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KMID : 0374919940150020243
Inje Medical Journal
1994 Volume.15 No. 2 p.243 ~ p.248
Predictive Value of Ambulatory Blood Pressure Monitoring on Withdrawal of Antihypertensive Drug in-Patient with Essential Hypertension



Abstract
Eighteen patients with essential hypertension were selected to withdraw antihypertensive drug after checking the ambulatory blood pressure monitorine and analysed for variables to pull out some useful clinical indices. The following result were
obtained.
1. The shorter the time for the normalization of blood pressure after drug treatment, the longer the duration of drug withdrawal.
2. Pre-withdrawal ambulatory blood pressure monitoring revealed the lower the diastolic blood prssure, mean blood pressure, nightsystolic blood pressure, % of elevated blood pressure, the longer the duration of withdrawal
3. Cardiomegaly and left ventricular hypertropy and abnormal funding finding correlated with longer duration of withdrawal
with longer duration of withdrawal.
In conclusion, if ambulatory blood pressure mornitoring done earlier 6 months of normalization, rnore than 8 months' withdrawal were possible if the criteria of less than 5% of systolic blood pressure elevation and 10% of diastolic blood pressure
elevation were strictly observed.
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