Diminished circadian blood pressure rhythm in patients with asymptomatic normotensive pheochromocytoma.
Autor: | Zelinka, Tomáš, 1968- |
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Další autoři: |
Widimský, Jiří, 1956-
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Jazyk: | angličtina |
Předmět: | |
Druh dokumentu: | Non-fiction |
ISSN: | 0862-8408 |
Abstrakt: | Abstract: In our study, the circadian blood pressure (BP) rhythm was studied in subjects with asymptomatic and normotensive pheochromocytoma. We have therefore performed 24-hour BP monitoring not only in 6 subjects with asymptomatic pheochromocytoma, but also in 33 patients with symptomatic pheochromocytoma and in 10 normotensive subjects, who served as a control group. Circadian BP rhythm was expressed by assessing a relative night-time BP decline. We found a similar BP rhythm, catecholamine excretion and tumor size in subjects with both forms of pheochromocytoma. Subjects with asymptomatic pheochromocytoma had a significantly lower night-time systolic BP decline (P=0.01) and diastolic BP decline (P=0.006) than normotensive controls. We conclude that the attenuated night-time BP decline in normotensive and asymptomatic subjects with pheochromocytoma might be a possible sign of partial desensitization of the cardiovascular system to catecholamines. |
Databáze: | Katalog Knihovny AV ČR |
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