L.F. BARTOSH, I.S. BARTOSH, E.S. PANINA, T.A. ZUBKOVA

Penza Institute for Advanced Training of Physicians — Branch Campus of the FSBEI FPE RMACPE MOH Russia, 8A Stasov Str., Penza, Russian Federation, 440060 

Bartosh L.F. — D. Med. Sc., Professor of the Department of Therapy, General Practice, Endocrinology and Gastroenterology, tel. +7-927-372-26-13, e-mail: rodino091@rambler.ru

Bartosh I.S. — postgraduate student of the Department of Therapy, General Practice, Endocrinology and Gastroenterology, tel. +7-937-42-777-49, e-mail: i.s.bartosh@mail.ru

Panina E.S. — Cand. Med. Sc., Associate Professor of the Department of Therapy, General Practice, Endocrinology and Gastroenterology, tel. +7-903-324-40-34, e-mail: panina.es@mail.ru

Zubkova T.A. — postgraduate student of the Department of Therapy, General Practice, Endocrinology and Gastroenterology, tel. +7-986-730-05-36, e-mail: tatjana_91@inbox.ru

The study is devoted to the estimation of prevalence of night arterial hypertension and its various types during pregnancy according to the applied normative parameters. The method of 24-hour monitoring of blood pressure was used. The results showed a high prevalence of night arterial hypertension in pregnancy — 19 %. Three variants of high blood pressure were allocated: isolated systolic high blood pressure, isolated diastolic high blood pressure, both high systolic and diastolic blood pressure. High systolic and diastolic blood pressure is more common than isolated variants. The isolated systolic night hypertension is the rarest form. The percentage of women with arterial hypertension increases in the second half of pregnancy. The study of the significance of isolated night hypertension in the development of various complications during pregnancy may affect early diagnosis of hypertension, more effective preventive measures against complications. The role of the isolated variants of hypertension has not been examined yet.

Key words: night arterial hypertension, prevalence, pregnancy, diastolic blood pressure, systolic blood pressure.

REFERENCES

1. Yan L., Wang Guang Ji. Isolated Nocturnal Hypertension A Disease Masked in the Dark. Hypertension. February 2013, pp. 278-283.
2. Adamyan L.V., Artymchuk N.V., Bashmakova N.V. Hypertensive disorders during pregnancy, during childbirth and the postpartum period. Preeclampsia. Eclampsia. Clinical recommendations (Protocol of treatment), 2016, pp. 7-10 (in Russ.).
3. Khan K.S., Wojdyla D., Say L., Gulmezoglu A.M. Who analysis of causes of maternal death: a systematic review. Lancet,  2006,   367,   rr. 66-74.
4. Spravochnye dannye Minzdravsotsrazvitiya RF, NTs AGiP im. Akad. Kulakova [Reference data of the Ministry of Health and Social Development of the Russian Federation, Acad. Kulakov]. Moscow, 2008.
5. Eric A P Steegers, Peter von Dadelszen, Johannes J Duvekot, Robert Pijnenborg Pre-eclampsia. Lancet,  2010,   376,   rr. 31-44.
6. Wallis AB, Saftlas AF, Hsia J, Atrash HK. Secular trends in the rates of preeclampsia, eclampsia, and gestational hypertension. United States, 1987-2004. Am J Hypertens, 2008; 21,  rr. 21-26.
7. Duley L. The global impact of pre-eclampsia and eclampsia. Semin Perinatol, 2009,  33,   rr. 30-37.
8. Berg C.J., Mackay A.P., Qin C., Callaghan W.M. Overview of maternal morbidity during hospitalization for labor and delivery in the United States: 1993- 1997 and 2001-2005,  Obstet Gynecol, 2009,   113,   rr. 75-81.
9. Aylamazyan E.K., Kulakov V.I., Radzinskiy V.E. Akusherstvo. Natsional’noe rukovodstvo [National leadership]. Moscow: GEOTAR-Media, 2014. Pp. 75-76, 524-539.
10. O’Brien E. Working Group on Blood Pressure Monitoring of the European Society of Hypertension International Protocol for validation of blood pressure measuring devices in adults. Blood Pressure Monitoring,  2002,   7,   pp. 3-17.
11. Bartosh L.F., Dorogova I.N. Arterial’nye gipertenzii u beremennykh [Arterial hypertension in pregnant women]. Moscow; Nizhniy Novgorod: DEKOM, 2007. P. 148.