@article{Vedula Ushakiranmayi, Buriak Viktor_2018, title={Combination approach with ambulatory Blood Pressure and Electrocardiography Monitoring in Patients with Hypertension and Myocardial Infarction – A Prospective Study.}, volume={8}, url={http://innovativejournal.in/index.php/ijmhs/article/view/2252}, DOI={10.15520/ijmhs.v8i8.2252}, abstractNote={<p><strong><em>Introduction:</em></strong><em>  With the increasing number of deaths due to cardiovascular events, there is an urgent need for optimising the risk factors associated with it. The safety and cost effective non-invasive method to assess the blood pressure and modulate the treatment plan accordingly is to utilise the ambulatory blood pressure monitoring and Holter Electrocardiography in daily use in patients with hypertension.</em></p> <p><strong><em>Aim:</em></strong><em> To examine the functional state of cardiovascular system and possible predictive value of the daily application of the combined method of arterial blood pressure monitoring and ECG monitoring in hypertensive patients at different levels of the disease progression.</em></p> <p><strong><em>Methods and materials: </em></strong><em>We examined 37 patients with AH without any clinical significant pathology were included in the first group and 32 hypertensive patients with a history of myocardial infarction (MI) in the second group. The average age of participants in this study was 59,02±2,18 years. All patients underwent a comprehensive examination of the functional state of the cardiovascular system using the combined ECG and arterial BP monitoring validated device «CardiosensBP» XAI-MEDICA (Ukraine). The statistical data was processed using </em><em>«STATISTICA® for Windows 6.0</em><em>» (StatSoft Inc., #AXXR712D833214FAN5).</em></p> <p><strong><em>Results:</em></strong><em> The hypertensive state is characterized by an excess of the target values ??of systemic blood pressure: the daily mean values ??of systolic blood pressure (SBP) and diastolic blood pressure (DBP) were higher at 6,93% (P<0,05) and 5,68% (P<0,01) respectively in both groups. Indicators of pressure increase and morning surge(MS) are significant in patients of the second clinical group exclusively SBP, namely: the index of time (IT) - by 24,68% (P<0,01), the index of measurements (IM) - by 16,84% (P<0,05), MS - by 31,98% (P<0,01).</em></p> <p><strong><em>Conclusions:</em></strong><em> The practice of application of daily arterial blood pressure and ECG monitoring has an important prognostic value in cardiovascular system functional status estimation and also enables the physician in optimising the treatment plan accordingly.</em></p>}, number={8}, journal={Innovative Journal of Medical and Health Sciences}, author={Vedula Ushakiranmayi, Buriak Viktor, Varahabhatla Vamsi*, Adunuthula Shrividya, Maganty Virajitha,}, year={2018}, month={Aug.}, pages={102–106} }