The impact of duration of the period of home blood pressure assessment on antihypertensive treatment efficiency in real clinical practice
DOI:
https://doi.org/10.15587/2519-4798.2016.80467Keywords:
arterial hypertension, arterial pressure, home arterial pressure antihypertensive treatmentAbstract
Aim. The assessment of diagnostic possibilities of protocols of home arterial pressure (AP) measuring of different duration for the control of antihypertensive therapy efficacy.
Methods. The data of home AP of 236 patients as to its value, frequency of attaining the recommended level and phenotype of arterial hypertension (AH) for 3–5–7 days of measuring were compared. The coefficients of Cohen’s kappa and Leen’s correlation coordination were studied.
Results. The coordination of mean AP values with the data of 7-days measuring was worsened most essentially at the reduction of measuring period to 3 days. The determination of home AP, according to the data of 5-days measuring comparing with 5-days one has no essential impact on the assessment of antihypertensive therapy efficacy as to the attainment of recommended level and establishing of AH phenotypes but worsens it at 3-days one.
Conclusion. The reduction of the period of home AP measuring from 7 to 3 and 5 days can influence the values of CAT and HAT at the beginning of treatment and in the case of 3 days period it can influence the diagnostic possibilities as to the efficacy control of antihypertensive therapy
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