title: [Features of arterial blood pressure in metabolic syndrome].
abstract: The metabolic syndrome has high prevalence in hypertensive patients. Its presence leads to the early appearance of target organ damage, particularly of left ventricular hypertrophy. The 24-hour ambulatory monitoring of arterial blood pressure allows the estimation of the BP Load. The BP Load accomplishes the best correlation between the systolic blood pressure and left ventricular hypertrophy. The purpose of this study is to identify the prevalence of the metabolic syndrome and the particularities of hypertension in hypertensive patients suffering from metabolic syndrome, using 24 hour continuous blood pressure monitoring.
  
  
  METHODS
  During a three years period (2007-2009), 303 hypertensive patients were assessed at the Internal medicine Section of the County Emergency Hospital in Bacau.
  
  
  RESULTS
  The metabolic syndrome occurred in 60.1% of hypertensive patients. The batch with metabolic syndrome contained 181 patients, a female/male ratio of 3,41 to 1, average age: 66.50 +/- 10.28 years, 60.8% coming from urban environment. The monitorised systole-diastolic tension values studies indicate isolated systolic hypertension. No dipper and reverse dipper tensional profiles prevail.
  
  
  CONCLUSIONS
  In patients with isolated systolic hypertension, the association of the metabolic syndrome is the main cardiovascular risk and is associated with increase of diastolic blood pressure, presence of left ventricular hypertrophy and increased hypertensive Load values.
authors.affiliation: Spitalul Judeţean de Urgenţă Bacău, Universităţii de Medicină si Farmacie Gr.T. Popa Iaşi.
authors.forename: Elena
authors.initials: E
authors.lastname: Alistar
authors.forename: Georgeta
authors.initials: G
authors.lastname: Datcu
mesh_terms: D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D001794:Blood Pressure; D018660:Blood Pressure Monitoring, Ambulatory; D015992:Body Mass Index; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology*; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology / Q000503:physiopathology*; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology*; D008875:Middle Aged; D015995:Prevalence; D012189:Retrospective Studies; D018570:Risk Assessment; D012383:Romania / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data