Влияние бронхообструктивного синдрома на показатели суточного мониторирования артериального давления

We investigated airway obstruction and daily changes of blood pressure (BP) and heart rate using 24h BP monitoring in 50 chronic bronchitis and asthma patients. In patients with normal average daily BP we detected BP elevations, partly coinciding with troubled breath episodes. Forty three per cent of the patients showed no adequate nocturnal BP decreasing. Besides of these facts, patients with bronchial obstruction and coexisting mild or moderate arterial hypertension had a higher heart rate and morning BP increase rate, especially in bronchial asthma; greater BP variability as well as greater prevalence of non-dippers. A correlation was found between the circadian BP dynamics and changes in FES/^ and airway resistance in bronchodilator test.