16517Hospital Universitario de La Princesa, Madrid, Spain.
16517Instituto de Investigación Sanitaria Hospital Universitario de La Princesa, Madrid, Spain.
J Int Assoc Provid AIDS Care. 2020 Jan-Dec;19:2325958220935693. doi: 10.1177/2325958220935693.
There is a lack of consensus regarding the risk of hypertension in HIV-infected patients compared to the general population. Ambulatory blood pressure monitoring (ABPM) is the most accurate method for the hypertension diagnosis. Nevertheless, it is rarely used in HIV clinical care.
All HIV-infected patients who underwent 24 hours ABPM were included. The agreement between office blood pressure (BP) readings and ABPM was analyzed. The rate of patients with masked hypertension (MH), isolated clinical hypertension, and nocturnal hypertension was obtained. Furthermore, it was analyzed if the differences between both methods may affect the cardiovascular risk (CVR) assessment.
A total of 116 patients were included. The κ coefficient between office BP and ABPM was 0.248. Over a quarter of the cohort was diagnosed with MH-25.8% (CI 95% 17.7%-34.0%), and 12% (CI 95%: 6.1%-16.1%) was diagnosed with ICH. Moreover, 19% of patients had hypertension exclusively during the night. The patients classified as low risk according to the CVR scores had a different diagnosis with ABPM than with office BP ( < .001).
The agreement between office BP and ABPM was low in HIV-infected patients. Ambulatory BP monitoring is useful in HIV-infected patients as a hypertension diagnosis method, especially among patients classified as low risk.
与普通人群相比，HIV 感染者患高血压的风险尚未达成共识。动态血压监测（ABPM）是诊断高血压最准确的方法。然而，它在 HIV 临床护理中很少使用。
所有接受 24 小时 ABPM 的 HIV 感染患者均被纳入研究。分析诊室血压（BP）读数与 ABPM 的一致性。获得隐匿性高血压（MH）、孤立性临床高血压和夜间高血压患者的比例。此外，还分析了这两种方法的差异是否会影响心血管风险（CVR）评估。
共纳入 116 例患者。诊室 BP 与 ABPM 之间的 κ 系数为 0.248。超过四分之一的患者被诊断为 MH-25.8%（95%CI：17.7%-34.0%），12%（95%CI：6.1%-16.1%）被诊断为 ICH。此外，19%的患者仅在夜间出现高血压。根据 CVR 评分分类为低危的患者，其 ABPM 诊断与诊室 BP 不同（<.001）。
在 HIV 感染患者中，诊室 BP 与 ABPM 的一致性较低。ABPM 是 HIV 感染患者高血压诊断的一种有用方法，尤其是对于低危患者。
