English Українська
  • Main
  • Useful links
  • Information for Contributors
  • About
  • Editorial board

  • Article
    Kuzminova N.V., Ivankova A.V., Ivanov V.P., Lozinsky S.E., Knyazkova I.I., Gavrylyuk A.O.

    DAILY BLOOD PRESSURE PATTERN DISORDERS IN PATIENTS WITH STAGE II ESSENTIAL HYPERTENSION AND FREQUENT PREMATURE BEATS


    About the author: Kuzminova N.V., Ivankova A.V., Ivanov V.P., Lozinsky S.E., Knyazkova I.I., Gavrylyuk A.O.
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation 156 patients (65 men and 91 women) with stage II hypertension (stage II EH) were examined. The main group consisted of 124 of them, which according to the daily monitoring of the electrocardiogram had frequent supraventricular (SVPB) (74 persons) or ventricular PB (VPB) (50 persons). The comparison group included 32 patients with stage II EH without arrhythmia. It was established that patients with stage II EH and PB had significantly higher values of systolic (SBP) and diastolic blood pressure (DBP) during the day according to the data of daily blood pressure monitoring (DBPM). In patients with stage II EH, regardless of the presence of arrhythmia, there was a decrease in patients with dipper type and an increase in the number of pathological types of diurnal profile by SBP level, without a significant difference between the groups. In patients with stage II EH with PBs, the daily profile of non-dipper according to the DBP level was more frequent (p = 0.03). The presence of frequent VPB was associated with a predominance of the non-dipper profile in terms of DBT (76.0%, p = 0.0003) compared with patients with SVPB. The data obtained indicate a certain associative link between the disturbance of the diurnal BP profile, mainly DBT and the presence of PBs, namely in patients with stage II EH.
    Tags hypertension, supraventricular PB, ventricular PB, daily blood pressure monitoring, daily blood pressure profile
    Bibliography
    • Doshhicin VL. Lechenie bolnykh s zheludochkovymi aritmiyami. Russkiy meditsinskiy zhurnal. 2011; 18: 736-39. [in Russian]
    • Sіrenko JM. Hіpertonіchna khvoroba: dovіdkove vydannia. Kyiv: Zdorovya; 2013. 240 s. [in Ukrainian]
    • Sirenko JM. Recomendatsii ESC I ESH z likuvannia arterialnoyi hipertenziyi. Kyiv: Zaslavskyi OYu; 2019. 204 s. [in Ukrainian]
    • Svischenko JP, Mischenko LA. Nova kontseptsiya otsinky sertsevo-sudynnoho ryzyku za freminhemskymy kryteriyamy – vyznachennia viku sudyn. Pershyi dosvid vykorystannia v ukrainskiy populiatsii khvorykh na arterialnu hipertenziyu. Ukrainskyi kardiolohichnyi zhurnal. 2015; 5:95-103. [in Ukrainian]
    • Bogun FM, Crawford TC, Latchamsetty R. Ventricular arrhythmias in apparently normal hearts. Clinics reviev articles. 2016; 503-11.
    • Chopra HK, Chandra Praveen, Wander GS, Kumar Viveka. Atrial fibrillation update: a textbook of cardiology. 2017; 17:75-82.
    • Kuzminova NV, Ivankova AV, Lozinsky SE, Knyazkova II, Kulchytska OM, Gavriluk AO. State of kidney function and features of metabolic status changes in patients with different forms of extrasystols. Svit medicinu ta biologii. 2019; 3(69): 83-9. https://doi.org/10.26724/2079-8334-2019-3-69-83-89
    • Lip G, Coca A, Kahan T, Boriani G, Manolis AS, Olsen MH. [et al.] Hypertension and cardiac arrhythmias: a consensus document from the EHRA and ESC Council on Hypertension, endorsed by the HRS, Asia-Pacific Heart Rhythm Society APHRS and SOLEACE. Europace. 2017; 19 (6): 891-911. https://doi.org/doi:10.1093/europace/eux091.
    • Mann DL, Felker MG. Heart failure. A companion to braunwald’s heart disease. 2014; 12: 195-218.
    • Purmah Y, Proietti M, Laroche C, Mazurek M, Tahmatzidis D, Novo S. Rate vs. rhythm control and adverse outcomes among European patients with atrial fibrillation. Europace. 2017; 19 (3): 241-50. PMID: 28160483. DOI: 10.1093/europace/euw421.
    • Zeng Z, Zhou R, Lian O. Comparison of arrhythmias different left ventricular geometric patterns in essential. J. Tongji. Med. Univ. 2011; 21(2): 93-6.
    Publication of the article «World of Medicine and Biology» №1(71), 2020 year, 072-077 pages, index UDK 616-072.7: 616.12-008.331.1: 616.12-008.318.4
    DOI 10.26724/2079-8334-2020-1-71-72-77