الفهرس 
HypertensionOnly 14 pages are availabe for public view
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Abstract
Hypertension is a global crisis affecting millions around the world. In Egypt, which is considered a low income country, it carries a heavier burden owing to the lack of education around the long term risks hypertension carries and lack of awareness around different pharmacological and non pharmacological treatments.
The aim of this study was to establish value of ABPM vs Home/in-office BP measurements in predicting the left ventricular mass index in hypertensive Egyptian medicated patients
We studied 100 hypertensive medicated patients in Ain Shams University hospitals and National Heart Institute. They were divided according to their LVMI into group 1 (28 patients) who had normal LVMI and group 2 (72 patients) who had an increased LVMI.
We compared both groups via different demographic, echocardiographic and ABPM parameters. We also compared HBPM and OBPM with ABPM regarding HTN control status.
The female gender was more common to have an increased LVMI (p<0.000). Beta blockers use was also more common in patients with increased LVMI (p<0.026). Our data revealed that patients with higher values recorded on ABPM had significantly higher LVMI (p<0.001).
We found a discordance between ABPM and OBPM regarding their controlled status. ABPM was able to detect more patients to be uncontrolled that office deemed to be controlled, highlighting the superiority of ABPM over OBPM in gauging insidious uncontrolled HTN status. We discovered that patients who had no night dipping and reverse dipping pattern had an increased LVMI indicating that their hypertension has been undertreated chronically. This prompted us to alert those patients and their treating physicians to switch medications and have a better chance at reversing their LVH and ultimately reducing the burden of the plethora of hypertension related complications and overall mortality