Diagnostic value of the different schedules for the home blood pressure measurement for assessment of the efficiency of algorithmic anti-hypertensive therapy at the long-term observation over hypertensive patients

Authors

DOI:

https://doi.org/10.15587/2519-4798.2016.77914

Keywords:

arterial hypertension, arterial pressure, home arterial pressure, masked, uncontrolled hypertension

Abstract

Aim. The assessment of diagnostic possibilities of the protocols of the home arterial pressure (AP) measurement for the control of efficacy of anti-hypertensive therapy.

Methods. The data of home AP of 236 patients as to its value, frequency of attainment of recommended level and determination of phenotype of arterial hypertension (AH), received for 3-5-7 of measurement taking into account of the results of 1 day or without it, were compared. The coefficients: Cohen’s kappa and Lin’s coordination of correlation were determined.

Results. Taking into account of the data of the 1 day of measurement worsened the coordination of the mean AP values in 7 days of treatment not depending on the duration of measurement and did not influence in further. The coordination of data as to attainment of recommended level of home AT and AH phenotypes in the case of 7-days and 5-days measurement did not depend on taking into account of the data of 1 day, but worsened at 3-days one.

Concision. Taking into account of the data of 1 day of home AT measurement influences the diagnostic possibilities of the measurement protocols of the different term as to the control of efficacy of the long-term anti-hypertensive therapy at the beginning of treatment and in the case of 3-days period of measurement and is less essential at the long-term observation

Author Biographies

Катерина Миколаївна Амосова, O. O. Bogomoletz National Medical University Shevchenko blvd., 13, Kyiv, Ukraine, 01601

Doctor of Medical Sciences, professor, Corresponding Member of National Academy of Medical Sciences of Ukraine

Department of Internal Medicine № 2

rector

Юлія Володимирівна Руденко, O. O. Bogomoletz National Medical University Shevchenko blvd., 13, Kyiv, Ukraine, 01601

Candidate of Medical Sciences, associate professor

Department of Internal Medicine № 2

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Published

2016-09-30

How to Cite

Амосова, К. М., & Руденко, Ю. В. (2016). Diagnostic value of the different schedules for the home blood pressure measurement for assessment of the efficiency of algorithmic anti-hypertensive therapy at the long-term observation over hypertensive patients. ScienceRise: Medical Science, (9 (5), 41–51. https://doi.org/10.15587/2519-4798.2016.77914

Issue

No. 9 (5) (2016)

Section

Medical Science

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Copyright (c) 2016 Катерина Миколаївна Амосова, Юлія Володимирівна Руденко

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