Arterial hypertension with stroke risk: clinical features, circadian blood pressure profiles, angiotensin II antagonist treatment

Aim. To investigate arterial hypertension (AH) clinical features in patients who suffered stroke (S) in previous 12 months. Material and methods. Prevalence of various risk factors (RF), target organ damage and associated pathology, was compared in two groups: Group I – 500 S-free AH patients, mean...

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Main Authors: V. B. Simonenko, A. Ya. Fisun, E. A. Shirokov, V. F. Zhukov, V. A. Igonin, I. S. Denishchuk, A. V. Kuroedov, Yu. V. Ovchinnikov, M. V. Brizhan
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2005-06-01
Series:Кардиоваскулярная терапия и профилактика
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Online Access:https://cardiovascular.elpub.ru/jour/article/view/965
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author V. B. Simonenko
A. Ya. Fisun
E. A. Shirokov
V. F. Zhukov
V. A. Igonin
I. S. Denishchuk
A. V. Kuroedov
Yu. V. Ovchinnikov
M. V. Brizhan
author_facet V. B. Simonenko
A. Ya. Fisun
E. A. Shirokov
V. F. Zhukov
V. A. Igonin
I. S. Denishchuk
A. V. Kuroedov
Yu. V. Ovchinnikov
M. V. Brizhan
author_sort V. B. Simonenko
collection DOAJ
description Aim. To investigate arterial hypertension (AH) clinical features in patients who suffered stroke (S) in previous 12 months. Material and methods. Prevalence of various risk factors (RF), target organ damage and associated pathology, was compared in two groups: Group I – 500 S-free AH patients, mean age 64.8±6.2 years; Group II - 467 AH patients with S, mean age 66.2±4.3 years. 24-hour blood pressure monitoring, brachiocephalic artery duplex scanning, and echocardiography were preformed in all participants. Results. In pre-S period, a syndrome of “poor prognosis” could be identified, that included some clinical and instrumental symptoms of aggressive RF influence and cardiovascular remodeling. In AH patients with high S risk, circadian BP profiles were disturbed, with increased prevalence of non-dippers, over-dippers, and night-peakers. Conclusion. Long-term antihypertensive therapy with eprosartan in AH patients with or without S, demonstrated multiple beneficial effects: target BP level achievement, and circadian BP profile normalization.
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institution DOAJ
issn 1728-8800
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language Russian
publishDate 2005-06-01
publisher «SILICEA-POLIGRAF» LLC
record_format Article
series Кардиоваскулярная терапия и профилактика
spelling doaj-art-c0976fa648f747659bbfafc7ea5b20962025-08-20T02:55:48Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252005-06-0143, ч.I2934679Arterial hypertension with stroke risk: clinical features, circadian blood pressure profiles, angiotensin II antagonist treatmentV. B. Simonenko0A. Ya. Fisun1E. A. Shirokov2V. F. Zhukov3V. A. Igonin4I. S. Denishchuk5A. V. Kuroedov6Yu. V. Ovchinnikov7M. V. Brizhan8P.V. Mandryka Second Central Military Clinical Hospital; State Institute for Continuous Medical Education, Ministry of Education of the Russian Federation, MoscowP.V. Mandryka Second Central Military Clinical Hospital; State Institute for Continuous Medical Education, Ministry of Education of the Russian Federation, MoscowP.V. Mandryka Second Central Military Clinical HospitalP.V. Mandryka Second Central Military Clinical HospitalState Institute for Continuous Medical Education, Ministry of Education of the Russian Federation, MoscowP.V. Mandryka Second Central Military Clinical Hospital; State Institute for Continuous Medical Education, Ministry of Education of the Russian Federation, MoscowP.V. Mandryka Second Central Military Clinical HospitalP.V. Mandryka Second Central Military Clinical Hospital; State Institute for Continuous Medical Education, Ministry of Education of the Russian Federation, MoscowState Institute for Continuous Medical Education, Ministry of Education of the Russian Federation, MoscowAim. To investigate arterial hypertension (AH) clinical features in patients who suffered stroke (S) in previous 12 months. Material and methods. Prevalence of various risk factors (RF), target organ damage and associated pathology, was compared in two groups: Group I – 500 S-free AH patients, mean age 64.8±6.2 years; Group II - 467 AH patients with S, mean age 66.2±4.3 years. 24-hour blood pressure monitoring, brachiocephalic artery duplex scanning, and echocardiography were preformed in all participants. Results. In pre-S period, a syndrome of “poor prognosis” could be identified, that included some clinical and instrumental symptoms of aggressive RF influence and cardiovascular remodeling. In AH patients with high S risk, circadian BP profiles were disturbed, with increased prevalence of non-dippers, over-dippers, and night-peakers. Conclusion. Long-term antihypertensive therapy with eprosartan in AH patients with or without S, demonstrated multiple beneficial effects: target BP level achievement, and circadian BP profile normalization.https://cardiovascular.elpub.ru/jour/article/view/965arterial hypertensionstroke24-hour blood pressure monitoringeprosartan
spellingShingle V. B. Simonenko
A. Ya. Fisun
E. A. Shirokov
V. F. Zhukov
V. A. Igonin
I. S. Denishchuk
A. V. Kuroedov
Yu. V. Ovchinnikov
M. V. Brizhan
Arterial hypertension with stroke risk: clinical features, circadian blood pressure profiles, angiotensin II antagonist treatment
Кардиоваскулярная терапия и профилактика
arterial hypertension
stroke
24-hour blood pressure monitoring
eprosartan
title Arterial hypertension with stroke risk: clinical features, circadian blood pressure profiles, angiotensin II antagonist treatment
title_full Arterial hypertension with stroke risk: clinical features, circadian blood pressure profiles, angiotensin II antagonist treatment
title_fullStr Arterial hypertension with stroke risk: clinical features, circadian blood pressure profiles, angiotensin II antagonist treatment
title_full_unstemmed Arterial hypertension with stroke risk: clinical features, circadian blood pressure profiles, angiotensin II antagonist treatment
title_short Arterial hypertension with stroke risk: clinical features, circadian blood pressure profiles, angiotensin II antagonist treatment
title_sort arterial hypertension with stroke risk clinical features circadian blood pressure profiles angiotensin ii antagonist treatment
topic arterial hypertension
stroke
24-hour blood pressure monitoring
eprosartan
url https://cardiovascular.elpub.ru/jour/article/view/965
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AT eashirokov arterialhypertensionwithstrokeriskclinicalfeaturescircadianbloodpressureprofilesangiotensiniiantagonisttreatment
AT vfzhukov arterialhypertensionwithstrokeriskclinicalfeaturescircadianbloodpressureprofilesangiotensiniiantagonisttreatment
AT vaigonin arterialhypertensionwithstrokeriskclinicalfeaturescircadianbloodpressureprofilesangiotensiniiantagonisttreatment
AT isdenishchuk arterialhypertensionwithstrokeriskclinicalfeaturescircadianbloodpressureprofilesangiotensiniiantagonisttreatment
AT avkuroedov arterialhypertensionwithstrokeriskclinicalfeaturescircadianbloodpressureprofilesangiotensiniiantagonisttreatment
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