Features of the clinical course of arterial hypertension in patients with vitamin D deficiency
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Department of Propaedeutic of internal medicine №2, Bogomolets National Medical University, Ukraine
These authors had equal contribution to this work
Submission date: 2024-03-11
Final revision date: 2024-07-28
Acceptance date: 2024-08-01
Publication date: 2024-11-03
Wiadomości Lekarskie 2024;77(9):1647-1653
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ABSTRACT
Aim:
To determine the peculiarities of the daily profile of blood pressure in patients with arterial hypertension (AH) and vitamin D deficiency and insufficiency, to evaluate the parameters of the lipid profile and quality of life in these patients.
Material and methods:
A total number of 97 patients with uncomplicated AH stage 1 and 2 were divided into 3 groups depending on the level of vitamin D in the blood serum. All patients underwent office blood pressure (BP) measurement and daily ambulatory BP monitoring for 24 hours, biochemical blood test with the determination of indicators of lipid metabolism, questionnaires for quality of life indicators. Statistical processing of the study results was carried out using “IBM SPSS Statistics 22”.
Results:
"Non-dippers" are most often identified in groups 1 and 2. Their prevalence is 1.8 times higher than in group 3 (p <0.05). The frequency of "night-peackers" in group 1 is 1.7 times higher than in group 2 and 2.6 times higher than in group 3 (p < 0.05). Patients with AH and vitamin D deficiency have severe lipid metabolism disorders (p < 0.05). The correlation analysis shows a direct relationship of average strength between them and average daily systolic and diastolic BP indicators (р<0.05).
Conclusions:
Patients with AH and vitamin D deficiency has an increase in cardiovascular risk, which is manifested by increase in pressure load indicators, frequency of detection of "night-peakers" and lipid metabolism disorders which is worsens of vascular accidents prognosis.