Universität zu Köln

Kasper, Philipp, Phiri, Sam, Chawezai, Tom, Tweya, Hannock, Mwagomba, Beatrice, Neuhann, Florian and Steffen, Hans-Michael (2019). Feasibility and preliminary results of 24-h-ABPM in Malawian HIV+-patients. Flugmedizin Tropenmedizin Reisemedizin, 26 (5). S. 220 - 226. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1864-175X

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Abstract

Cardiovascular diseases such as arterial hypertension contribute substantially to morbidity and mortality in sub-Saharan Africa. 24-hour ambulatory blood pressure monitoring (24-h-ABPM) is the most accurate method for confirming a diagnosis of hypertension. As part of the ongoing prospective LighTen Cohort Study we sought to determine the feasibility of 24-h-ABPM in HIV+-patients on antiretroviral therapy and its role in diagnosing and managing hypertension. Office blood pressure values and 24-h-ABPM data of 34 adult HIV+-patients and 20 HIV--controls were analyzed. Despite taking antihypertensive medication, blood pressure was controlled in only one fourth of patients and controls. 24-h-ABPM turned out to be feasible in resource-limited settings like Malawi. It allowed the identification of patients with unfavourable cardiovascular prognosis due to disturbed nocturnal blood pressure dipping as well as patients with white-coat hypertension and probably low cardiovascular risk.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Kasper, Philipp UNSPECIFIED UNSPECIFIED UNSPECIFIED Phiri, Sam UNSPECIFIED UNSPECIFIED UNSPECIFIED Chawezai, Tom UNSPECIFIED UNSPECIFIED UNSPECIFIED Tweya, Hannock UNSPECIFIED UNSPECIFIED UNSPECIFIED Mwagomba, Beatrice UNSPECIFIED UNSPECIFIED UNSPECIFIED Neuhann, Florian UNSPECIFIED UNSPECIFIED UNSPECIFIED Steffen, Hans-Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-132379
DOI:	10.1055/a-0998-7337
Journal or Publication Title:	Flugmedizin Tropenmedizin Reisemedizin
Volume:	26
Number:	5
Page Range:	S. 220 - 226
Date:	2019
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1864-175X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language AMBULATORY BLOOD-PRESSURE; SUB-SAHARAN AFRICA; ANTIRETROVIRAL THERAPY; CARDIOVASCULAR RISK; HYPERTENSION; PREVALENCE; BURDEN Multiple languages Tropical Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/13237