ARTERIAL HYPERTENSION-NON INVASIVE DIAGNOSIS

Abstract

Aims & Objectives: This study was designated to find and
to characterize similarities andf differencies between two groups of patiens. One group were patients with established
arterial hypertension / AH / and the second one were patients with new diagnosis of AH or who have so called high
normal blood pressure / BP / or who had randomly found elevated blood pressure once time in their history but,
therefore they had normal BP on check examinations, they were left without treatment. The main goal of the study was
to show that the groups are similar in important parameters, which may be of clinical importance / decision about
treatment / and to find which of the non invasive examinations, with exception of classical BP measurements, may still
play the important role in setting the diagnosis of AH in early stage of the disease. And the second main goal of the
study was to show that measurement of BP under basal conditions may sometimes be insufficient for decision making
if the patient is hypertonic or not. Methods: Following methods and measurements were used to obtain necessary
parameters – arterial blood pressure measurement, echocardiographic examination to obtain values as left ventricular
diameter in systole and diastole, interventricular septum and posterior wall thickness in systole and diastole, ejection
fraction - Teichholz, interventricular septum and posterior wall excursions, left atrial diameter, measurement of speed
of aortic ejection, E/A index, isovolumic relaxation time, carotid myointimal thickening, carotid pulse velocity, time to
peak of carotid upstroke and ambulatory blood pressure and electrocardiogram monitoring, measurement of blood
pressure reaction on exercise stress testing and in recovery period post exercise and double product.