The Role of 24-hour Ambulatory Blood Pressure Monitoring in Hypertensive Patients with Normal-tension Glaucoma
| Autor: | Paraskeva Hentova-Sencanic, Marija Marjanovic, Marija Božić, Ivan Marjanovic, Gordana Vukčević-Milošević, Vujica Markovic, Vesna Stojanov |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Intraocular pressure arterial hypertension Ambulatory blood pressure genetic structures Diastole Glaucoma lcsh:Medicine Blood Pressure dipper and non-dipper Ophthalmology Normal tension glaucoma Internal medicine Heart rate medicine 24-hour ambulatory blood pressure monitoring Humans Circadian rhythm Low Tension Glaucoma Prospective Studies Intraocular Pressure Aged business.industry normal-tension glaucoma lcsh:R General Medicine Blood Pressure Monitoring Ambulatory Middle Aged medicine.disease eye diseases Circadian Rhythm Blood pressure Cross-Sectional Studies Hypertension Cardiology Female business Serbia |
| Zdroj: | Srpski Arhiv za Celokupno Lekarstvo, Vol 143, Iss 9-10, Pp 525-530 (2015) |
| ISSN: | 0370-8179 |
| Popis: | Introduction. Extreme dippers are patients with a nocturnal fall of blood pressure (BP) of more than 20%, dippers have normal diurnal rhythm and decrease of BP of 10-15%, while patients with a nocturnal BP fall of less than 10% are considered to be non-dippers. Objective. The aim of this study was to compare 24-hour ambulatory BP monitoring results of normaltension glaucoma (NTG) patients with NTG suspects, as well as to determine whether NTG patients are more prone to daytime/nighttime systemic arterial BP and heart rate oscillations in comparison to NTG suspects. Methods. This was a prospective, cross-sectional and observational study of 57 hypertensive patients (39 female and 18 male), all examined at the Eye and the Cardiology Clinic, Clinical Center of Serbia in Belgrade, between November 2011 and March 2012. Before 24-hour ambulatory BP monitoring, complete ophthalmological examination was performed (intraocular pressure was measured with both Goldmann applanation and dynamic contour tonometer, as well as with computerized perimetry and Heidelberg retinal tomography). Results. There was no statistically significant difference between NTG patients and NTG suspects both in systolic daytime (131.86-141.81 mmHg, SD=±14.92 vs. 129.67-141.83 mmHg, SD=±13; p=0.53) and nighttime measurements (117.1-129.7 mmHg, SD=±18.96 vs. 112.11-127.59 mmHg, SD=±16.53; p=0.53) as well as diastolic daytime (74.55-80.37 mmHg, SD=±8.72 vs. 75.19-82.41 mmHg, SD=±7.72; p=0.58) and nighttime measurements (65.66-71.48 mmHg, SD=±8.73 vs. 67.12-73.78 mmHg, SD=±7.11; p=0.34). There was no statistically significant difference between NTG patients and NTG suspects in heart rate during the day (72.73-76.36 beats per minute [bpm], SD=±5.44 vs. 72.15-76.45 bpm, SD=±4.59; p=0.43) nor during the night (64.4-71.9 bpm, SD=±6.74 vs. 68.02-72.48 bpm, SD=±4.76; p=0.11). Conclusion. No statistically significant difference was found between NTG patients and NTG suspects in regard to their systolic and diastolic BP measured both during daytime and nighttime. NTG patients had lower nocturnal BP fall (both systolic and diastolic) than NTG suspects. |
| Databáze: | OpenAIRE |
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