OCCULT HYPERTENSION. ITS CHARACTERISTICS IN PATIENTS WITH PACEMAKERS IN CARDIAC ARRHYTHMIAS

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Issue: 
3
Year: 
2016

Professor S. Gorokhova (1,2), MD; E. Shabalina (1); E. Barabanova (1), Candidate of Medical Sciences 1 -I.M. Sechenov First Moscow State Medical University 2 -Research Clinical Center, OOO «RZhD», Moscow

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

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References: 
  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. Treshkur T.V., Kamshilova E.A., Gordeev O.L. Elektrokardiostimuljatsija v klinicheskoj praktike / SPb: Inkart, 2002.
  7. Kamshilova E.A. Kliniko-elektrokardiograficheskie sopostavlenija pri mnogoletnej kardiostimuljatsii u lits s postojannoj i tranzitornoj poperechnoj blokadoj serdtsa // Kardiologija. – 1994; 9: 12–6.
  8. Langenfeld H., Yrimm W., Maisch B. et al. Afrial fibrillation and embolic complications in paced patients // Pace. – 1988; 11: 1667–72.
  9. 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.