Masked arterial hypertension: prevalence, pathophysiological determinants and clinical significance

In most modern studies, masked arterial hypertension (MAH) is characterized as a poorly diagnosed, latent clinical condition predisposing to subclinical damage to target organs and an increased risk of cardiovascular complications. The prevalence of MAH among the population depends on gender, age, a...

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Main Authors: В. I. Geltser, V. N. Kotelnikov, О. О. Vetrova, R. S. Karpov
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2019-09-01
Series:Российский кардиологический журнал
Subjects:
Online Access:https://russjcardiol.elpub.ru/jour/article/view/3147
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author В. I. Geltser
V. N. Kotelnikov
О. О. Vetrova
R. S. Karpov
author_facet В. I. Geltser
V. N. Kotelnikov
О. О. Vetrova
R. S. Karpov
author_sort В. I. Geltser
collection DOAJ
description In most modern studies, masked arterial hypertension (MAH) is characterized as a poorly diagnosed, latent clinical condition predisposing to subclinical damage to target organs and an increased risk of cardiovascular complications. The prevalence of MAH among the population depends on gender, age, anthropometric and socioeconomic factors, profession, race and other characteristics. The most important risk factors (RF) of MAH and its pathophysiological determinants include genetic polymorphism, subclinical non-specific inflammation, hemostatic disorders, obesity, metabolic syndrome, water-salt imbalance, dyslipidemia, hyperuricemia. A defined value has latent dysfunction of the mechanisms that provide circulatory homeostasis, the detection of which is possible by the hemodynamic response to psycho-emotional, hypoxic, hypocapnic, orthostatic effects. Aggressiveness of RF exposure and the consequences of their implementation are evaluated by the rate of development of cardiovascular events and mortality, which indicate an unfavorable prognosis of “uncontrolled” MAH. The maximum reduction of the RF effects and rational pharmacotherapy can significantly improve its clinical prospects.
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spelling doaj.art-f94a098e10214781972a51fd286308412023-03-29T21:23:32Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202019-09-0109929810.15829/1560-4071-2019-9-92-982590Masked arterial hypertension: prevalence, pathophysiological determinants and clinical significanceВ. I. Geltser0V. N. Kotelnikov1О. О. Vetrova2R. S. Karpov3Far Eastern Federal UniversityFar Eastern Federal UniversityFar Eastern Federal UniversityTomsk National Research Medical CenterIn most modern studies, masked arterial hypertension (MAH) is characterized as a poorly diagnosed, latent clinical condition predisposing to subclinical damage to target organs and an increased risk of cardiovascular complications. The prevalence of MAH among the population depends on gender, age, anthropometric and socioeconomic factors, profession, race and other characteristics. The most important risk factors (RF) of MAH and its pathophysiological determinants include genetic polymorphism, subclinical non-specific inflammation, hemostatic disorders, obesity, metabolic syndrome, water-salt imbalance, dyslipidemia, hyperuricemia. A defined value has latent dysfunction of the mechanisms that provide circulatory homeostasis, the detection of which is possible by the hemodynamic response to psycho-emotional, hypoxic, hypocapnic, orthostatic effects. Aggressiveness of RF exposure and the consequences of their implementation are evaluated by the rate of development of cardiovascular events and mortality, which indicate an unfavorable prognosis of “uncontrolled” MAH. The maximum reduction of the RF effects and rational pharmacotherapy can significantly improve its clinical prospects.https://russjcardiol.elpub.ru/jour/article/view/3147masked arterial hypertensionprevalencerisk factorsclinical significance
spellingShingle В. I. Geltser
V. N. Kotelnikov
О. О. Vetrova
R. S. Karpov
Masked arterial hypertension: prevalence, pathophysiological determinants and clinical significance
Российский кардиологический журнал
masked arterial hypertension
prevalence
risk factors
clinical significance
title Masked arterial hypertension: prevalence, pathophysiological determinants and clinical significance
title_full Masked arterial hypertension: prevalence, pathophysiological determinants and clinical significance
title_fullStr Masked arterial hypertension: prevalence, pathophysiological determinants and clinical significance
title_full_unstemmed Masked arterial hypertension: prevalence, pathophysiological determinants and clinical significance
title_short Masked arterial hypertension: prevalence, pathophysiological determinants and clinical significance
title_sort masked arterial hypertension prevalence pathophysiological determinants and clinical significance
topic masked arterial hypertension
prevalence
risk factors
clinical significance
url https://russjcardiol.elpub.ru/jour/article/view/3147
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AT vnkotelnikov maskedarterialhypertensionprevalencepathophysiologicaldeterminantsandclinicalsignificance
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AT rskarpov maskedarterialhypertensionprevalencepathophysiologicaldeterminantsandclinicalsignificance