Hypertension and Masked Hypertension in a Small Town in Central Italy Revealed Using Ambulatory Blood Pressure Monitoring: A Descriptive Observational Study.
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Date
2015
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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 and Participants: From February 2011 to February 2013 we carried out the prospective
evaluation of 127 participants: 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 and Conclusion: 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.
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Keywords
Blood pressure monitoring ambulatory, ABPM, hypertension, masked-hypertension
Citation
Lazzarini Davide, Ioli Giorgio. Hypertension and Masked Hypertension in a Small Town in Central Italy Revealed Using Ambulatory Blood Pressure Monitoring: A Descriptive Observational Study. British Journal of Medicine and Medical Research. 2015; 5(8): 1060-1065.