PECULIARITIES OF DIURNAL BLOOD PRESSURE PROFILE IN PATIENTS WITH ARTERIAL HYPERTENSION, PREDIABETESAND TYPE 2 DIABETES

Сеченовский вестник

M. V. Skibitskaya¹  A. V. Fendrikova²  S. R. Gutova² 

[1] City polyclinic № 3;Kuban State Medical University;

关键词: arterial hypertension;    diabetes;    prediabetes;    diurnal blood pressure profile;   

DOI  :  

来源: DOAJ

【 摘 要 】

The purpose of this study is to assess the features ofdiurnalblood pressure profile(DBPP) in patients with arterial hypertension (AH)andprediabetes or type 2 diabetes. The study included 133 patients with AH, 30 without disturbed carbohydrate metabolism, 73with prediabetes and 30 with type 2 diabetes. All patientsunderwent 24-hourblood pressure monitoring (BPM) usingthe BPLab Vasotenscomplex.The study concluded that in patients with AH in combination with prediabetes the DBPP parameterswere comparable to those of patients with AH and type 2 diabetes. Furthermore, in case of disturbed carbohydrate metabolism most parameterswerereliably higher than those with isolated AH,at that the most significant differences were in the parameters of pulsatile, systolic and diastolicbloodpressure (SBP and DBP), mainly at night. It is important that in patients with AH with disturbed carbohydrate metabolism a more pronounced «pressure load» was detected, predominantly at night. When assessing the diurnalprofile in patients with AHwith prediabetes, an unfavorabletype of the «non-dipper» curve was more often detected, as in patients with type 2 diabetes. Thereby, in patients with AH in combination with prediabetes, unlike to patients without disturbed carbohydrate metabolism, there were more significant pathological changes in the parameters of the DBPP, which were comparable to those with AH and type 2 diabetes.

【 授权许可】

Unknown