Latent arterial hypertension and its relationship with cardiovascular risk in men with normal and high normal blood pressure levels
Abstract
The aim of the research was to reveal the frequency of latent arterial hypertension (LAG) and associated cardiovascular risk among practically healthy men aged 40–49 years with normal (NAD) and high normal BP (HNAD).
Material and methods. A one-time continuous examination of 332 men aged 40–49 years without signs of hypertension was performed according to the office blood pressure measurement with different blood pressure levels. Daily monitoring of blood pressure (BPM), assessment of risk factors for cardiovascular complications (FV MTR), and cardiovascular remodeling were performed.
Results. The prevalence of SAG among men aged 40–49 years with a continuous study was 19%, among the group with the HNAD — 24%, in the group with NAD 13%. In patients with HNAD, the presence of signs of AH according to BPM is recorded in a quarter of patients and is associated with the presence of structural and functional changes in the heart (LVH presence, an increase in the left atrium, a violation of systolic and diastolic function according to tissue dopplerography), vessels (an increase in TIM, relaxation disturbance Brachial artery) and kidney condition (increase in creatinine, a decrease in glomerular filtration rate). In patients with NAD, the presence of signs of AH according to BPM is not associated with FH MFD, features of the lipid metabolic profile and defeat of target organs.
Conclusions. BPM is a method of stratifying risk and selecting patients for in-depth study precisely in the case of a high normal office level of blood pressure. In the group of patients with normal arterial pressure, BPM is not a method of risk stratification and its conduct is clearly redundant.
About the Authors
E. A. Grigoricheva
South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
Yu. L. Bondareva
“PHILIPS” LLC
Russian Federation
Russian Federation
V. V. Evdokimov
South-Urals State Medical University
Russian Federation
Russian Federation
Chelyabinsk
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Review
For citations:
Grigoricheva E.A., Bondareva Yu.L., Evdokimov V.V. Latent arterial hypertension and its relationship with cardiovascular risk in men with normal and high normal blood pressure levels. Title in english. 2021;16(1):13-20. (In Russ.)
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