VALUE OF PARAMETERS OF DAILY MONITORING OF BLOOD PRESSURE IN PATIENTS WITH TYPE 2 DIABETES AND ARTERIAL HYPERTENSION
DOI:
https://doi.org/10.11603/2411-1597.2023.2.14324Keywords:
type 2 diabetes, hypertension, Holter blood pressure monitoringAbstract
Type 2 diabetes is considered an important risk factor for cardiovascular diseases. Blood pressure and body weight control is an important element in the system of measures to combat the development of possible cardiovascular complications in patients with type 2 diabetes.
The aim of the study – to analyze the features of the daily blood pressure index, indicators of daily monitoring of blood pressure (BP) in patients with type 2 diabetes and hypertension.
The main part. 25 patients aged 39–74 took part in the study. The first group included 13 patients with type 2 diabetes and hypertension. Of them, 4 men aged 61–72 years and 9 women aged 52–74 years. The second research group included 12 patients with type 2 diabetes – 7 female patients aged 39–66 year sand 5 male patients aged 41–64 years. The Heaco ABPM50 daily blood pressure monitor was used for the study. The measurement interval during sleep was 60 minutes, during the waking period 30 minutes. When determining the daily index, a profile of the “dipper” type was found in 4 examinees of the first group and 7 people of the second group; “non dipper” profile in 4 patients (group 1) and 5 patients, respectively, in group 2; “over dipper” and “night picker” profiles were determined only in patients of the first group (3 and 2 people, respectively). The average daily value of systolic and diastolic blood pressure in patients of group 1 was significantly higher than in patients of group 2. The average daily heart rate in patients of group 1 is slightly higher, but within the normal range and is 72.04 beats/min., 2 groups of subjects – 70.44 beats/min. The average daily rate of pulse pressure of the first group is 62.95, which exceeds the permissible limits, the indicators of the patients of the 2nd group are 45.93 units, which is within the permissible norm.
Conclusions. Analysis of Holter monitoring indicators shows significantly higher average daily values of blood pressure, pulse, pulse pressure in patients of the first group (type 2 diabetes and hypertension), which may be associated with a number of risk factors. It was determined that the monitoring of blood pressure parameters has a prognostic value and allows timely adjustment of the treatment of patients in order to prevent the development of complications
References
Potuzhnyi, I.A. (2013). Osoblyvosti klinichnoho perebihu arterialnoi hipertenzii u khvorykh na tsukrovyi diabet 2 typu [Features of the clinical course of arterial hypertension in patients with type 2 diabetes]. Master’s thesis: 14.01.12. Sumy. Retrieved from: http://essuir.sumdu.edu.ua/handle/123456789/33902 [in Ukrainian].
Maltsev, P.A., Katamadze, S.N., & Bobro, L.M. (2022). Vzaiemozviazok tsukrovoho diabetu 2 typu ta systemnoi arterialnoi hipertenzii [The relationship between type 2 diabetes and systemic arterial hypertension]. Scientific innovations in human life: Proceedings of VII International Scientific and Practical Conference, Manchester, UK, 78–84. Retrieved from: http://repo.knmu.edu.ua/handle/123456789/31378 [in Ukrainian].
Kobza, I.I., Didenko, O.Z., & Yavorskyi, O.H. (2018). Osoblyvosti dobovoho monitoruvannia arterialnoho tysku u khvorykh z arterialnoiu hipertenziieiu ta tsukrovym diabetom 2-ho typu do i pislia karotydnoi endarterektomii [Features of daily blood pressure monitoring in patients with hypertension and type 2 diabetes before and after carotid endarterectomy]. Eksperymentalna ta klinichna fiziolohiia i biokhimiia – Experimental and clinical physiology and biochemistry, 4, 62-67 [in Ukrainian]. DOI: https://doi.org/10.25040/ecpb2018.04.062
Didenko, O.Z. (2020). Osoblyvosti klinichnoho perebihu ta likuvannia arterialnoi hipertenzii u khvorykh z tsukrovym diabetom 2 typu ta stenozuiuchym aterosklerozom sonnykh arterii [Features of the clinical course and treatment of arterial hypertension in patients with type 2 diabetes and stenosing atherosclerosis of the carotid arteries]. Candidate’s thesis: 14.01.02. Lviv. Retrieved from: https://nauka.meduniv.lviv.ua/wp-content/uploads/disertatsiya_didenko.pdf [in Ukrainian].
Kovalova, O.N., & Sytina, I.V. (2013). Osoblyvosti parametriv dobovoho monitoruvannia arterialnoho tysku u khvorykh iz komorbidnistiu ozhyrinnia ta hipertonichnoi khvoroby [Peculiarities of parameters of daily blood pressure monitoring in patients with comorbidity of obesity and hypertension]. Mizhnarodnyi endokrynolohichnyi zhurnal – International journal of endocrinology, 5(53), 21-25 [in Ukrainian].
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