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Master Thesis

Apport de la mesure ambulatoire de la pression artérielle en médecine générale

Abstract : Hypertension (HTN) is major burden as a cardiovascular risk. International societies recommend out-of-office blood pressure (BP) measurement to confirm HTN. Ambulatory blood pressure monitoring (ABPM) is more strongly correlated to cardiovascular morbimortality than historic office blood pressure measurement. This is a retrospective, monocentric, observational study including all patients undergoing ABPM at Dr Rey, general practitioner (GP) office. The objective was to precise ABPM interest in GP’s daily practice. Population was divided into three, depending of ABPM indications : screening, diagnosis and follow up of known hypertensive patients. 422 ABPM were used for analysis. Overall, 43% of ABPM changed patient BP status. There was a statistically significant positive correlation between office and ABPM BP (p <10-4). About dipping profil : 40,4% of patients were dipper, 40,2% were non dipper, 9,9% were reverse dipper, and 9,4% extreme dipper, dipping variation was statistically different over populations (p <10-4). Among screening population (n = 35), 49% presented masqued HTN. Among diagnosis population (n = 158), 41% presented white coat HTN, systolic and diastolic office BP were significantly higher in confirmed hypertensive patients (p = 0,01 and <10-4 respectively). Among follow up population (n = 229), 16% presented controlled BP, 33% presented white coat HTN, 11% masqued HTN, 40% uncontrolled HTN. Number and treatments types were not statistically correlated with blood pressure control. ABPM is a great tool for GP practice in addition to office BP measurement, to characterize accurately patient BP profil and optimize follow up.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02326493
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Submitted on : Tuesday, October 22, 2019 - 3:06:55 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
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  • HAL Id : dumas-02326493, version 1

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Arthur de la Ruë de Can. Apport de la mesure ambulatoire de la pression artérielle en médecine générale. Médecine humaine et pathologie. 2019. ⟨dumas-02326493⟩

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