A STUDY ON THE PREVALENCE OF DIPPER AND NON-DIPPER BLOOD PRESSURE BY USING 24 HOUR AMBULATORY BLOOD PRESSURE MONITORING (ABPM) IN HUE UNIVERSITY HOSPITAL

2011 ◽  
pp. 60-64
Author(s):  
Van Tam Le ◽  
Van Minh Huynh

Objectives: To determine the prevalence of dipper and non-dipper blood pressure by using 24 hour ambulatory blood pressure monitoring (ABPM) and to assess the correlation between target organ damage with white coat hypertension and real hypertension. Patients and method: Data from 60 hypertensives including 38 males and 22 females, ages from 25 to 75 yrs were analysed. The 24h ABPM made by German Tonoport’s were used for the measurement of blood pressure with the program 30 minutes per time and ECG and Echocardiography were used to assess the changes in left ventricular structure. Results: - White coat hypertensive group: The prevalence of dipper blood pressure was 43,75% and non-dipper was 56,25%.- real hypertensive group: The prevalence of dipper was 38,64% and non-dipper was 61,36%. There hadn’t the left ventricular hypertropy and lession of ocular fundus in patients who had white coat hypertension. Conclusions: By using the 24 hour ambulatory blood pressure monitoring (ABPM) we can detect the dipper and non-dipper phenomenon of blood pressure

Author(s):  
Sandeep Sood ◽  
Sirisha Anne ◽  
Kuldeep Kumar Ashta ◽  
Ravi Kumar

Background: White coat hypertension (WCH) is a common and well recognized phenomenon. It is also very prevalent amongst pregnant women and is often diagnosed as chronic/ gestational hypertension leading to unnecessary medications during pregnancy. ABPM is the gold standard for diagnosis of WCH. SBPM is an easy effective and reliable method to measure blood pressure but its efficacy needs to be tested and compared with ABPM in cases of WCH. It is important to compare the two methods in assessing WCH so SBPM can be utilized in cases of WCH, if found useful and efficacious.Methods: All pregnant women who presented to the ANC were screened for hypertension. Those who were diagnosed to be hypertensive in antenatal clinic and these patients were then admitted for ambulatory blood pressure monitoring (ABPM) for 24 hours and SBPM on 6 hourly bases for 5 days.Results: The ABPM and SBPB readings were noted, tabulated and compared. It was found that the prevalence of ‘WCH’ in this study using ABPM and SBPM were 47.368% (27/54) and 45.614% (26/54) respectively.Conclusions: The results in diagnosing WCH using ABPM and SBPM were comparable.


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