Introduction: BP assessed by ABPM is better related to TOD than office measurement. Evaluate TOD patients presented at a Hypertension Lab for first screening. Methods: 353 hypertensive (188 Female, aged 19-89) by 24h-ABPM (SpaceLabs 90307), lab. tests, LVMIU by Echo (Terason, M3000), Divided in two groups: Controlled [C] by 24h-BP (<130x80 mmHg) and Not controlled [NC] (>130/80 mmHg), albuminuria (ALB). Results: Table shows no difference detected in lab panel, except Glu, Trygl, ALB and LVMI. Discussion: Expected Higher, Glu, trygl, ALB levels and LVMI, in NC group, with significant statistical differences comparing C group. Expected because the high blood pressure are the trigger to TOD. Conclusion: Screening with 24-h ABPM is a valuable tool to hypertensives patients and should be used more frequently to prevent TOD progression.
BP assessed by ABPM is better related to TOD than office measurement. Evaluate TOD patients presented at a Hypertension Lab for first screening. Methods: 278 hypertensive (147 Female, aged 19-89) by 24h-ABPM (SpaceLabs 90307), lab. tests, LVMI by Echo (Terason M3000); Divided in two groups: Controlled [C] by 24h-BP (<130x80 mmHg) and Not controlled [NC] (>130/80 mmHg), albuminuria (ALB) was log transformed in order to allow proper analysis. Dipping pattern 24h-ABPM: dipper (DP) (>10- 20%), nondipper-absente (NDP) (<10%), reverse dipper (RDP)(> 20%). Results: Table 1 and 2 : Demography and ALB,LVMI. No differences detected in lab panel, except Glu, Trygl, ALB and LVMI. Discussion: Expected Higher LVMI, Glu, trygl, ALB levels, in NC group, with significant statistical differences comparing C group. Expected reverse dipping pattern would show differences when compared with dipper pattern but probably the small number of subjects didn’t allow detect such differences. Conclusion: Screening with 24-h ABPM is a valuable tool to hypertensives and dipper pattern should be achived to prevent TOD progression.
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