Predictive signs of complicated course of essential arterial hypertension in adolescents aged 16–17 years old
Background. The rapid development of complications of essential arterial hypertension (AH) in adolescents 16–17 years old, who expose a psychological overload while studying at a higher school, creates prerequisites for predicting the course of hypertension. Materials and methods. The basic group of the study diagnosed with AH consisted of 84 adolescents, 40 (47.6 %) boys and 44 (52.4 %) girls, who according to the office blood pressure (BP) measurements with an interval of one to two weeks at least 2 times had BP values ≥ 120/80 mm Hg, and were found to have blood pressure load > 95 percentile 25–50 % and more of the day time by ambulatory blood pressure monitoring (ABPM). For comparison of the studied parameters, we used data from the control group, which consisted of 40 adolescents (13 (32.5 %) boys and 27 (67.5 %) girls) with normotension. The results of observations were processed using the medical statistics program Statistica version 6.0. Results. The unfavorable predictors of the development of stable AH revealed an average heart rate at night of more than 62 per minute by Holter monitoring, the average daily pulse pressure on the ABPM was more than 57 mm Hg and the body mass index (BMI) is above 25 kg/m2. The risk factors for left ventricular (LV) remodeling included the excess increase in the thickness of the posterior wall of the LV of more than 8.0 mm at the time of the diagnosis of hypertension, BMI over 25 kg/m2 and average daily pulse pressure over 57 mm Hg by ABPM. Conclusions. If an unfavorable course of hypertension is predicted, then it is necessary to combine non-pharmacological methods of treatment with drug ones.
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Babinets LS. Reconstruction of the algorithm for the appointment of the start-up medication of arterial hypertension by the european clinical protocol (Finland) in the teaching of family medicine on the pregraduate level. Family Medicine. 2018;(4):56-58. (in Ukrainian).
Drozdova IV, Babets AA, Stepanova LH, Omelnytska LV. Morbidity, prevalence and disability related to essential hypertension: approach to the analysis and prediction. Ukrainian Journal of Cardiology. 2017;(1):85-93. (in Ukrainian).
Majdannyk VG, Moskalenko VF, Korenjev MM. Pervynna arterial'na gipertenzija u ditej i pidlitkiv [Primary arterial hypertension in children and adolescents]. Kyiv; 2006. 389 p. (in Ukrainian).
Flynn JT, Kaelber CM, Baker-Smith D, et al. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics. 2017 Sep;140(3). pii: e20171904. doi: 10.1542/peds.2017-1904.
Lurbe E, Agabiti-Rosei E, Cruickshank JK, et al. 2016 European Society of Hypertension guidelines for the management of high blood pressure in children and adolescents. J Hypertens. 2016 Oct;34(10):1887-920. doi: 10.1097/HJH.0000000000001039.
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