Преимущества использования хронобиологических нормативов при анализе данных амбулаторного мониторинга артериального давления.

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Ключевые слова: амбулаторный мониторинг, артериальное давления, регуляция, циркадианный ритм, вариабельность, контрольные нормативы, диагностика

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      2) Специалистами по АМАД сегодня  достаточно единодушно (на основе  сведений о соответствии этих  цифр наличию и степени тяжести  органных повреждений) признаются  в качестве верхней границы  среднесуточного САД значения, равные 132-135 мм.рт.ст. Так как эти значения являются пороговой границей нормы, следует полагать, что при таких цифрах среднего САД, нагрузочный индекс (избыточное давление в единицу времени), должен незначительно превышать нулевое значение, в противном случае он не будет согласовываться со средними значениями САД, а также будет слабо отражать тяжесть заболевания и будет лишен высокой прогностической ценности. Стандартный ИП, однако, при значениях среднего АД около 135 мм.рт.ст. имеет значения около 100 мм.рт.ст. х час, в то время как ГБИ при пороговом значении среднесуточного САД только начинает достоверно отличаться от нуля, поэтому хронобиологический ГБИ также следует считать более точным нагрузочным индексом, нежели ИВ.  
 

 

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