METHOD OF INVESTIGATING IMPACT OF DIFFERENT BEHAVIOURAL TYPES OF PATIENTS WITH STABLE ARTERIAL HYPERTENSION ON DYNAMICS OF CIRCADIAN INDICES OF ARTERIAL PRESSURE Russian patent published in 2013 - IPC A61B5/00 A61B5/21 

FIELD: medicine.

SUBSTANCE: claimed invention relates to medicine, namely to cardiology. Day monitoring of arterial pressure (DMAP) is performed to patients with stable arterial hypertension of I-II degree. 5 time intervals (TI) are estimated: from 6 to 8 o'clock; spent at the doctor's, from 9 to 11 o'clock; spent at workplace from 11 to 19 o/clock; evening, from 21 to 23 o'clock; night, from 0 to 6 a.m. For each TI average absolute indices of systolic arterial pressure (SAP) and diastolic AP (DAP) are calculated. Relative AP indices are calculated as difference between average AP for one of TI and average day AP. Relative indices are compared with average population ones for patients with the same degree of AH. TIs, in which deviation of relative AP indices from the average population values for said patient is maximal, are identified and type of day AP dynamics is determined. After that patient is tested by means of questionnaire, questions of which are grouped into 5 scales, where each scale characterised behavioural type of patient from the point of view of probability of AP increase in one of five TIs. Each question is assessed in points. Indices for each scale are calculated as the mean arithmetic of the sum of points of scale-forming questions. Depending on the quantity of points, obtained for each scale as a result of testing, patient is referred to the behavioural type, predisposed to increase of AP in morning, spent at the doctor's, spent at the workplace, evening or night TI. Results of circadian AP fluctuations, obtained by DMAP, and supposed character of AP behaviour, based on the results of testing, are compared, and if AP behaviour in all tested TIs coincides, conclusion that circadian indices of arterial pressure, obtained during DMAP, are typical of patient, are obtained in habitual for them psychosocial conditions, is made, and it is not required to repeat DMAP.

EFFECT: method makes it possible to specify character of circadian AP fluctuations taking into account predictors of AP increase in different TIs and determine optimal scheme for treatment of patient, as well as to correct its behaviour in the most vulnerable TI.

5 tbl, 1 ex