BURDEN OF MASKED UNCONTROLLED HYPERTENSION IN TREATED HYPERTENSIVE PATIENTS AND EFFECT ON END ORGANS.

Introduction: Masked hypertension (MH) is a condition where patient's office blood pressure measurement reveal a blood pressure below the threshold, but their average ambulatory blood pressure readings are higher than normal. Masked uncontrolled hypertension is seen however in treated hypertensive patients whereby there out of office BP readings are consistently above goal based threshold levels.Aim: To estimate the prevalence of masked hypertension and target organ damage in treated hypertensive patients.Material And Methods: The present prospective study was conducted in, ASCOMS Medical College and hospital and a total of 100 study subjects were evaluated for masked hypertension and targeted organ damage. All the patients were clinically examined, blood pressure was measured in sitting position after around 20 minutes or more rest in office. Ambulatory blood pressure monitoring, echo and other tests were sent after taking written informed consent from patients or their attendants. Data was collected using a structured clinical proforma.The data that was collected and input into a Microsoft Excel sheet was statistically analysed with the help of SPSS version 22.0.Result:The majority of the subjects in our study (30%) were discovered to be between the ages of 46 and 50.The male to female ratio was 1.43:1,with men making up the majority of the study participants.The majority of the research participants (52%) belonged to the middle class. The majority of research participants were smokers and drinkers. The masked hypertension was linked with targeted organ damage. Conclusion: The study concluded that 25% of patients had masked hypertension, and that their left ventricular mass index, maximal intima media thickness of the carotid artery,and urine albumin level were significantly different from those of other patients.