Diagnostic value of the different schedules for the home blood pressure measurement for assessment of the efficiency of algorithmic anti-hypertensive therapy at the long-term observation over hypertensive patients

Abstract

Зіставлення даних різних за тривалістю протоколів вимірювання домашнього АТ (3, 5, 7 днів) довело, що врахування результатів, отриманих у 1-й день вимірювання, найбільше впливає на їхні діагностичні можливості щодо контролю ефективності антигіпертензивної терапії на початку лікування та у разі триденного періоду вимірювання, однак, є менш суттєвим при тривалому спостереженні Ключові слова: артеріальна гіпертензія, артеріальний тиск, домашній артеріальний тиск, маскована неконтрольована гіпертензія Aim. The assessment of diagnostic possibilities of the protocols of the home arterial pressure (AP) measurement for the control of efficacy of anti-hypertensive therapy. Methods. The data of home AP of 236 patients as to its value, frequency of attainment of recommended level and determination of phenotype of arterial hypertension (AH), received for 3-5-7 of measurement taking into account of the results of 1 day or without it, were compared. The coefficients: Cohen's kappa and Lin's coordination of correlation were determined. Results. Taking into account of the data of the 1 day of measurement worsened the coordination of the mean AP values in 7 days of treatment not depending on the duration of measurement and did not influence in further. The coordination of data as to attainment of recommended level of home AT and AH phenotypes in the case of 7-days and 5-days measurement did not depend on taking into account of the data of 1 day, but worsened at 3-days one. Concision. Taking into account of the data of 1 day of home AT measurement influences the diagnostic possibilities of the measurement protocols of the different term as to the control of efficacy of the long-term anti-hypertensive therapy at the beginning of treatment and in the case of 3-days period of measurement and is less essential at the long-term observation