León AJL, Curbelo LM, Hidalgo CT, Yanes QMA, Calderín BRO

Language: Spanish
References: 0
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ABSTRACT

Introduction and objectives: Chronic ischemic heart disease is one of the complications of arterial hypertension. Ambulatory blood pressure monitoring allows studying the different circadian patterns of blood pressure, but there is not enough evidence linking chronic ischemic heart disease with different circadian patterns. This research was carried out with the purpose of characterizing the behavior of circadian patterns of blood pressure in patients with essential arterial hypertension and chronic ischemic heart disease.
Methods: Descriptive and transversal research in 68 hypertensive patients with chronic ischemic heart disease who underwent ambulatory monitoring of blood pressure. The different circadian patterns of blood pressure were related to the different forms of chronic ischemic heart disease and to the control of blood pressure.
Results: In the sample, women (60.3%) predominated over men (39.7%), ages between 45 to 59 years (63.3%) and those 60 and over (36.7%). The 44.1% had no control of blood pressure, 45.6% were overweight and 38.2% were obese. Dipper in 42.6%, no dipper in 41.2%, dipper accentuated in 7.4% and reverse dipper in 8.8%. HTA upon awakening in 29 patients (42.6%), statistically significant in relation to the control of blood pressure (p = 0.033), but not with the different types of chronic ischemic heart disease studied.
Conclusions: A statistically significant relationship was found between HBP upon awakening and control of blood pressure.