FEATURES OF AMBULATORY BLOOD PRESSURE MONITORING WITH DIFFERENT BLOOD PRESSURE PROFILES IN PATIENTS WITH HYPERTENSION DISEASE OF MIDDLE AND ELDERLY AGE

Background. Insufficient night-time reduction of blood pressure (BP) and night hypertension are associated with an increased risk death regardless the average daily BP. The study BP profiles is very relevant in patients different age categories due to high thrombotic complications.
 Aim: was determine peculiarities ambulatory monitoring (ABPM) indices middle-aged elderly hypertensive depending on profile.
 Materials methods. ABPM indicators were determined 125 who divided into 2 groups. 1st group (n=82) – (45-59 years old); 2nd (n=43) (60-74 old). In groups subjects distinguished: "dipper" "non-dipper".
 Indices using a portable recorder ABPM-04 (company "Meditech", Hungary). Measurements performed every 15 minutes during day (from 6 22 hours) 30 at hours). We following indices: systolic (SBP) (mm Hg), daly diastolic (DBP) Hg); maximal SBP DBP Hg). index (DI) also calculated − percentage decrease compared daytime % DI SBP, DBP, BP.
 Results. baseline level dipper significantly higher by 49,6% corresponded 155,9±12,0 mm Hg (p<0,001) 50,4% 97,3±6,1 (p<0,01). Similar results observed values which than control 21,5% (p<0,05) equaled 110,0±3,6 21,3% amounted 176,3±23,5 23,6% 117,0±19,2 (p<0,05). non-dipper 50,8% (p<0,01) 157,1±12,9 27,4% equal 176,9±24,0 (p<0,05), 63,8% 106,0±1,0 44% 124,3±6,8 too. surveyed only from corresponding indicator lower 21,4% 91,5±0,7 23,1% 93,5±0,7 group.
 Conclusion. Non-dipper predominates structure rhythm (62,8% versus 37,2%). decreases 11,1% reliably middle age.