24-HOURS ABPM-CTR STUDY: DIABETIC HYPERTENSIVE PATIENTS PRELIMINARY DATA: PP.38.504

Background and Aims: The aim of this study was to quantify the data of the 24-h ABPM obtained from the hypertensive patients that were hospitalized at the Department of Internal Medicine of ours medical center from year 2007 to year 2009. Methods: From January 2007 to December 2009 the 24-h ABPM was taked to all hypertensive patients that were hospitalized at the Department of Internal Medicine of ours medical center; Day Phase= 06.00 to 21.59 – Night Phase= 22.00 To 05.59; Minimal number of measuraments successfull= 60. Patients. Hypertensive male and female patients aged >18 years were not receiving antihypertensive drugs or that were receiving one, two, three or more antihypertensive drugs with or without cardiovascular Risk Factors or Diabetes Mellitus or Metabolic Syndrome or Cardiovascular or Renal Disease. Results: These data are reported to 51 Diabetic patients (39.2%) of 130 examined hypertensive patients (P) of 800. BLOOD PRESSURE Normal BP 21 (41.1%) Hight-Normal BP 16 (31.4%) Grade 1 Hypertension 8 (15.7%) Grade 2 Hypertension 0 (0.0%) Grade 3 Hypertension 0 (0.0%) Isolated Systolic Hypertension 1° 6 (11.8%) BP DIPPING STATUS Estreme-dippers 5 (9.8%) Dippers 4 (7.8%) Non-dippers 31(60.8%) Reverse-dippers 11 (21.6%) ANTIHYPERTENSIVE DRUGS 0 D 4 (7.8%) 1 D 11 (21.6%) 2 D 19 (37.2%) 3 D 11 (21.6%) 4 D 6 (11.8%) CLASS OF DRUG ACEI 11 (21.6%) ARBS 29 (56.9%) DIUR 32 (62.8%) CCB 15 (29.4%) BB 16 (31.4%) αB 1 (2.0%) RISK FACTORS / ASSOCIATED CLINICAL CONDITIONS Dyslipidaemia 36 (70.6%) Atrial Fibrillation 4 (7.8%) Left Ventricular Hypertrophy 39 (76.5%) Renal Disease 4 (7.8%) Peripheral Vascular Disease Carotid Arteries 34 (66.6%) Peripheral Arteries 16 (31.4%) Stroke/TIA 7 (13.7%) Myocardial Infarction/Angina/Heart Failure 5 (9.8%) Discussion/Conclusion: These preliminary data indicate that many of our diabetic hypertensive patients (72.5%) had normal or hight-normal blood pressure, Non-dippers pattern (60.8%), heart rate 70–89 bpm (66.6%), were receiving two antihypertensive drugs (37.2%) (ARBS 56.9% / Diuretics 62.8%), presented Dyslipidaemia (70.6%), LVH (76.5%), Peripheral Vascular Disease (Carotid Arteries 66.6% / Peripheral Arteries 31.4%). We attend the definitive data for a best evaluation of the diabetic hypertensive patients.