PP.26.13] CORRELATION BETWEEN PSYCHOLOGICAL STATUS AND DIFFERENCE BETWEEN CLINICAL AND AMBULATORY BLOOD PRESSURE LEVELS IN PATIENTS WITH HYPERTENSION

Abstract

Objective: The aim of study was to definite if the psychological status (PS) of patients with arterial hypertension (AH) can moderate the difference between clinical and ambulatory blood pressure (CABP) level.Design and method: We analyzed ambulatory blood pressure monitoring (ABPM) data of 252 AH patients without serious concomitant diseases. ABPM was performed by Spacelabs 90207 after the washout period (1–2 week). The CABP discrepancy was assessed as the difference between clinical BP and mean daytime BP measurement. After ABPM session patients completed the psychological questionnaire “Minnesota Multiphase Personality Inventory”. We used Spearman Partial Coefficient for correlation analysis adjusted for age, sex and duration of AH. Results: The daytime BP was (M ± SD): systolic (SBP) −142.1 ± 14.5; diastolic (DBP) −89.1 ± 9.9 mm Hg. We found correlations (r) between PS score and difference between clinical and ambulatory blood pressure: 1) positive- between psychological and emotional impulsivity (3, 4 scales) combined with self - control and social conform (K, 7 scales); 2) negative– with psychological disharmony, leadership traits, aggression level (F, 6) (table). Conclusions: The psychological and emotional impulsivity of patients with AH combined with high social conform and self-control can lead to more expressive manifestation of the difference between clinical and ambulatory blood pressure while psychological disadaptation, leadership traits, aggression level can reduce the this difference.