TARGET ORGAN DAMAGE IN MASKED HYPERTENSION AND ROLE OF ABPM
DOI:
https://doi.org/10.48047/Keywords:
Masked hypertension, Hypertension on ABPM/HBPM, Chronic kidney disease (CKD)Abstract
With the widespread use of ABPM, new phenotypes of essential hypertension have been uncovered. One of such
phenotypes is the so-called masked hypertension wherein a patient has a normal office bp but hypertension on ABPM or
HBPM. It is important to recognize this phenotype because it may be associated with HMOD in presence of normal
office bp. We carried out a study to find out the prevalence of masked hypertension in patients who had office bp in high
normal range with or without diabetes, CKD, alcohol intake, smoking, obesity, and sedentary lifestyle. The prevalence of
masked hypertension was 17%. Statistically significant association was found between masked hypertension and obesity,
diabetes and CKD. 29.4% of patients with masked hypertension had retinopathy, 17.9% had nephropathy, and 26.9% had
LVH. Our study makes a strong case for screening for masked hypertension in all patients who present with high normal
office bp with or without obesity, diabetes and CKD.
