Stress coping strategies — novel markers in the diagnosis of masked hypertension in young people
https://doi.org/10.15829/1728-8800-2024-3866
EDN: HAGOOD
Abstract
Aim. To establish the prevalence and markers of masked hypertension (HTN) in apparently healthy young people.
Material and methods. The cross-sectional study included young people (20-30 years old) with health group I or II, with clinical blood pressure (BP) <140/90 mm Hg. All participants underwent 24-hour blood pressure monitoring, assessment of traditional cardiovascular risk factors and ways of coping with stress.
Results. A total of 347 participants were included (mean age, 22 (21-23) years; male, 101 (29,1%)). After 24-hour blood pressure monitoring, masked HTN was detected in 46 (13,3%) participants. Multivariate analysis found following markers of masked HTN: office systolic blood pressure (adjusted odds ratio (AOR) 1,109; p<0,001), resting heart rate (AOR 1,051; p=0,021), body mass index ≥25 kg/m2 (AOR 2,345; p=0,039), two models of coping with stress — distancing (AOR 1,071; p=0,001) and self-control (AOR 0,951; p=0,012). These parameters are included in the formula for calculating the masked HTN probability.
Conclusion. Masked HTN occurs in 13,3% of apparently healthy young people. Associations of masked HTN with strategies for coping with stress have been established, which allows them to be regarded as novel markers of masked HTN. The method described in the article makes it possible to identify masked HTN with a high probability in young people.
About the Authors
A. O. Shevchenko
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
MD, PhD, ScD, CFRAS, Leader of the Department of Cardiology, Faculty of Postgraduate Education.
Moscow
Yu. M. Yufereva
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
MD, PhD, Associate professor, Department of Cardiology, Faculty of Postgraduate Education.
Moscow
Yu. A. Gerasimova
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
resident of the Department of Hospital Pediatrics named after academician V.A. Tabolin.
Moscow
R. G. Timofeev
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
6th year student of the Faculty of Medicine.
Moscow
R. A. Faradzhov
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
MD, PhD, Associate professor, Department of Cardiology, Faculty of Postgraduate Education.
Moscow
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Supplementary files
What is already known about the subject?
- Masked hypertension (HTN) is characterized by elevated ambulatory blood pressure at a normal level of clinical blood pressure and is associated with a risk of cardiovascular events close to stable HTN.
- The optimal approach to detecting masked HTN has not been established.
What might this study add?
- Masked HTN is a common finding and occurs in 13,3% of apparently healthy young people.
- Associations between masked HTN and stress coping strategies have been established for the first time.
- The method described in the article makes it possible to identify masked HTN in young people with a high probability.
Review
For citations:
Shevchenko A.O., Yufereva Yu.M., Gerasimova Yu.A., Timofeev R.G., Faradzhov R.A. Stress coping strategies — novel markers in the diagnosis of masked hypertension in young people. Cardiovascular Therapy and Prevention. 2024;23(1):3866. (In Russ.) https://doi.org/10.15829/1728-8800-2024-3866. EDN: HAGOOD
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