FEATURES OF CIRCADIAN RHYTHMS OF BLOOD PRESSURE AND LEFT VENTRICULAR REMODELING BY PATIENTS WITH HYPERTENSION AND OBESITY

Khromtsova Oksana Mikhaylovna, Candidate of medical sciences, associate professor, head of sub-department
of internal diseases № 4, Ural state medical academy, oksanamed7@yandex.ru

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The aim of our study was the comparative analysis of the parameters of cardiac remodeling and arterial blood pressure circadian rhythms in hypertensive patients with overweight and normal body mass. 250 hypertensive patients with different body mass index were included in the study. Only 1/3 of obese patients had normal arterial blood pressure day/night decrease – type “dipper”. 64.8 % of obese patients had pathological circadian types, “nightpeaker” type was 6.2 times more frequent and “nondipper” – 1.6 times than in patients with normal body mass. Left ventricle diastolic dysfunction took place in 67.4 % of patients with overweight. Conclusion: obesity exacerbates the run of arterial hypertension. Circadian rhythms disturbances and left ventricle remodeling are more frequent in hypertensive patients with overweight.

arterial pressure circadian rhythm, left ventricle remodeling, essential hypertension, obesity.