scholarly journals Nocturnal blood pressure pattern and target organ damage

2004 ◽  
Vol 17 (5) ◽  
pp. S35
Author(s):  
P ALCANTARA
2011 ◽  
Vol 29 (2) ◽  
pp. 242-250 ◽  
Author(s):  
Léon HG Henskens ◽  
Martin PJ van Boxtel ◽  
Abraham A Kroon ◽  
Robert J van Oostenbrugge ◽  
Jan Lodder ◽  
...  

2016 ◽  
Vol 34 (Supplement 1) ◽  
pp. e230 ◽  
Author(s):  
Ran-hui Cha ◽  
Hajeong Lee ◽  
Jung Pyo Lee ◽  
Chun Soo Lim ◽  
Yon Su Kim ◽  
...  

Hypertension ◽  
2018 ◽  
Vol 72 (4) ◽  
pp. 929-936 ◽  
Author(s):  
Johannes B. Scheppach ◽  
Ulrike Raff ◽  
Sebastian Toncar ◽  
Christian Ritter ◽  
Thorsten Klink ◽  
...  

2016 ◽  
Vol 26 (3) ◽  
pp. 279 ◽  
Author(s):  
Kenechukwu Mezue ◽  
Godsent Isiguzo ◽  
Chichi Madu ◽  
Geoffrey Nwuruku ◽  
Janani Rangaswami ◽  
...  

<p><strong>Purpose: </strong>A non-dipping pattern of nocturnal blood pressure in hypertensive patients is an established predictor of cardiovascular risk, especially in Blacks. However, data on non-dipping normotensives and cardiovascular risk in this population is sparse. In this study, we aim to determine if a non-dipping profile in a cohort of Black normotensives is associated with cardiac target organ damage. <strong></strong></p><p><strong>Methods: </strong>We studied ambulatory blood pressure patterns in 43 normotensive Black patients of Caribbean origin and classified their profiles as dippers (DP) and nondippers (NDP) based on their nocturnal blood pressure profiles. Cardiac target organ damage was estimated from 2-D echocardiogram. </p><p><strong>Results: </strong>The mean age of the cohort was 52 years. Both groups were similar with respect to baseline age, sex, weight, height, body mass index and daytime ambulatory BP. There was a statistically significant difference in nocturnal blood pressure between DP and NDP groups (112 ± 7/64 ± 2 mm Hg vs 117 ± 3/69 ± 2 mm Hg, P=.004). The NDP cohort showed evidence of cardiovascular target damage on echocardiography with a significantly increased relative wall thickness (.35 ± .07cm vs .42 ± .05 cm, P=.001), left ventricular mass index (95 ± 14 vs 105 ± 14 g/m2, P=.018) and left atrial volume index (26 ± 3.5 vs. 30 ± 3.4, P=.001). Left ventricular geometry in the non-dippers also showed increased concentric remodeling, concentric and eccentric hypertrophy. </p><p><strong>Conclusions: </strong>Our study demonstrates that nocturnal non-dipping of blood pressure in normotensive Blacks of Caribbean origin may be associated with cardiovascular end organ damage thereby providing new surveillance and therapeutic targets. <em>Ethn Dis.</em>2016;26(3):279-284; doi:10.18865/ed.26.3.279 </p><br /><p><strong> </strong></p>


Author(s):  
Yong Liu

Background: In practice there is no definite clinical value of grading by casual blood pressure(CBP) and it is need to put forward new Suggestions. Methods: According to the method of three grades by CBP, blood pressure of 270 hypertensives without treatment were graded by three patterns: 4 times of CBP per day(pattern A), 2 times of CBP that not on the same day(pattern B) and 4 times from randomized daily ambulatory blood pressure(pattern C), and then repeatability were compared. Results: (1), In pattern A: BP gradings on the same level in total of 4 times of CBP were 18.50% (50/270 cases), BP gradings between two levels were 38.20% (103/270 cases), BP gradings between three levels were 43.30% (117/270 cases), total of BP gradings between two to three levels were 81.50% (220/270 cases); (2), In pattern B: BP gradings were respectively 25.19% (68/270 cases), 41.48% (112/270 cases), 33.33% (90/270 cases), 74.81% (202/270 cases); (3), In pattern C: BP gradings were respectively 23.70% (64/270 cases), 38.89% (105/270 cases), 37.41% (101/270 cases), 76.30% (206/270 cases). Conclusion: The repeatability of blood pressure gradings judgment are very poor all of above three patterns, and were no clinical value. New recommendations are: (1) It is necessary to classified into stages by target organ damage in hypertensives without ABPM, and not necessary to do grading of CBP; The stages include the phase of pure high blood pressure, the phase of high blood pressure with compensatory target organ damage, the phase of high blood pressure with decompensated target-organ damage; (2) It is necessary not only to classified into stages by target organ damage in hypertensives with ABPM but also necessary to do grading by average ambulatory blood pressure in daytime and nighttime respectively. Key words: hypertension; casual blood pressure; Ambulatory blood pressure; grading; Stage; proposals.


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