SEQUENTIAL AMBULATORY BLOOD PRESSURE MONITORING FOR EVALUATION OF ARTERIAL HYPERTENSION

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E-Poster

https://storage.unitedwebnetwork.com/files/1099/7590e0279ac76522a04eb05f50fc6496.pdf

Abstract Title

First Name *

Victor

Last Name *

Frajewicki

Co-author 1

Jerom Marcuson JeriMa@clalit.org.il Carmel Medical Center Department of Nephrology and Hypertension Haifa

Co-author 2

Daniel Kushnir danielitto@clalit.org.il Carmel Medical Center Department of Nephrology and Hypertension Haifa

Co-author 3

Victor Frajewicki vfraje@clalit.org.il Carmel Medical Center Department of Nephrology and Hypertension Haifa

Co-author 4

Lisa Neomi Blum lisabl@clalit.org.il Clalit Health Service Haifa and West Galilee District Haifa Israel

Co-author 5

Co-author 6

Co-author 7

Co-author 8

Co-author 9

Co-author 10

Co-author 11

Co-author 12

Co-author 13

Co-author 14

Co-author 15

Introduction

Being one of the most widely prevalent diseases throughout the world, hypertension has emerged as one of the leading causes of global premature morbidity and mortality. Indeed, arterial hypertension is the most important contributor to the global burden of disease; however, disease control remains poor. Hence, blood pressure (BP) measurements are essential for physicians in the diagnosis and management of hypertension. Ambulatory blood pressure monitoring (ABPM) is considered a good intervention strategy to avoid misdiagnosis of hypertension and allow for targeted treatment of patients with hypertension. This technique is particularly useful for detection of white coat, masked and resistant hypertension.

The aim of the study was to evaluate the BP control by the use of at least two ABPM studies in the setting of outpatient clinic.

Methods

Methods. Retrospective study which included the files of all patients who did 2 ABPM tests between 1.1.2018- 31.12.2021 followed at a Nephrology out- clinics in the Haifa Area (Israel).

Results

A total of 293 patients had 2 ABPM studies. According to the age distribution, most of the patients were aged 71 to 80 years. The most common indication for ABPM was hypertension control monitoring. The first ABPM showed an uncontrolled test in 67% of patients. In 39 percent of patients who were not well controlled in the first ABPM showed a controlled test in the second one. Ninety four percent of patients had a serum creatinine level less than 1.5 mg/dl. There was no correlation between serum creatinine levels and BP. In 40% of patients a BMI of more than 30 was recorded. A high percentage (68%) of non-dipper referred for sleep testing were found to have sleep apnea syndrome. In 8.5% of patients the second examination was performed while the use of BPAP. Files revealed that there were no real time recommendations based on the ABPM results or mention of the results in a quarter of both tests.

Conclusions

Even ABPM is considered a useful tool for hypertension evaluation and treatment, most of patients still have higher BP than the recommended values. The exact role of classic ABPM technology has to be reassessed.

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