Usefulness of 24-hour ambulatory blood pressure monitoring in a population with high cardiovascular risk

High blood pressure is considered a disease and at the same time a cardiovascular risk factor, mainly involved in ischemic heart disease, cerebrovascular disease and kidney failure, causing high mortality worldwide. The objective was to follow up with 24-hour ambulatory blood pressure monitoring in...

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Published inCirugia y cirujanos Vol. 88; no. 5; p. 617
Main Authors Navarro-Ulloa, Orlando D, Picón-Jaimes, Yelson A, Conde-Cardona, Giancarlos, Fernández-Yépez, Luis J, Zabala-Carballo, Carmen I, López-García, Jonathan, Gómez-Hernández, Angélica M, Orozco-Chinome, Javier E, Moscote-Salazar, Luis R
Format Journal Article
LanguageEnglish
Published Mexico 2020
Subjects
Aged
Blood Pressure
Blood Pressure Monitoring, Ambulatory
Cardiovascular Diseases - epidemiology
Circadian Rhythm
Female
Heart Disease Risk Factors
Humans
Hypertension - epidemiology
Male
Retrospective Studies
Risk Factors
Hypertension
Diagnóstico
Vascular diseases
Presión sanguínea
Enfermedades cardiovasculares
Enfermedades vasculares
Cardiología
Hipertensión
Blood pressure
Diagnosis
Cardiology
Cardiovascular diseases
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Summary:High blood pressure is considered a disease and at the same time a cardiovascular risk factor, mainly involved in ischemic heart disease, cerebrovascular disease and kidney failure, causing high mortality worldwide. The objective was to follow up with 24-hour ambulatory blood pressure monitoring in patients with high blood pressure belonging to a population with high cardiovascular risk. Descriptive, observational, retrospective study, which analyzes 24-hour outpatient pressure controls of 1858 patients, in Cartagena, Colombia. 1173 exams were validated and included in the study. The median age was 66 years. 66.8% (783) were women and 33.2% (390) were men. The main changes occurred during the night, when 79.1% of the patients had high systolic pressure loads, 65.6% recorded diastolic pressure averages and 83.7% had abnormal circadian patterns. Only 11% of the studies were normal in all parameters. 24-hour ambulatory blood pressure monitoring proved to be a useful tool to identify uncontrolled hypertensive patients, detect nocturnal hypertension and abnormal circadian patterns, which are risk markers for cardiovascular morbidity and mortality.
ISSN:2444-054X
DOI:10.24875/CIRU.20001576