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