FEATURES OF INDICATORS OF 24-HOUR MONITORING OF BLOOD PRESSURE IN ELDERLY PERSONS WITH ARTERIAL HYPERTENSION WHO PREVIOUSLY LIVED IN POLAR REGIONS

Keywords: Arctic, older age groups, arterial hypertension, daily monitoring of blood pressure

Abstract

Purpose. To study the features of indicators of daily monitoring of blood pressure in elderly people with hypertension who previously lived in the Arctic.

Materials and methods. The study involved 267 patients of the immigrant population (Caucasians) of both sexes with hypertension who arrived from the Arctic for permanent residence in Central Siberia. The share of surveyed elderly people – 50.9%. Daily monitoring of hypertension performed using a BPLab MnSDP-2 apparatus («Petr Telegin», Russia).

Results. In the course of the analysis of the obtained ABPM data, it found that for persons who previously lived in the Arctic of the older age groups, higher average daily, daytime and nighttime levels of blood pressure are characteristic. The increase in the values of the time index parameters and the greatest excess of the standard values of the speed indicators of the morning dynamics of blood pressure. And also the greatest changes in the daily blood pressure profile due to insufficient decrease in blood pressure at night – «non-dipper».

Conclusion. Among the former residents of the Arctic of the elderly, patients with hypertension, there are higher values of most indicators of daily monitoring of blood pressure and a high frequency of the daily profile «non-dipper», in comparison with a similar group of patients living in Krasnoyarsk.

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Author Biographies

Roman A. Yaskevich, Scientific Research Institute of medical problems of the North; Krasnoyarsk State Medical University named after Professor V.F. Voino-Yasenetzkiy

Associate Professor at Department of Propedeutics of Internal Diseases and Therapy, Leading Researcher of the Group Pathology of the Cardiovascular System, Candidate of Medical Science, Docent

 

Olga L. Moskalenko, Scientific Research Institute of medical problems of the North

Senior Researcher, Candidate of Biological Sciences

References

Gapon L. I., Sereda T. V., Leont’eva A. V. Analiz sutochnogo ritma arterial’nogo davleniya, variabel’nosti ritma serdtsa i otsenka karotidnogo ateroskleroza u patsientov, stradayushchikh arterial’noy gipertenziey, korennogo i prishlogo naseleniya, prozhivayushchego na territorii Yamalo-Nenetskogo avtonomnogo okruga [Analysis of the circadian rhythm of blood pressure, heart rate variability and assessment of carotid atherosclerosis in patients with arterial hypertension, indigenous and newcomers living in the Yamal-Nenets Autonomous Okrug]. Kardiologiya [Cardiology], 2014, vol. 54, no. 8, pp. 32-36. https://lib.medvestnik.ru/articles/Analiz-sutochnogo-ritma-arterialnogo-davleniya-variabelnosti-ritma-serdca-i-ocenka-karotidnogo-ateroskleroza-u-pacientov-stradaushih-arterialnoi-giper.html

Davydov E. L., Ul’yanova I. O. Mediko-sotsial’nye aspekty bol’nykh arterial’noy gipertoniey v pozhilom vozraste [Medical and social aspects of patients with arterial hypertension in old age]. Klinicheskaya gerontologiya [Clinical gerontology], 2016, vol. 22, no. 9-10, pp. 24-25. https://kg.newdiamed.ru/issue/id15900/id16594

Derevyannykh E. V., Yaskevich R. A., Balashova N. A. Vozrastnye osobennosti priverzhennosti k lecheniyu arterial’noy gipertonii u muzhchin g. Krasnoyarska [Age characteristics of adherence to the treatment of arterial hypertension in men in Krasnoyarsk]. International Journal of Applied and Fundamental Research, 2016, no. 6, part 1, pp. 48-52. https://applied-research.ru/ru/article/view?id=9547

Zheltysheva Zh. A. Pokazateli sutochnogo monitorirovaniya arterial’nogo davleniya u zhenshchin pozhilogo vozrasta v zavisimosti ot massy tela i tipa ozhireniya [Indicators of daily monitoring of blood pressure in elderly women, depending on body weight and type of obesity]. Uspekhi gerontologii [Advances in gerontology], 2012, vol. 25, no. 1, pp. 175-180.

Zapesochnaya I. L., Avtandilov A. G. Dinamika sutochnogo profilya arterial’nogo davleniya pri kombinirovannoy terapii amlodipinom i valsartanom u zhiteley Kraynego Severa [Dynamics of the daily blood pressure profile during combined therapy with amlodipine and valsartan in residents of the Far North]. Klinicheskaya meditsina [Clinical Medicine], 2015, vol. 93, no. 5, pp. 43-49.

Ignatova I.A., Yaskevich R.A., Shilov S.N., Pokidysheva L.I. Pokazateli kachestva zhizni u slaboslyshashchikh migrantov Kraynego Severa v period readaptatsii k novym klimaticheskim usloviyam [Indicators of the quality of life in hearing impaired migrants of the Far North during the period of readaptation to new climatic conditions]. Rossiyskaya otorinolaringologiya [Russian otorhinolaryngology], 2013, no. 6(67), pp. 66-71.

Ostroumova O. D., Borisova E. V., Ostroumova T. M., Kochetkov A. I. Variabel’nost’ arterial’nogo davleniya v techenie sutok: prognosticheskoe znachenie, metody otsenki i vliyanie antigipertenzivnoy terapii [Variability of blood pressure during the day: prognostic value, assessment methods and the effect of antihypertensive therapy]. Kardiologiya [Cardiology], 2017, vol. 57, no. 12, pp. 62-72. https://doi.org/10.18087/cardio.2017.12.10068

Ostroumova O. D., Kochetkov A. I., Chernyaeva M. S. Arterial’naya gipertenziya u patsientov pozhilogo i starcheskogo vozrasta v svete novykh Evropeyskikh rekomendatsiy 2018 goda [Arterial hypertension in elderly and senile patients in the light of the new European recommendations of 2018]. Rational Pharmacotherapy in Cardiology, 2018, vol. 14, pp. 5, pp. 774-784. https://doi.org/10.20996/1819-6446-2018-14-5-774-784

Roytberg G.E., Slastnikova I.D., Platonova O.E. Kontrol’ effektivnosti gipotenzivnoy terapii: sopostavlenie ofisnykh izmereniy i pokazateley sutochnogo monitorirovaniya arterial’nogo davleniya [Monitoring the effectiveness of antihypertensive therapy: comparison of office measurements and indicators of daily monitoring of blood pressure]. Arkhiv vnutrenney meditsiny [Archives of Internal Medicine], 2014, no. 6, pp. 14-18. https://www.medarhive.ru/jour/article/view/413

Simonenko V. B., Solov’eva K. B., Dolbin I. V. Sutochnoe monitorirovanie arterial’nogo davleniya pri dispansernom nablyudenii patsientov s faktorami serdechno-sosudistogo riska v usloviyakh Kraynego Severa [Daily monitoring of blood pressure during dispensary observation of patients with cardiovascular risk factors in the Far North]. Klinicheskaya meditsina [Clinical Medicine], 2013, vol. 91, no. 10, pp. 38-43.

Shcherbakova E. M. Naselenie mira po otsenkam OON peresmotra 2019 goda [World population according to UN estimates of the 2019 revision]. Demoskop Weekly [Demoscope Weekly], 2019, no. 821-822. http://www.demoscope.ru/weekly/2019/0821/barometer821.pdf

Yaskevich R.A., Kasparov E.V. Osobennosti sutochnogo profilya arterial’nogo davleniya u migrantov Kraynego Severa starshikh vozrastnykh grupp [Features of the daily blood pressure profile in migrants of the Far North of older age groups]. Klinicheskaya gerontologiya [Clinical Gerontology], 2019, vol. 25, no. 9-10, pp. 37-39. https://kg.newdiamed.ru/issue/id99272/id99297

Yaskevich R.A., Khamnagadaev I.I., Derevyannykh E.V. i dr. Trevozhno-depressivnye rasstroystva u pozhilykh migrantov Kraynego Severa v period readaptatsii k novym klimaticheskim usloviyam [Anxiety-depressive disorders in elderly migrants of the Far North during the period of readaptation to new climatic conditions]. Uspekhi gerontologii [Advances in gerontology], 2014, vol. 27, no. 4, pp. 672-677.

Yaskevich R.A., Moskalenko O.L. Osobennosti variantov remodelirovaniya levogo zheludochka u muzhchin migrantov Kraynego Severa s arterial’noy gipertoniey, razlichnykh konstitutsional’nykh tipov [Features of left ventricular remodeling options in male migrants of the Far North with arterial hypertension, various constitutional types]. Siberian Journal of Life Sciences and Agriculture, 2020, vol. 12, no. 5, pp. 150-164. https://doi.org/10.12731/2658-6649-2020-12-5-150-164

Nichols M., Townsend N., Scarborough P., Rayner M. Cardiovascular disease in Europe: epidemiological update. Eur. Heart J., 2013, vol. 34, no. 39, pp. 3028-3034. https://doi.org/10.1093/eurheartj/eht356

Pierdomenico S. D., Pierdomenico A. M., Cuccurullo F. Morning blood pressure surge, dipping, and risk of ischemic stroke in elderly patients treated for hypertension. Am. J. Hypertens., 2014, vol. 27, no. 4, pp. 564-570. https://doi.org/10.1093/ajh/hpt170

Polikarpov L. S., Yaskevich R. A., Derevyannich E. V. et al. Re-adaptation of patients with arterial hypertension long-term residents of the Far North to new climatic conditions. International Journal of Circumpolar Health, 2013, vol. 72, suppl. 1, pp. 337-339. https://www.proquest.com/openview/684ccc92efcbcbe4a23713e0f684fdf2/1?pq-origsite=gscholar&cbl=236245

Salwa P., Gorczyca-Michta I., Kluk M. et al. Variability of circadian blood pressure profile during 24-hours ABPM among hypertensive patients. Kardiol. Pol., 2014, vol. 72, no. 5, pp. 432-437. https://doi.org/10.5603/kp.a2014.0018

Shurkevich N. P., Vetoshkin A. S., Gapon L. I., Gubin D. G. Structural changes in myocardium and 24-hour blood pressure profile in subjects with arterial hypertension studies during shift work in far north. European Heart Journal, 2018, vol. 39, suppl. 1, pp. 596. https://doi.org/10.1093/eurheartj/ehy565.P2853

Williams B., Mancia G., Spiering W. et al. ESC Scientific Document Group. 2018 ESC/ESH Guidelines for the management of arterial hypertension. The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). European Heart Journal, 2018, vol. 39, no. 33, pp. 3021-3104. https://doi.org/10.1093/eurheartj/ehy339

Yaskevich R.A., Khamnagadaev I.I., Derevyannich E.V. et al. Anxiety depressive disorders in elderly migrants of the Far North in the period of readaptation to new climatic conditions. Advances in Gerontology, 2015, vol. 5, no. 3, pp. 157-162. https://doi.org/10.1134/S2079057015030145

Yaskevich R. A., Polikarpov L. S., Gogolashvili N. G. et al. Estimation of the quality of life in elderly migrants of the Far North in the period of readaptation to new climatic conditions. Advances in Gerontology, 2014, vol. 4, no. 3, pp. 213-217. https://doi.org/10.1134/S2079057014030126

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Published
2021-06-30
How to Cite
Yaskevich, R., & Moskalenko, O. (2021). FEATURES OF INDICATORS OF 24-HOUR MONITORING OF BLOOD PRESSURE IN ELDERLY PERSONS WITH ARTERIAL HYPERTENSION WHO PREVIOUSLY LIVED IN POLAR REGIONS. Siberian Journal of Life Sciences and Agriculture, 13(3), 11-28. https://doi.org/10.12731/2658-6649-2021-13-3-11-28
Section
Cardiology and Cardiovascular Medicine