Long-term variability of blood pressure and risk factors in men with stress-induced hypertension

И.В. Осипова¹, А.И. Мирошниченко^{1, 2}, Н.В. Пырикова^{1, 2}, О.Н. Антропова¹, В.П. Куликов¹, А.В. Алексенцева¹

Authors: I.V. Osipova1, A.I. Miroshnichenko1’ 2, N.V. Pyrikova1, 2, O.N. Antropova1, V.P. Kulikov1, A.V. Aleksentseva1

Place: Barnaul, Russia

Institution: 1 Altai State Medical University 2 Departmental Hospital Station Barnaul

Abstract:

Background. Stress-induced hypertension is one of the clinical variants of masked hypertension. Along with behavioral and psychosocial risk factors (RF) of this type of hypertension, long-term variability of blood pressure (BP), being an independent predictor of cardiovascular events, is of high interest. Objective. To evaluate the features of the RF and long BP variability in men with stress-induced hypertension in a one-year follow-up study. Design and methods. We used «Mathematical account» to verify stress-induced hypertension, RF were assessed according to the recommendations, long-term hemodynamic variability was calculated based on traditional clinical measurement of BP and heart rate during the year. Results. Men with stress-induced hypertension show a higher incidence of such RF as smoking, abdominal obesity, impaired lipid profile, family history of cardiovascular diseases, increased tolerance to salt, high levels of stress, personality type D, subclinical and clinical forms of anxiety and depression. We also found higher BP variability (both for systolic and diastolic BP) and for heart rate. Conclusions. Stress-induced hypertension is associated with the higher prevalence of RF and hemodynamic variability that should be considered when prevention procedures are planned.  

Keywords: stress-induced hypertension, masked hypertension, long-term blood pressure variability

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