RELATIONSHIP BETWEEN NON-DIPPER HYPERTENSION AND SOME CLINICAL AND PARACLINICAL FEATURES IN PATIENTS WITH PRIMARY HYPERTENSION AT THAI BINH MEDICAL UNIVERSITY HOSPITAL
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Abstract
Objectives: To survey on the relationship between non-dipper hypertension and some clinical and paraclinical characteristics in patients with primary hypertension. Methods: Descriptive study through cross-sectional survey. Results: The overall rate of non-dipper hypertension was 84.4%. Diabetes is an independent risk factor for non-dipper hypertension with OR=0.128, 95% confidence interval: 0.02 - 1.08, p=0.042. Taking medication only in the morning increased the risk of non-dipper hypertension with OR=3.14, 95% confidence interval: 1.98 - 7.87, p=0.018. Taking more than 1 blood pressure medication will increase the risk of non-dipper hypertension with OR = 4.9, confidence interval: 1.18 - 20.55, p = 0.029. The association between non-dipper hypertension and left ventricular hypertrophy is with OR=5.56, 95% confidence interval: 1.21 - 25.46, p=0.037. Conclusions: The overall rate of non-dipper hypertension in patients with essential hypertension is quite high (84.4%). There is an association between non-dipper hypertension and underlying diabetes, left ventricular hypertrophy and antihypertensive drugs. No relationship has been found between age, smoking, dyslipidemia, BMI and non-dipper hypertension.
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Keywords
non-dipper hypertension, left ventricular hypertrophy, primary hypertension.
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