DETERMINANTS OF SUBOPTIMAL BLOOD PRESSURE CONTROL IN HYPERTENSIVE PATIENTS: ۲۴-HOUR AMBULATORY BLOOD PRES-SURE MONITORING

  • سال انتشار: 1387
  • محل انتشار: مجله آریا آترواسکلروز، دوره: 3، شماره: 4
  • کد COI اختصاصی: JR_RYA-3-4_007
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 222
دانلود فایل این مقاله

نویسندگان

Mansoor Moazenzadeh

MD. Assistant Professor of Cardiology, Kerman Physiology Research Center (KPRC), Kerman University of Medical Sciences, Kerman.

Ali Mirzazadeh

MD. MPh. Kerman Physiology Research Center (KPRC), Kerman University of Medical Sciences, Kerman, Iran.

Pooria Salari

MD. Research Assistant, Kerman Physiology Research Center (KPRC), Kerman University of Medical Sciences, Kerman, Iran.

چکیده

Abstract    INTRODUCTION: The study was conducted to define the determinants of suboptimal blood pressure (BP) control among hypertensive patients under treatment and explore a predictive model for detecting the patients at risk for increased BP.    METHODS: We enrolled ۹۷ patients (۴۰ males, ۵۷ females) under treatment for hypertension between June ۲۰۰۶ and May ۲۰۰۷ in Shafa hospital, Kerman, Iran. BP was measured at clinic twice within ۵-minute intervals. After setting up ambulatory blood pressure monitoring (ABPM), BP was measured at ۳۰-minute intervals during the day and ۶۰-minute intervals during the night. The frequency of increased BP (more than ۱۴۰/۹۰ mmHg) was included in a regression model as dependent variable and all the others such as age, sex, body mass index (BMI), drugs and baseline clinical measurements as the predictors.    RESULTS: Increased BP was detected in ۴۴% (۹۵% CI: ۳۸.۷۹%-۴۹.۶۵%) of all measurements during ۲۴-hour monitoring. The frequency of increased BP had a significant relationship with BMI (b=۰.۳۵, P=۰.۰۰۱). Clinic's pulse pressure was a significant predicting factor for BP increase (P=۰.۰۲).    CONCLUSION: BMI and pulse pressure are the best predictors for being hypertensive during lifetime. Ineffective treatment of hypertension is frequent among the hypertensive patients.      Keywords: Blood pressure control, Pulse pressure, Ambulatory blood pressure monitoring (ABPM), BMI.

کلیدواژه ها

اطلاعات بیشتر در مورد COI

COI مخفف عبارت CIVILICA Object Identifier به معنی شناسه سیویلیکا برای اسناد است. COI کدی است که مطابق محل انتشار، به مقالات کنفرانسها و ژورنالهای داخل کشور به هنگام نمایه سازی بر روی پایگاه استنادی سیویلیکا اختصاص می یابد.

کد COI به مفهوم کد ملی اسناد نمایه شده در سیویلیکا است و کدی یکتا و ثابت است و به همین دلیل همواره قابلیت استناد و پیگیری دارد.