PREVALENCE OF MASKED HYPERTENSION AMONG PATIENTS WITH METABOLIC SYNDROME IN A TERITIARY CARE CENTRE

Abstract

Background: There is strong correlation between masked hypertension and metabolic syndrome. Presence of masked hypertension increases the risk of end organ damage, cardiovascular and cerebrovascular events and hence prevalence of masked hypertension among metabolic syndrome patients and its association with various components of metabolic syndrome needs to be defined. Aim: The aim of our study is to estimate the prevalence of masked hypertension among patients with metabolic syndrome. To assess the correlation between masked hypertension and various components of metabolic syndrome. Materials and Methods: 120 patients of age group 18-65 years, who were admitted in Sree Mookambika Institute of Medical Sciences from January 2020 to October 2020, who had metabolic syndrome were included. Inclusion Criteria included patients with waist line circumference > 102 cm in men and >88 cm in females. Triglyceride level > 150mg/dl, HDL , 40 mg/dl in men and 100mg/dl and pre hypertensive range of BP, systolic 130-139 mmHg and diastolic 85-89mmHg.d Chronic hypertensive patients with evidence of end organ damage and patients with severe uncontrolled hypertension were excluded. Relevant data were obtained, Ambulatory BP recordings were taken to identify masked Hypertension. Descriptive and Analytical statistics was performed by SPSS version 20.0. Results: Out of the 120 patients included in our study, 75 percent had masked hypertension. Our study proved positive correlation between masked hypertension and waist line circumference, elevated FBS, triglyceride, HDL Conclusion: Our study shows significant prevalence of masked hypertension among patients with metabolic syndrome. Thus early detection of masked hypertension helps in early diagnosis of metabolic syndrome and its better management. Key words: Masked hypertension, metabolic syndrome.