OCCULT HYPERTENSION. ITS CHARACTERISTICS IN PATIENTS WITH PACEMAKERS IN CARDIAC ARRHYTHMIAS
Issue:
3
Year:
2016
The purposeful examination using 24-hour Holter blood pressure (BP) monitoring reveals occult hypertension in patients with implanted pacemakers (PM) in cases of cardiac arrhythmias and a history of hypertension. As compared with patients without PM, occult hypertension is characterized by a lower daytime BP load, a predominance of daily non-dipper and night-peaker profiles, and a high rate of target organ lesions.
Keywords:
cardiology
occult hypertension
pacemakers
24-hour blood pressure monitoring
References:
- Mancia G., Fagard R., Narkiewicz K. et al. 2013 ESH/ESC guidelines for the management of arterial hypertension // Eur. Heart J. – 2013; 34 (28): 2159–219.
- Peacock J., Diaz K., Viera A. et al. Unmasking masked hypertension: prevalence, clinical implications, diagnosis, correlates and future directions // J. Hum. Hypertens. – 2014; 28 (9): 521–8.
- Fagard R., Cornellissen A. Incidence of cardiovascular events in white-coat, masked and sustained hypertension versus true normotension: a meta-analysis // J. Hypertens. – 2007; 25 (11): 2193–8.
- Bombelli M., Sega R., Facchetti R. et al. Prevalence and clinical significance of a greater ambulatory versus office blood pressure («reversed white coat» condition) in a general population // J. Hypertens. – 2005; 23: 513–20.
- Stergiou G., Asayama K., Thijs L. et al. Prognosis of white-coat and masked hypertension: International Database of Home blood pressure in relation to Cardiovascular Outcome // Hypertension. – 2014; 63 (4): 675–82.
- Treshkur T.V., Kamshilova E.A., Gordeev O.L. Elektrokardiostimuljatsija v klinicheskoj praktike / SPb: Inkart, 2002.
- Kamshilova E.A. Kliniko-elektrokardiograficheskie sopostavlenija pri mnogoletnej kardiostimuljatsii u lits s postojannoj i tranzitornoj poperechnoj blokadoj serdtsa // Kardiologija. – 1994; 9: 12–6.
- Langenfeld H., Yrimm W., Maisch B. et al. Afrial fibrillation and embolic complications in paced patients // Pace. – 1988; 11: 1667–72.
- Devereux R., Alonso D., Lutas E. et al. Echocardiographic assessment of left ventricular hypertrophy: comparison to necropsy findings // Am. J. Cardiol. – 1986; 57: 450–8.