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Inicio Medicina Clínica (English Edition) Evaluation of the ambulatory blood pressure monitoring in patients with retinal ...
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Vol. 161. Issue 7.
Pages 300-302 (October 2023)
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Vol. 161. Issue 7.
Pages 300-302 (October 2023)
Clinical report
Evaluation of the ambulatory blood pressure monitoring in patients with retinal vein occlusion
Evaluación de la monitorización ambulatoria de la presión arterial en pacientes con obstrucción venosa retiniana
Álex García-Telladoa,
Corresponding author
alex.garcia@scsalud.es

Corresponding author.
, Pablo Solís-Sáncheza, Andrea Cerverób, José Javier Napal-Lecumberria, José Luis Lozano-Poloa, Carmen Valero Díaz LaMadrida
a Servicio de Medicina Interna, Hospital Universitario Marqués de Valdecilla, IDIVAL, Universidad de Cantabria, Santander, Cantabria, Spain
b Servicio de Oftalmología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, Spain
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Figures (1)
Tables (3)
Table 1. Prevalence of risk factors.
Table 2. Lipid profile.
Table 3. ABPM parameters.
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Abstract
Background

Arterial hypertension (AHT) is the main risk factor for the development of retinal vein occlusion (RVO).

Aims

To analyze the hypertensive profile with ambulatory blood pressure monitoring (ABPM) in patients with RVO.

Methods

Retrospective and observational study of 66 patients with ABPM, 33 with retinal vein occlusion from a cohort of these disease and 33 controls without RVO, adjusted for age and sex.

Results

Compared to controls, patients with RVO had elevated nocturnal values of SBP 130(21) mmHg vs. 119(11) mmHg; p = 0.01) and DBP 73(11) mmHg vs. 65(9) mmHg; p = 0.002. In addition, they presented a lower decrease in the Dipping ratio percentage 6.0(10.4) % vs. 12.3(6.3) %; p = 0.005.

Conclusions

Patients with RVO have an unfavorable nocturnal hypertensive profile. Recognition of this fact can help optimize their treatment.

Keywords:
Retinal vein obstruction
Hypertension
Ambulatory blood pressure monitoring
Resumen
Fundamentos

La hipertensión arterial (HTA) es el principal factor de riesgo para el desarrollo de la obstrucción venosa retiniana (OVR).

Objetivos

Analizar el perfil hipertensivo con monitorización ambulatoria de la presión arterial (MAPA) en pacientes con una OVR.

Pacientes y métodos

Estudio con MAPA en 66 pacientes, 33 con OVR pertenecientes a una cohorte con esta enfermedad y 33 controles sin OVR ajustados por edad y sexo.

Resultados

Los pacientes con OVR tuvieron, respecto a los controles, cifras nocturnas elevadas de PAS 130(21) mm Hg vs. 119(11) mm Hg; p = 0,01 y PAD 73(11) mm Hg vs. 65(9) mm Hg; p = 0,002. Además, presentaron menor descenso del porcentaje de Dipping ratio 6,0% (10,4) vs. 12,3% (6,3); p = 0,005.

Conclusiones

Los pacientes con OVR tienen un perfil hipertensivo nocturno desfavorable. El reconocimiento de este hecho puede ayudar a optimizar el tratamiento.

Palabras clave:
Obstrucción venosa retiniana
Hipertensión arterial
Monitorización ambulatoria de la presión arterial

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