The Key Role of Ambulatory Blood Pressure Monitoring in the Detection of Masked Hypertension and Other Phenomena in Frail Geriatric Patients

<i>Background and Objectives</i>: This study aims to determine prevalence of masked uncontrolled hypertension (MUH) in frail geriatric patients with arterial hypertension and thus show the role of ambulatory blood pressure monitoring (ABPM) since hypertension occurs in more than 80% of p...

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Autores principales:	Marek Koudelka, Eliška Sovová
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	ambulatory blood pressure monitoring (ABMP) frailty geriatric patient masked hypertension masked uncontrolled hypertension Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/26ecca6c822a4e4881f39c3425d48d53
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spelling	oai:doaj.org-article:26ecca6c822a4e4881f39c3425d48d532021-11-25T18:18:43ZThe Key Role of Ambulatory Blood Pressure Monitoring in the Detection of Masked Hypertension and Other Phenomena in Frail Geriatric Patients10.3390/medicina571112211648-91441010-660Xhttps://doaj.org/article/26ecca6c822a4e4881f39c3425d48d532021-11-01T00:00:00Zhttps://www.mdpi.com/1648-9144/57/11/1221https://doaj.org/toc/1010-660Xhttps://doaj.org/toc/1648-9144<i>Background and Objectives</i>: This study aims to determine prevalence of masked uncontrolled hypertension (MUH) in frail geriatric patients with arterial hypertension and thus show the role of ambulatory blood pressure monitoring (ABPM) since hypertension occurs in more than 80% of people 60+ years and cardiovascular diseases are the main cause of death worldwide. Despite modern pharmacotherapy, use of combination therapy and normal office blood pressure (BP), patients’ prognoses might worsen due to inadequate therapy (never-detected MUH). <i>Materials and Methods</i>: 118 frail geriatric patients (84.2 ± 4.4 years) treated for arterial hypertension with office BP < 140/90 mmHg participated in the study. 24-h ABPM and clinical examination were performed. <i>Results</i>: Although patients were normotensive in the office, 24-h measurements showed that BP values in 72% of hypertensives were not in the target range: MUH was identified in 47 (40%) patients during 24 h, in 48 (41%) patients during daytime and nocturnal hypertension in 60 (51%) patients. <i>Conclusions</i>: ABPM is essential for frail geriatric patients due to high prevalence of MUH, which cannot be detected based on office BP measurements. ABPM also helps to detect exaggerated morning surge, isolated systolic hypertension, dipping/non-dipping, and set and properly manage adequate treatment, which reduces incidence of cardiovascular events and contributes to decreasing the financial burden of society.Marek KoudelkaEliška SovováMDPI AGarticleambulatory blood pressure monitoring (ABMP)frailtygeriatric patientmasked hypertensionmasked uncontrolled hypertensionMedicine (General)R5-920ENMedicina, Vol 57, Iss 1221, p 1221 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ambulatory blood pressure monitoring (ABMP) frailty geriatric patient masked hypertension masked uncontrolled hypertension Medicine (General) R5-920
spellingShingle	ambulatory blood pressure monitoring (ABMP) frailty geriatric patient masked hypertension masked uncontrolled hypertension Medicine (General) R5-920 Marek Koudelka Eliška Sovová The Key Role of Ambulatory Blood Pressure Monitoring in the Detection of Masked Hypertension and Other Phenomena in Frail Geriatric Patients
description	<i>Background and Objectives</i>: This study aims to determine prevalence of masked uncontrolled hypertension (MUH) in frail geriatric patients with arterial hypertension and thus show the role of ambulatory blood pressure monitoring (ABPM) since hypertension occurs in more than 80% of people 60+ years and cardiovascular diseases are the main cause of death worldwide. Despite modern pharmacotherapy, use of combination therapy and normal office blood pressure (BP), patients’ prognoses might worsen due to inadequate therapy (never-detected MUH). <i>Materials and Methods</i>: 118 frail geriatric patients (84.2 ± 4.4 years) treated for arterial hypertension with office BP < 140/90 mmHg participated in the study. 24-h ABPM and clinical examination were performed. <i>Results</i>: Although patients were normotensive in the office, 24-h measurements showed that BP values in 72% of hypertensives were not in the target range: MUH was identified in 47 (40%) patients during 24 h, in 48 (41%) patients during daytime and nocturnal hypertension in 60 (51%) patients. <i>Conclusions</i>: ABPM is essential for frail geriatric patients due to high prevalence of MUH, which cannot be detected based on office BP measurements. ABPM also helps to detect exaggerated morning surge, isolated systolic hypertension, dipping/non-dipping, and set and properly manage adequate treatment, which reduces incidence of cardiovascular events and contributes to decreasing the financial burden of society.
format	article
author	Marek Koudelka Eliška Sovová
author_facet	Marek Koudelka Eliška Sovová
author_sort	Marek Koudelka
title	The Key Role of Ambulatory Blood Pressure Monitoring in the Detection of Masked Hypertension and Other Phenomena in Frail Geriatric Patients
title_short	The Key Role of Ambulatory Blood Pressure Monitoring in the Detection of Masked Hypertension and Other Phenomena in Frail Geriatric Patients
title_full	The Key Role of Ambulatory Blood Pressure Monitoring in the Detection of Masked Hypertension and Other Phenomena in Frail Geriatric Patients
title_fullStr	The Key Role of Ambulatory Blood Pressure Monitoring in the Detection of Masked Hypertension and Other Phenomena in Frail Geriatric Patients
title_full_unstemmed	The Key Role of Ambulatory Blood Pressure Monitoring in the Detection of Masked Hypertension and Other Phenomena in Frail Geriatric Patients
title_sort	key role of ambulatory blood pressure monitoring in the detection of masked hypertension and other phenomena in frail geriatric patients
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/26ecca6c822a4e4881f39c3425d48d53
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The Key Role of Ambulatory Blood Pressure Monitoring in the Detection of Masked Hypertension and Other Phenomena in Frail Geriatric Patients

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