The use of ambulatory blood pressure monitoring in patients with bronchial asthma and hypertension

Abstract

The goal was to conduct ambulatory blood pressure monitoring (ABPM) in patients with bronchial asthma (BA) with arterial hypertension (AH). The study included 30 patients with a diagnosis of asthma III and stage IV uncontrolled flow. The majority of patients were women (60%). The average age of the patients was 47 ± 10,1 years, with disease duration of 5 to 27 years. All patients received appropriate basic therapy with inhaled glucocorticoids. When measuring blood pressure was recorded by the method N.M.Korotkova increase to 160/90 mm Hg Results: during the daily monitoring of blood pressure studied averages (day and night), maximum and minimum rates of blood pressure, blood pressure variability and the degree of reduction of the night (DRN) BP. The daily mean blood pressure was 144,6 ± 6,1 / 93,4 ± 3,9 mm Hg, mean arterial pressure in the active period 144,2 ± 6,76 / 90,5 ± 4,8 mm Hg , Mean arterial pressure in the passive period - 147,4 ± 7,4 / 93 ± 4,3 mm Hg. These results indicate a slight difference between the indices of mean arterial pressure in the active and passive period. All patients found insufficient by monitoring the DRN pressure (less than 10%) in 10 patients and recorded exceeding a mean BP passive period compared to the active period. BP variability was increased in all patients during the active period, in most cases related to the psycho and physical activity. ABPM method in contrast to the standard blood pressure measurement allows diagnosis of hypertension and selection of antihypertensive therapy.