PREVENTIVE DISTINCTION OF PATIENTS WITH PRIMARY OR SECONDARY HYPERTENSION BY DISCRIMINANT ANALYSIS OF CHRONOBIOLOGIC PARAMETERS ESTIMATED ON 24-HOUR BLOOD PRESSURE PATTERNS

概要

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This investigation deals with a statistical probatory that patients with primary (PH) or secondary (SH) hypertension may be correctly diagnosed by a discriminant analysis of the chronobiologic characteristics computed on the 24-hour blood pressure (BP) patterns. The methodology concerning non-invasive 24-h BP monitoring, chronobiologic analysis and the discrimination process is detailed. Substantial dissimilarities were found in the statistical distribution for systolic and diastolic BP rhythmometric parameters (mesor, amplitude and acrophase) by a retrospective assessment of two groups, consisting of 54 patients with PH and 16 patients with SH. The group-related distribution for rhythmometric parameters was found to be significantly different to generate a statistically significant intergroup discriminatory boundary. The discriminant analysis correctly diagnosed patients with PH and SH in a percentage of about 91% and 63%, respectively. The high incidence of success is convincing that the combination of 24-h BP monitoring/ chronobiologic analysis/ discrimination process can be a practical tool for confidently selecting patients with a presumable PH or SH.
社団法人日本循環器学会の論文
1989-11-20