Revista Cubana de Medicina General Integral
versión On-line ISSN 1561-3038
CESPEDES LANTIGUA, Luis Augusto et al. Behavior of dipper phenomenon in community. Rev Cubana Med Gen Integr [online]. 2010, vol.26, n.4, pp. 624-635. ISSN 1561-3038.
OBJECTIVES: to describe the behavior of dipper phenomenon (falling of nocturnal pressure between 10-20 % regarding the diurnal pressure) and its relation to other variables in a representative sample of adult population from the 55-1 consulting room of the Flores parceling in the Playa municipality of Ciudad de La Habana. METHODS: variability of arterial pressure was measured by ambulatory monitoring technique. A observational, descriptive and cross-sectional research was carried out in a sample including 120 patients achieved by simple randomized sampling. The results were processed by a SSPS v 13 statistic package. RESULTS: there was predominance of dipper cases with a 53 % coinciding with the results published and the non-dipper and marked dipper cases were of the 38 and the 9 %, respectively. A significant statistic relation was determined among the nocturnal systolic and diastolic pressures charges with the non dipper cases. CONCLUSIONS: there was a high percentage (47 %) of non dipper and marked dipper patients coinciding with other researchers performed by other authors. Due to its usefulness to predict the cardiovascular and cerebrovascular complications, not only in the hypertensive ones but in the general population, it is recommendable to extend the study to Primary Health Care.
Palabras llave : Dipper; primary health care; arterial pressure monitoring; arterial pressure; hypertension.