Features of changes of blood pressure daily monitoring in patients with stage II essential hypertension depending on the presence of concomitant nonalcoholic fatty liver disease

  • O.V. Gribenyuk
Keywords: essential hypertension, nonalcoholic fatty liver disease, ambulatory blood pressure monitoring

Abstract

In order to identify and evaluate changes of blood pressure daily monitoring among hypertensive patients according to the presence of concomitant nonalcoholic fatty liver disease 170 patients with stage II essential hypertension, 98 (57.6%) women and 72 (42.4%) men, average age 49.3 ± 0,5 y., were examined. Additional nonalcoholic steatohepatosis was registered in 109 (64.1%) patients, 61 (35.9%) patients had no signs of liver impression. In patients with concomitant steatohepatosis significantly degree 3 hypertension was more frequently observed. Patients with stage II hypertension and concomitant "fatty" infiltration of the liver had some significant (p <0.05) differences: higher levels of systolic blood pressure and pulse, increased variability in systolic and diastolic blood pressure, usually at night and during the day, increased frequency of detection of pathological blood pressure "nondipper" compared with surveys without concomitant steatohepatosis. Thus obtained differences in dates of daily blood pressure monitoring give a possibility to believe that the presence of concomitant nonalcoholic liver disease in patients with hypertension may increase cardiovascular risk in these patients.

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Published
2017-09-29
How to Cite
Gribenyuk, O. (2017). Features of changes of blood pressure daily monitoring in patients with stage II essential hypertension depending on the presence of concomitant nonalcoholic fatty liver disease. Reports of Vinnytsia National Medical University, 20(2), 415-421. Retrieved from https://reports-vnmedical.com.ua/index.php/journal/article/view/396