Diurnal variation of blood pressure; reproducibility and association with left ventricular hypertrophy in hemodialysis patients
| Autor: | Brian Hoit, Robert Heyka, Valerie Griffin, Mahboob Rahman |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Ambulatory blood pressure medicine.medical_treatment Diastole Blood Pressure Assessment and Diagnosis Left ventricular hypertrophy Electrocardiography Renal Dialysis Internal medicine Internal Medicine medicine Humans Aged Advanced and Specialized Nursing biology business.industry Dipper Diurnal temperature variation Reproducibility of Results General Medicine Blood Pressure Monitoring Ambulatory Middle Aged biology.organism_classification medicine.disease Circadian Rhythm Endocrinology Blood pressure Cross-Sectional Studies Ambulatory Hypertension Cardiology Kidney Failure Chronic Female Hypertrophy Left Ventricular Hemodialysis Cardiology and Cardiovascular Medicine business |
| Zdroj: | Blood pressure monitoring. 10(1) |
| ISSN: | 1359-5237 |
| Popis: | Objective The objective of this paper is to describe the pattern of diurnal blood pressure (BP) change in hemodialysis patients, determine the association of the non-dipping pattern of diurnal BP with left ventricular mass index (LVMI), and to determine if the nocturnal profile of BP is reproducible when repeated over time. Methods In a cross-sectional study, ambulatory blood pressure monitoring (ABPM) was performed over a midweek 44-h period and echocardiography was performed on the interdialytic day. Patients with a night/ day systolic and diastolic BP ratio on both days >0.9 were defined as non-dippers. Ambulatory blood pressure monitoring was repeated at 6 and 12 months follow-up. Results Of the 59 patients, 88% were African-American, and 48% were non-dippers. Mean LVMI was significantly higher in the non-dipper (68.3 ′ 25g/height 2 . 7 ) compared to the dipper patients (55.6′16, P |
| Databáze: | OpenAIRE |
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