scholarly journals Assessment of a diurnal blood pressure profile in patients with acute Lyme borreliosis

2017 ◽  
Vol 21 (4) ◽  
pp. 38
Author(s):  
A. V. Sandugei ◽  
M. V. Ilyin ◽  
O. A. Khrustalev ◽  
N. S. Baranova ◽  
N. V. Emanuilova ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Essential Hypertension ◽  
Lyme Disease ◽  
Conflict Of Interest ◽  
Pressure Profile ◽  
Acute Stage ◽  
Stage Ii ◽  
Control Group ◽  
Blood Pressure Profile ◽  
Pressure Profiles

<p><strong>Aim.</strong> The purpose of the study was to investigate the character of changes in daily blood pressure profiles and to evaluate the influence of Borrelia burgdorferi infection on the course of essential hypertension in patients with acute stage of Lyme disease.<br /><strong>Methods.</strong> 37 patients with an acute stage of Lyme disease were examined and broken down in two groups. The first group included 18 patients without essential hypertension. 19 patients with stage II of essential hypertension were included into group II. The group of comparison consisted of 32 patients with stage II of essential hypertension without Lyme disease. 26 healthy volunteers of the control group were comparable in gender and age.<br /><strong>Results.</strong> A significant difference of the average diastolic blood pressure index during night time in patients with acute stage of Lyme disease and essential hypertension 90.0 (68.5–100.0) mm Hg versus the control group 77.0 (65.0–86.0) mm Hg at p = 0.03 was observed. When determining a type of daily blood pressure profile, some features of a blood pressure circadian rhythm were found in all groups of patients. There were ‘Dipper’ (77.7%) and ‘Non-Dipper’ (22.3%) profiles in the group of patients with acute stage of Lyme disease without essential hypertension. No ‘Over-Dipper’ and ‘Night-Peaker’ profiles were recorded in this group. 'Dipper’ (20.0%), ‘Non-Dipper’ (73.4%) and ‘Night-Peaker’ (6.6%) blood pressure profiles were typical for patients with acute stage of Lyme disease and essential hypertension. <br /><strong>Conclusion.</strong> A 22.3% decrease in the number of patients with a ‘Dipper’ blood pressure daily profile and an equal increase in the number of ‘non-dipper’ patients are characteristic of an acute stage of Lyme disease. The number of ‘Non-Dipper’ patients with essential hypertension and acute stage of Lyme disease increases up to 73.4%. Thus, acute Lyme disease and essential hypertension tend to burden the each other’s course.</p><p>Received 10 May 2017. Revised 7 September 2017. Accepted 25 September 2017.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> Authors declare no conflict of interest.</p><p><strong>Author contributions</strong><br />Conception and study design: A.V. Sandugei, M.V. Ilyin, O.A. Khrustalev, N.S. Baranova. <br />Data collection and analysis: A.V. Sandugei, O.A. Khrustalev, N.V. Emanuilova. <br />Statistical data analysis: A.V. Sandugei, N.V. Emanuilova, O.Yu. Churakov.<br />Drafting the article: A.V. Sandugei, N.V. Emanuilova, V.V. Neusypin. <br />Critical revision of the article: A.V. Sandugei, N.V. Emanuilova, V.V. Neusypin.<br />Final approval of the version to be published: A.V. Sandugei, M.V. Ilyin, O.A. Khrustalev, N.S. Baranova, N.V. Emanuilova, O.Yu. Churakov, V.V. Neusypin</p>

scholarly journals Blood pressure profiles in patients with arterial hypertension and obstructive sleep apnea in different age groups

2021 ◽  
Vol 27 (5) ◽  
pp. 530-535
Author(s):  
A. N. Kuchmin ◽  
V. V. Ekimov ◽  
D. A. Galaktionov ◽  
I. M. Borisov ◽  
A. A. Sheveliov ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Age Groups ◽  
Pressure Profile ◽  
Control Group ◽  
Apnea Hypopnea Index ◽  
Blood Pressure Profile ◽  
Pressure Profiles ◽  
Obstructive Sleep

Background. Obstructive sleep apnea (OSA) is frequently associated with hypertension (HTN), and about 50 % hypertensive patients have concomitant OSA. Episodes of transient upper airway obstruction affect the daily blood pressure profile, leading to nocturnal HTN. Although the general relationship between OSA and the daily blood pressure profile is known, the association between the frequency of various daily blood pressure profiles and OSA severity as well as the age-specific differences remain unknown. The aim of the study was to determine the daily blood pressure profiles in patients with HTN and OSA, depending on the OSA severity and age. Design and methods. The study included 236 HTN patients underwent treatment in the period from 2008 to 2021 years and were diagnosed with OSA by cardiorespiratory monitoring: 84 patients had mild OSA (apnea/hypopnea index (AHI) < 15 episodes/h), 46 patients — moderate OSA (15 ≤ AHI < 30 episodes/h), and 106 patients — severe OSA (AHI ≥ 30 episodes/h). The control group included 140 HTN patients without OSA. Both groups were divided into 3 age subgroups: younger than 45 years, 45–59 years and ≥ 60 years. At baseline, all patients underwent cardiorespiratory monitoring (“Kardiotekhnika‑07–3/12P”, Inkart, St Petersburg, Russia) and 24-hour blood pressure (BP) monitoring (BPLab, Nizhny Novgorod, Russia). Results. We found an association between the distribution of daily BP profiles and age, which differs from that in HTN patients without OSA. Non-dipper and night-peaker BP profiles are predominant in young and middle age. Among OSA patients, the severity of OSA was associated with the BP profiles only in the young and middleage groups. Unfavorable BP profiles (non-dipper and night-peaker) were more common in patients with severe OSA, which was not observed in elderly subgroup. In the elderly, compared to younger patients, the overdipper profile was the most common and its frequency was not associated with OSA severity. Conclusions. The study shows the relationship between the age of patients with HTN and OSA, the OSA severity and the distribution of daily BP profiles.

Age-Related Differences of Blood Pressure Profile in Essential Hypertension

1997 ◽  
Vol 14 (4) ◽  
pp. 397-407 ◽  
Author(s):  
Daniela Scorzoni ◽  
Francesco Bazzanini ◽  
Maria Cristiana Brunazzi ◽  
Fabio Chirilto Md ◽  
Pietro Biondi ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Essential Hypertension ◽  
Pressure Profile ◽  
Blood Pressure Profile ◽  
Age Related

scholarly journals Efficacy of Diltiazem on 24-Hour Blood Pressure Profile in Essential Hypertension.

1991 ◽  
Vol 22 (3) ◽  
pp. 651-659
Author(s):  
Isao KOHNO ◽  
Shigeo MUKAIYAMA ◽  
Koichi IWASKI ◽  
Takao SAWANOBORI ◽  
Hiroyuki ISHII ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Essential Hypertension ◽  
Pressure Profile ◽  
Blood Pressure Profile

Comparative analysis of daily blood pressure profile in patients with recurrent and primary ischemic stroke

2017 ◽  
pp. 18-27
Author(s):  
N. Svyrydova ◽  
O. Mykytei
Keyword(s):  
Blood Pressure ◽  
Ischemic Stroke ◽  
Comparative Analysis ◽  
Blood Pressure Monitoring ◽  
Pressure Profile ◽  
Hypertensive Encephalopathy ◽  
Control Group ◽  
Blood Pressure Profile ◽  
Significant Difference ◽  
The Difference

To conduct a comparative analysis of daily blood pressure profile in patients with recurrent and primary ischemic stroke. We were examined 124 patients, of which 94 patients with ischemic stroke in acute period, which came to the hospital in up to 2 days after the onset of the disease and were observed in the neurological department. The control group consisted of 30 patients with hypertensive encephalopathy. The conducted analysis of daily blood pressure monitoring in patients with recurrent and primary ischemic stroke indicates the importance of using this diagnostic method as a reliable difference in many indicators of arterial pressure is obtained. The difference averages of daily monitoring of blood pressure for all periods day informative confirms the difference in blood pressure in patients with primary and repeated ischemic stroke, as observed significant difference of values: the day indices of systolic, diastolic, blood pressure pulse heart rate parameters. The study allowed to increase the effectiveness of the diagnosis of recurrent ischemic stroke by studying the characteristics of central hemodynamics.

Sign in / Sign up

Export Citation Format

Share Document