MASKED HYPERTENSION IN YOUNG PERSONS: PREVALENCE, SIGNIFICANCE OF CARDIOVASCULAR RISK FACTORS AND PROGNOSIS BY GENDER DIFFERENCES

• Main Authors: N. P. Lyamina, A. V. Nalivaeva, V. N. Senchikhin, T. P. Lipchanskaya
• Format: Article
• Language: Russian
• Published: «FIRMA «SILICEA» LLC 2017-05-01
• Series: Российский кардиологический журнал
• Subjects: masked arterial hypertension; young persons; cardiovascular risk factors; prognosis
• Online Access: https://russjcardiol.elpub.ru/jour/article/view/550

Aim. To evaluate the prevalence of masked arterial hypertension (MAH) in young persons, as the prevalence and significance of cardiovascular risk factors, taken gender differences.Material and methods. A coverage screening study of 512 young persons age 19-30 y. o. was done, from institutional workers, with no specific professional harm exposures, of those 82,4% — normotonic and 17,6% have MAH. The participants underwent clinical laboratory and instrumental investigations, 30-second breath stop test.Results. In anthropometric measures, body mass index, waist circumference, hips volume were significantly higher (p<0,005) in men and women with AHT. In men with MAH blood pressure (BP) level showed tendency to higher office systolic BP (SBP) as 130 [128;135] mmHg, than in women SBP 124 [120;130] mmHg and normotonics SBP 110 [110;120] mmHg. In men with MAH there were cardiovascular risk factors more common — smoking, dyslipidemia 6 times more prevalent than in women with MAH. The fact of inheritance predominated in MAH men (85%) comparing to MAH women (65%). In MAH the level of physical activity comparing to normotonics was 2 times lower. Men with MAH used to add table salt to their meals (57%) and ate sausages (61%), as took alcohol beverages.Conclusion. The prevalence of MAH among young males is 9,6% and 8% in young females. In young persons with MAH comparing to normotonics, cardiovascular risk factors are found more commonly, as food-related behavior disorders and target organ damage. Thirty-year risk of atherosclerotic CVD in young men with MAH was >6 times and in women >5 times higher than in normotonics of the same age.