TARGET ORGAN DAMAGE IN DIABETIC PATIENTS WITH WHITE COAT HYPERTENSION OR MASKED HYPERTENSION
Main Article Content
Abstract
Introduction: White-coat and masked hypertension can be undiagnosed in a clinical setting and have a high prevalence of target organ damage, especially in diabetic subjects. Objectives: To determine the prevalence of target organ damage of diabetic type 2 patients with white-coat or masked hypertension. Method: A cross-sectional study was conducted in 306 diabetic type 2 patients in outpatient department of Nhan Dan Gia Dinh hospital - HCM city. Results: The prevalence of left ventricular hypertrophy were 40.0% in masked hypertension group, 20.7% in white-coat hypertension group and 9.4% in normotensive group. Besides, proteinuria and retinopathy had a higher prevalence among masked hypertensives than white-coat hypertension and normotension. Conclusion: Early detection white-coat or masked hypertension and their target organ damage in type 2 diabetic subjects is necessary to manage and prevent adverse events.
Article Details
Keywords
target organ damage, white-coat hypertension, masked hypertension, diabetes type 2
References
2. Nguyễn Trần Tuyết Trinh (2014) "Khảo sát tình hình tăng huyết áp ẩn giấu trên bệnh nhân đái tháo đường típ 2". Tạp chí Y học Tp.Hồ Chí Minh, 18 (1), tr. 430-434.
3. Charvat J, Chlumsky J, Szabo M, Zakovicova E, Zamrazil V (2010) "The association of masked hypertension in treated type 2 diabetic patients with carotid artery IMT". Diabetes Res Clin Pract, 89 (3), pp. 239-42.
4. Marchesi C, Maresca AM, Solbiati F, Franzetti I, Laurita E, Nicolini E, Gianni M, Guasti L, Marnini P, Venco A, Grandi AM (2007) "Masked hypertension in type 2 diabetes mellitus. Relationship with left-ventricular structure and function". Am J Hypertens, 20 (10), pp. 1079-84.
5. Ng CM, Yiu SF, Choi KL, Choi CH, Ng YW, Tiu SC (2008) "Prevalence and significance of white-coat hypertension and masked hypertension in type 2 diabetics". Hong Kong Med J, 14 (6), pp. 437-43.
6. Tadic M, Cuspidi C, Vukomanovic V, Celic V, Tasic I, Stevanovic A, Kocijancic V (2016) "Does masked hypertension impact left ventricular deformation?". J Am Soc Hypertens, 10 (9), pp. 694-701.
7. Tientcheu D, Ayers C, Das SR, McGuire DK, de Lemos JA, Khera A, Kaplan N, Victor R, Vongpatanasin W (2015) "Target Organ Complications and Cardiovascular Events Associated With Masked Hypertension and White-Coat Hypertension: Analysis From the Dallas Heart Study". Journal of the American College of Cardiology, 66 (20), pp. 2159-2169.