[Features of arterial blood pressure in metabolic syndrome]

The metabolic syndrome has high prevalence in hypertensive patients. Its presence leads to the early appearance of target organ damage, particularly of left ventricular hypertrophy. The 24-hour ambulatory monitoring of arterial blood pressure allows the estimation of the BP Load. The BP Load accomplishes the best correlation between the systolic blood pressure and left ventricular hypertrophy. The purpose of this study is to identify the prevalence of the metabolic syndrome and the particularities of hypertension in hypertensive patients suffering from metabolic syndrome, using 24 hour continuous blood pressure monitoring.

During a three years period (2007-2009), 303 hypertensive patients were assessed at the Internal medicine Section of the County Emergency Hospital in Bacau.

The metabolic syndrome occurred in 60.1% of hypertensive patients. The batch with metabolic syndrome contained 181 patients, a female/male ratio of 3,41 to 1, average age: 66.50 +/- 10.28 years, 60.8% coming from urban environment. The monitorised systole-diastolic tension values studies indicate isolated systolic hypertension. No dipper and reverse dipper tensional profiles prevail.

In patients with isolated systolic hypertension, the association of the metabolic syndrome is the main cardiovascular risk and is associated with increase of diastolic blood pressure, presence of left ventricular hypertrophy and increased hypertensive Load values.