New diagnostic criteria of comprehensive assessment of hemodynamics in patients with essential hypertension II st.

Abstract

24-hour ambulatory blood pressure monitoring (ABPM) and vascular tone comprehensive study by the author's method - angio-tensio-rheo-baro-graphy (ATRBG) using compression test was carried out in 98 hypertensive patients with essential hypertension (EH) stage ²², mostly with II stage of high blood pressure and 18 persons of the control group (BP). In patients with EH stage ²² "Non dipper" and night picker prevailed in the structure (61%) circadian control group, which was mostly represented by persons with dipper circadian BP profile. The results of comprehensive assessment of vascular tone using ATRBG and classic CVP measurement may indicate that the arterial hypertension is combined with venous one in the majority of patients with EH stage II and low circadian profile. This method of examination can be proposed as a noninvasive diagnostic tool to measure CVP, to detect the EH type, and to select the pathogenetically substantieted medication treatment of it.