[Masked Arterial Hypertension in Employed Adult Women: Aspects of Screening and Prognostication].

Masked (M) hypertension (H) remains an unsolved problem of cardiology. Gender aspects of MH require further pathogenetic deciphering and clinical interpretation. We used breathe-hold test and 24-hour blood pressure (BP) monitoring for detection of MH in 275 female middle- aged employees. MH Prevalence of MH was 7.7%. Special clinical and pathogenetic characteristics of MH in studied sample were as follows: high sensitivity of mean hemodynamic BP; body mass index increase, tendency to elevation of fasting glycaemia and lowering of glomerular filtration rate, more frequent presence of dyslipidemia in comparison with normotensive patients, absence of association with levels of anxiety and depression. Ten year risk of fatal cardiovascular events in women with MH was comparable with that among female patients with overt hypertension (0.76 vs 0.68 %). Received data became a basis for elaboration of screening programs of early detection and prevention of H.

[Combined Antihypertensive Therapy in Patients at High Risk].

Presents opportunities to increase the effectiveness of combination antihypertensive therapy (AHT) in patients with arterial hypertension (AH) and high cardiovascular risk. Displaying increase in the proportion of patients with target blood pressure up to 82.4%; high commitment combined AHT (96%) and medical recommendations for lifestyle changes (54%) using the power of information computer technology (ICT) in order to carry out continuous monitoring of blood pressure and other risk factors (RF), commitment to the patients drug and non-drug assignments. Thus, ICT can be seen as a tool that can give a real idea of the scale and nature of the deviation from the medical recommendations that can serve as a basis for personalized AHT.