ECE2021 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (82 abstracts)
The prevalence of masked hypertension in the obese
Safi Wajdi 1 , Hadj Kacem Faten 1 , Rebai Mohamed 2 , Charfeddine Salma 2 , Hana Charfi 1 , Ben Salah Dhoha 1 , Chabchoub Imen 1 , Mnif Fatma 1 , Charfi Nadia 1 , Mnif Feki Mouna 1 , Rekik Nabila 1 , Kammoun Samir 2 & Abid Mohamed 1
1HEDI Cheker, Endocrinology, Tunisia; 2Hedi Cheker, Cardiology, Tunisia
Introduction
Obesity is a social scourge. Masked arterial hypertension (HTAM) is a relatively recently described entity that poses a diagnostic problem and places the patient with it at an increased risk of cardiovascular events. In this context we report a prospective study of 50 patients to determine the prevalence and predictive factors of HTAM.
Methods
Descriptive study of obese patients treated in the Endocrinology and Diabetology Department of the Hédi Chaker Sfax University Hospital, Tunisia. These patients had body mass index (BMI) b = 30 kg/m2 with no history of hypertension. They all had normal blood pressure for the last 2 years of their chek ups.
Results
We recruited 50 patients whose mean age was 46.52 years with extremes ranging from 22 to 64 years. The average BMI was 36.03 kg/m2. An android distribution of fat was objectified in all of our patients. The collection of blood pressure figures in consultation showed an average SBP of 120 ± 8.8 mmHg and an average DBP of 75 ± 7.3 mmHg. The prevalence of HTMA in our series was 36%, occurring in predominantly non-dipper subjects (38%). These results were statistically somewhat higher compared to those in the literature (between 17.1 and 30.9%). Sleep apnea syndrome, smoking, metabolic syndrome as well as high normal blood pressure values were factors associated with AMT in our patients.
Conclusion
It seems essential to perform outpatient screening for HTAM in obese patients. The induced morbidity and mortality and the cardiovascular risk would be significant and fully justify it.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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