Factors influencing the difference between office and ambulatory blood pressure measurements
Aim. То identify psychological predictors and quality of life (QoL) indicators affecting the difference between office and ambulatory blood pressure (BP), as well as the effects of long-term antihypertensive treatment on this difference.Material and methods. The database for 8 studies with similar d...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
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«SILICEA-POLIGRAF» LLC
2009-02-01
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| Series: | Кардиоваскулярная терапия и профилактика |
| Subjects: | |
| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/1153 |
| _version_ | 1797882662963118080 |
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| author | G. F. Andreeva A. D. Deev V. M. Gorbunov |
| author_facet | G. F. Andreeva A. D. Deev V. M. Gorbunov |
| author_sort | G. F. Andreeva |
| collection | DOAJ |
| description | Aim. То identify psychological predictors and quality of life (QoL) indicators affecting the difference between office and ambulatory blood pressure (BP), as well as the effects of long-term antihypertensive treatment on this difference.Material and methods. The database for 8 studies with similar design was analysed, including the data on 204 patients with arterial hypertension (AH), who took diltiazem, amlodipine, betaxolol, moxonidine, enalapril, lisinopril, metopro-lol, ortelmisartanfor 1—3 months. Mean age ofthe participants was 53,2±8,7 years, mean AH duration — 10,6±8,6 years. At baseline and after the treatment end, 24-hour BP monitoring (BPM), QoL and psychological status (PS) assessment were performed.Results. All medications significantly reduced systolic and diastolic BP (SBP, DBP). The office-ambulatory BP difference negatively correlated with QoL scales IV and H, as well as with PS scales F and 6, being positively correlated with PS scales 3, 4, F, and 7. Metoprolol therapy reduced the office ambulatory BP difference: for SBP — from 12,6±2,8 to 0,8±2,8 mm Hg, for DBP — from 10,4±1,8 to 3,0±1,8 mm Hg. Amlodipine reduced this parameter for SBP from 11,9±3,0 to 3,8±3,0 mm Hg.Conclusion. The office-ambulatory BP difference increased when PS scales 3, 4, K, and 7 increased, and decreased when PS scales F and 6 or QoL scales IV and H decreased. Out of all antihypertensive medications studied, only metoprolol and amlodipine monotherapy significantly reduced the office-ambulatory BP difference. |
| first_indexed | 2024-04-10T03:39:22Z |
| format | Article |
| id | doaj.art-5138e01add664059a0c1e7c166568d91 |
| institution | Directory Open Access Journal |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| last_indexed | 2024-04-10T03:39:22Z |
| publishDate | 2009-02-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj.art-5138e01add664059a0c1e7c166568d912023-03-13T07:23:16Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252009-02-01816774865Factors influencing the difference between office and ambulatory blood pressure measurementsG. F. Andreeva0A. D. Deev1V. M. Gorbunov2Государственный научно-исследовательский центр профилактической медициныГосударственный научно-исследовательский центр профилактической медициныГосударственный научно-исследовательский центр профилактической медициныAim. То identify psychological predictors and quality of life (QoL) indicators affecting the difference between office and ambulatory blood pressure (BP), as well as the effects of long-term antihypertensive treatment on this difference.Material and methods. The database for 8 studies with similar design was analysed, including the data on 204 patients with arterial hypertension (AH), who took diltiazem, amlodipine, betaxolol, moxonidine, enalapril, lisinopril, metopro-lol, ortelmisartanfor 1—3 months. Mean age ofthe participants was 53,2±8,7 years, mean AH duration — 10,6±8,6 years. At baseline and after the treatment end, 24-hour BP monitoring (BPM), QoL and psychological status (PS) assessment were performed.Results. All medications significantly reduced systolic and diastolic BP (SBP, DBP). The office-ambulatory BP difference negatively correlated with QoL scales IV and H, as well as with PS scales F and 6, being positively correlated with PS scales 3, 4, F, and 7. Metoprolol therapy reduced the office ambulatory BP difference: for SBP — from 12,6±2,8 to 0,8±2,8 mm Hg, for DBP — from 10,4±1,8 to 3,0±1,8 mm Hg. Amlodipine reduced this parameter for SBP from 11,9±3,0 to 3,8±3,0 mm Hg.Conclusion. The office-ambulatory BP difference increased when PS scales 3, 4, K, and 7 increased, and decreased when PS scales F and 6 or QoL scales IV and H decreased. Out of all antihypertensive medications studied, only metoprolol and amlodipine monotherapy significantly reduced the office-ambulatory BP difference.https://cardiovascular.elpub.ru/jour/article/view/1153артериальная гипертензияразличие между клиническим и амбулаторным адкачество жизнипсихологический статусантигипертензивная терапия |
| spellingShingle | G. F. Andreeva A. D. Deev V. M. Gorbunov Factors influencing the difference between office and ambulatory blood pressure measurements Кардиоваскулярная терапия и профилактика артериальная гипертензия различие между клиническим и амбулаторным ад качество жизни психологический статус антигипертензивная терапия |
| title | Factors influencing the difference between office and ambulatory blood pressure measurements |
| title_full | Factors influencing the difference between office and ambulatory blood pressure measurements |
| title_fullStr | Factors influencing the difference between office and ambulatory blood pressure measurements |
| title_full_unstemmed | Factors influencing the difference between office and ambulatory blood pressure measurements |
| title_short | Factors influencing the difference between office and ambulatory blood pressure measurements |
| title_sort | factors influencing the difference between office and ambulatory blood pressure measurements |
| topic | артериальная гипертензия различие между клиническим и амбулаторным ад качество жизни психологический статус антигипертензивная терапия |
| url | https://cardiovascular.elpub.ru/jour/article/view/1153 |
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