Obesity and daytime pulse pressure are predictors of left ventricular hypertrophy in true normotensive individuals.

Abstract:

OBJECTIVE:To investigate predictors of left ventricular mass corrected for height2.7 (LVMI) and left ventricular hypertrophy in patients who were found to be normotensive with both office and 24-h ambulatory blood pressure (BP) measurements. METHODS:A total of 805 consecutive patients were analyzed. All patients underwent office BP measurements, 24-h ambulatory BP monitoring, laboratory measurements for cardiovascular risk factors and echocardiography. Individuals with both office and ambulatory normotension were characterized as true normotensive. RESULTS:LVMI was found to be 34.5 +/- 10.9 g/m2.7 in normal-weight patients and 48.7 +/- 13.0 g/m2.7 in obese patients (P < 0.0001). LVMI was found to be 41.7 +/- 10 g/m2.7 in overweight patients, significantly lower than the values of obese patients (P < 0.005) and higher than the values of normal-weight patients (P < 0.001). These results remained significant even after adjustment for age, sex, daytime and nighttime SBP, daytime and nighttime DBP, daytime and nighttime BP variability and daytime and nighttime pulse pressure (PP). In a multivariate analysis model, in which LVMI was the dependent variable and office SBP, office DBP, daytime and nighttime SBP and DBP, daytime and nighttime PPs and variabilities, day-night SBP ratio, fasting serum glucose, triglycerides, total cholesterol, age and BMI were inserted as independent variables with weighted least squares regression by sex, the predictors of LVMI were age, BMI and daytime PP (r2 = 0.31). Left ventricular hypertrophy was 17.67 times more likely in obese patients as compared with normal-weight true normotensive individuals. CONCLUSION:Obesity may represent a significant cardiovascular risk factor even in normotensive individuals. Other predictors of LVMI were ageing and daytime PP.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

Kotsis V,Stabouli S,Toumanidis S,Tsivgoulis G,Rizos Z,Trakateli C,Zakopoulos N,Sion M

doi

10.1097/hjh.0b013e3283370e5e

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

1065-73

issue

5

eissn

0263-6352

issn

1473-5598

journal_volume

28

pub_type

杂志文章
  • Effect of losartan, compared with atenolol, on endothelial function and oxidative stress in patients with type 2 diabetes and hypertension.

    abstract:OBJECTIVE:It has been shown that angiotensin-converting enzyme inhibition or angiotensin receptor blockade may improve endothelial dysfunction, an early manifestation of atherosclerosis, in patients with diabetes. Whether this protective effect is mediated through blood pressure-lowering effects or other specific mecha...

    journal_title:Journal of hypertension

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/HJH.0b013e3280287a72

    authors: Flammer AJ,Hermann F,Wiesli P,Schwegler B,Chenevard R,Hürlimann D,Sudano I,Gay S,Neidhart M,Riesen W,Ruschitzka F,Lüscher TF,Noll G,Lehmann R

    更新日期:2007-04-01 00:00:00

  • Exaggerated blood pressure responses to submaximal exercise in normotensive adolescents with a family history of hypertension.

    abstract::Twenty-four adolescent boys with a positive and 40 boys with a negative parental history of hypertension (PH+ and PH-, respectively) were studied at rest and during exercise on a bicycle ergometer at work loads ranging from 25 to 150 W. Each group was divided into fit and unfit categories on the basis of oxygen consum...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:

    authors: Molineux D,Steptoe A

    更新日期:1988-05-01 00:00:00

  • Taurine amplifies renal kallikrein and prevents salt-induced hypertension in Dahl rats.

    abstract:OBJECTIVE:To determine whether taurine reduces blood pressure by stimulating the renal kallikrein-kinin system. METHODS:The effects of taurine on blood pressure, urinary kallikrein activity and renal kallikrein gene expression were investigated in Dahl salt-sensitive (Dahl-S) rats. The specificity of the action of tau...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:

    authors: Ideishi M,Miura S,Sakai T,Sasaguri M,Misumi Y,Arakawa K

    更新日期:1994-06-01 00:00:00

  • Interarm blood pressure difference and target organ damage in the general population.

    abstract:OBJECTIVE:The objective of the study was to investigate interarm differences of blood pressure (BP) and its determinants, and to clarify whether both arms are equally good in assessing BP and target organ damage in the general population. METHODS:We studied a representative sample of Finnish adult population with 484 ...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000000040

    authors: Johansson JK,Puukka PJ,Jula AM

    更新日期:2014-02-01 00:00:00

  • Differential regulation of interleukin-6 production in the kidney by the renal sympathetic nerves in normal and spontaneously hypertensive rats.

    abstract:OBJECTIVE:The aim of the study was to evaluate the influence of renal sympathetic nerves on the production of interleukin (IL)-6 in the kidney of normotensive Wistar rats and spontaneously hypertensive rats (SHR). DESIGN:In acute studies, the left kidney was exposed and the renal nerves were electrically stimulated to...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199305000-00004

    authors: Nakamura A,Kohsaka T,Johns EJ

    更新日期:1993-05-01 00:00:00

  • Objective sleep quality and night-time blood pressure in the general elderly population: a cross-sectional study of the HEIJO-KYO cohort.

    abstract:OBJECTIVES:Night-time blood pressure (BP) - prognostically more important than circadian BP variability - has not been evaluated for quantitative associations with objective sleep quality in large populations. METHODS:The cross-sectional study measured actigraphic sleep parameters and night-time BP for two nights in 1...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000001569

    authors: Oume M,Obayashi K,Asai Y,Ogura M,Takeuchi K,Tai Y,Kurumatani N,Saeki K

    更新日期:2018-03-01 00:00:00

  • Screening for orthostatic hypotension using home blood pressure measurements.

    abstract:OBJECTIVE:Orthostatic hypotension is a common condition associated with adverse cardiovascular and cognitive prognosis. Screening for orthostatic hypotension consists of blood pressure measurements in supine (or sitting) and standing position during clinical consultations. As orthostatic hypotension is a poorly reprodu...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000001986

    authors: Cremer A,Rousseau AL,Boulestreau R,Kuntz S,Tzourio C,Gosse P

    更新日期:2019-05-01 00:00:00

  • Repeated administration of inorganic nitrate on blood pressure and arterial stiffness: a systematic review and meta-analysis of randomized controlled trials.

    abstract:OBJECTIVE:We aim to synthesize effects of repeated administration (≥3 days) of inorganic nitrate on blood pressure and arterial stiffness measures. METHODS:We conducted a systematic review and meta-analysis of randomized controlled trials with at least 3 days treatment of inorganic nitrate on blood pressure and arteri...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000002524

    authors: Li D,Nishi SK,Jovanovski E,Zurbau A,Komishon A,Mejia SB,Khan TA,Sievenpiper JL,Milicic D,Jenkins A,Vuksan V

    更新日期:2020-11-01 00:00:00

  • Mediation of the vasoactive properties of diadenosine tetraphosphate via various purinoceptors.

    abstract:OBJECTIVE AND METHODS:The vasoactive properties of P1,P4-diadenosine tetraphosphate (Ap4A) were studied by measuring the effects of perfusion pressure of a rat isolated perfused kidney. RESULTS:The vasoconstrictive response to Ap4A was mediated to a large extent to a P2X receptor which could be shown by inhibition wit...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199816121-00013

    authors: van der Giet M,Jankowski J,Schlüter H,Zidek W,Tepel M

    更新日期:1998-12-01 00:00:00

  • An age-related decline in endothelial function is not associated with alterations in L-arginine transport in humans.

    abstract:OBJECTIVES:Endothelial dysfunction is established in aged individuals; however, the mechanism(s) are not fully elucidated. We have previously identified l-arginine transport as a potential rate-limiting factor in nitric oxide (NO) production in heart-failure patients, characterized with endothelial dysfunction. We ther...

    journal_title:Journal of hypertension

    pub_type: 临床试验,杂志文章

    doi:10.1097/00004872-200402000-00016

    authors: Ahlers BA,Parnell MM,Chin-Dusting JP,Kaye DM

    更新日期:2004-02-01 00:00:00

  • Relationship between blood pressure level and mortality rate: an 18-year study conducted in two rural communities in Japan.

    abstract:BACKGROUND:There have been very few studies on life prognosis of cardiovascular disease according to blood pressure stratification in the Japanese. Therefore, in Japan, although treatment of hypertension is possible, albeit at times difficult, due to the availability of various antihypertensive medications, the appropr...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200018020-00002

    authors: Takagi S,Saitoh S,Nakano M,Hayashi Y,Obara F,Onishi H,Shimamoto K

    更新日期:2000-02-01 00:00:00

  • Initial left-ventricular mass predicts probability of uncontrolled blood pressure in arterial hypertension.

    abstract:BACKGROUND:Left-ventricular hypertrophy (LVH) is a marker of organ damage in hypertension and helps stratifying cardiovascular risk. Initial left-ventricular mass (LVM) is also a predictor of progression to hypertension, independently of initial blood pressure (BP) and other confounders. OBJECTIVES:To evaluate whether...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e328343ce32

    authors: Izzo R,de Simone G,Devereux RB,Giudice R,De Marco M,Cimmino CS,Vasta A,De Luca N,Trimarco B

    更新日期:2011-04-01 00:00:00

  • Left ventricular diastolic function and responses to adrenergic stimuli in borderline arterial hypertension.

    abstract:OBJECTIVE:To detect the existence of a possible relationship between arterial hypertension and adrenergic reactivity to pressure stimuli, and changes in left ventricular diastolic function (LVDF). PATIENTS:Fifty-nine young subjects with borderline arterial hypertension and ten sex- and age-matched controls were invest...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199203000-00006

    authors: Covi G,Sheiban I,Gelmini GP,Zenorini C,Mileto A,Girelli A,Lechi A

    更新日期:1992-03-01 00:00:00

  • Evaluation of reproducibility of spontaneous baroreflex sensitivity at rest and during laboratory tests.

    abstract:OBJECTIVE:The aim of the present study was to examine the reproducibility of arterial baroreflex sensitivity (BRS) provided by the spontaneous baroreflex method at rest and during laboratory tests. METHODS:Twenty healthy volunteers were studied 24 h apart, in the same laboratory and under the same environmental condit...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199609000-00009

    authors: Iellamo F,Legramante JM,Raimondi G,Castrucci F,Massaro M,Peruzzi G

    更新日期:1996-09-01 00:00:00

  • Haplotypes of the beta-2 adrenergic receptor associate with high diastolic blood pressure in the Caerphilly prospective study.

    abstract:OBJECTIVES:Current evidence demonstrates that both genetic and environmental factors influence blood pressure. The sympathetic nervous system is a key player in blood pressure control and functional genetic variants of the beta-2 adrenergic receptor (B2AR) have been identified and implicated in the pathogenesis of hype...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/01.hjh.0000209983.28735.33

    authors: Binder A,Garcia E,Wallace C,Gbenga K,Ben-Shlomo Y,Yarnell J,Brown P,Caulfield M,Skrabal F,Kotanko P,Munroe P

    更新日期:2006-03-01 00:00:00

  • Enhanced sympathoadrenal reactivity to haemorrhagic stress in DOCA-salt hypertensive rats.

    abstract::The effect of haemorrhagic hypotension on plasma catecholamine levels was studied in anesthetized normotensive and DOCA-salt hypertensive rats. The basal levels of plasma norepinephrine (NE) were significantly higher in DOCA-salt hypertensive rats than in normotensive rats. Moreover, the elevations in plasma NE and ep...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-198903000-00011

    authors: Drolet G,Bouvier M,de Champlain J

    更新日期:1989-03-01 00:00:00

  • Excessive zinc intake elevates systemic blood pressure levels in normotensive rats--potential role of superoxide-induced oxidative stress.

    abstract:OBJECTIVES:The present study was designed to examine whether or not excessive Zn intake affects systemic blood pressure (BP) levels in a normotensive state. METHODS:Systolic BP (SBP) and mean arterial pressure (MAP) before and after administration of the nitric oxide synthase (NOS) inhibitor, N-nitro-L-arginine methyl...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200403000-00017

    authors: Yanagisawa H,Sato M,Nodera M,Wada O

    更新日期:2004-03-01 00:00:00

  • Persistent effect of early, brief angiotensin-converting enzyme inhibition on segmental pressure dependency of aortic stiffness in spontaneously hypertensive rats.

    abstract:OBJECTIVE:The effect of brief, prehypertensive therapy by angiotensin-converting enzyme inhibition (ACEi) with perindopril on the structure and function of large arteries was studied in rats. METHODS:Spontaneously hypertensive rats (SHR) received perindopril (3 mg/kg per day) between the ages of either 6 and 10 weeks ...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e3283562e35

    authors: Ng K,Butlin M,Avolio AP

    更新日期:2012-09-01 00:00:00

  • Long-term exercise training and angiotensin-converting enzyme inhibition differentially enhance myocardial capillarization in the spontaneously hypertensive rat.

    abstract:OBJECTIVES:To investigate whether combined treatment with lisinopril, an angiotensin-converting enzyme (ACE) inhibitor and exercise training would have an additive effect in enhancing the capillary supply of the left ventricular (LV) myocardium in spontaneously hypertensive rats (SHR). DESIGN:Twelve-week-old male SHR ...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/01.hjh.0000170387.61579.ab

    authors: Ziada AM,Hassan MO,Tahlilkar KI,Inuwa IM

    更新日期:2005-06-01 00:00:00

  • Prestroke treatment with beta-blockers for hypertension is not associated with severity and poor outcome in patients with ischemic stroke: data from a national stroke registry.

    abstract:BACKGROUND:Beta-blockers are not recommended as the initial therapy for hypertension. Reports on associations between use of beta-blockers and stroke severity are inconclusive. We assessed associations between prestroke use of beta-blockers and stroke severity, poststroke disability and death in a large group of hypert...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000001218

    authors: Koton S,Tanne D,Grossman E

    更新日期:2017-04-01 00:00:00

  • Hypertension in a rural community in Sri Lanka: prevalence, associated factors and its effect on the renal profile.

    abstract:INTRODUCTION:Chronic kidney disease (CKD) in which the disease cannot be attributed to any known cause is named CKD of uncertain aetiology (CKDu). The main aims of this analysis were to estimate the prevalence of hypertension and to identify the associated factors in a rural community vulnerable to CKDu and to identify...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000002107

    authors: Senanayake S,Ruwanpathirana T,Gunawardena N

    更新日期:2019-09-01 00:00:00

  • Vascular albumin permeability and hypertrophy in a rat model combining streptozotocin-induced diabetes and genetic hypertension.

    abstract:OBJECTIVE:To investigate the effects of hypertension and diabetes mellitus on vascular albumin permeability and hypertrophy in 11-week-old Wistar-Kyoto (WKY) rats and spontaneously hypertensive rats (SHR) with and without 3 weeks of streptozotocin-induced diabetes. METHODS:Vascular albumin permeability was measured as...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199505000-00008

    authors: Hulthén UL,Rumble J,Cooper ME,Johnston CI

    更新日期:1995-05-01 00:00:00

  • Home device-monitored sleep blood pressure reflects large artery stiffness: the Nagahama study.

    abstract:BACKGROUND:High sleep blood pressure (BP) has been suggested to be an independent risk factor for cardiovascular outcomes. To assess the applicability of sleep BP measured using a timer-equipped home device, we investigated the association between home device-measured sleep BP and large artery stiffness. METHODS:We pe...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000002576

    authors: Tabara Y,Matsumoto T,Murase K,Setoh K,Kawaguchi T,Kosugi S,Nakayama T,Hirai T,Wakamura T,Chin K,Matsuda F,Nagahama study group.

    更新日期:2020-12-01 00:00:00

  • Atrial natriuretic peptide and regulation of vascular function in hypertension and heart failure: implications for novel therapeutic strategies.

    abstract::Atrial natriuretic peptide (ANP) plays a pivotal role in modulation of vascular function and it is also involved in the pathophysiology of several cardiovascular diseases. We provide an updated overview of the current appraisal of ANP vascular effects in both animal models and humans. We describe the physiological imp...

    journal_title:Journal of hypertension

    pub_type: 杂志文章,评审

    doi:10.1097/HJH.0b013e32835ed5eb

    authors: Rubattu S,Calvieri C,Pagliaro B,Volpe M

    更新日期:2013-06-01 00:00:00

  • An association study of angiotensinogen polymorphisms with serum level and hypertension in an African-American population.

    abstract:OBJECTIVE:To evaluate the association of angiotensinogen (AGT) gene with AGT level and hypertension based on the overall genetic variation of the AGT gene in among African-Americans. METHODS:All non-rare single nucleotide polymorphisms (SNPs) in AGT were identified by resequencing 24 individuals. Five tagging SNPs wer...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-200310000-00011

    authors: Wu X,Luke A,Rieder M,Lee K,Toth EJ,Nickerson D,Zhu X,Kan D,Cooper RS

    更新日期:2003-10-01 00:00:00

  • Blood pressure variability is increasing from the first to the second day of the interdialytic interval in hemodialysis patients.

    abstract:OBJECTIVES:Patients with end-stage renal-disease under hemodialysis have increased cardiovascular risk and experience severe blood pressure (BP) fluctuations during the dialysis session and the subsequent interdialytic period. BP variability (BPV) may be an additional risk factor for cardiovascular events and prelimina...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000001478

    authors: Karpetas A,Loutradis C,Bikos A,Tzanis G,Koutroumpas G,Lazaridis AA,Mavromatidis K,Liakopoulos V,Papagianni A,Zebekakis P,Ruilope LM,Parati G,Sarafidis PA

    更新日期:2017-12-01 00:00:00

  • Differential response to endothelial epithelial sodium channel inhibition ex vivo correlates with arterial stiffness in humans.

    abstract:OBJECTIVES:Recently, the nanomechanical properties (i.e. stiffness) of endothelial cells have been identified as crucial for appropriate endothelial function. One major determinant of endothelial stiffness is the endothelial sodium channel (EnNaC). EnNaC-dependent stiffening leads to reduced nitric oxide release, which...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0000000000000736

    authors: Lenders M,Hofschröer V,Schmitz B,Kasprzak B,Rohlmann A,Missler M,Pavenstädt H,Oberleithner H,Brand SM,Kusche-Vihrog K,Brand E

    更新日期:2015-12-01 00:00:00

  • Early pregnancy soluble E-selectin concentrations and risk of preeclampsia.

    abstract:OBJECTIVE:Circulating biomarkers of endothelial dysfunction and inflammation are elevated in late pregnancy in women with preeclampsia. We examined plasma levels of inflammatory cytokines and adhesion molecules in early pregnancy, to assess their ability to predict preeclampsia. METHODS:In a prospective longitudinal s...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/HJH.0b013e328352573b

    authors: Carty DM,Anderson LA,Freeman DJ,Welsh PI,Brennand JE,Dominiczak AF,Delles C

    更新日期:2012-05-01 00:00:00

  • Is the tissue availability of circulating insulin-like growth factor I involved in organ damage and glucose regulation in hypertension?

    abstract:BACKGROUND:Besides its capacity to regulate organ and tissue growth, the insulin-like growth factor I exerts biologic actions that resemble those of insulin. Tissue access of the factor depends on the distribution of the circulating bound factor between its binding protein 3 that remains within the intravascular space ...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199715100-00014

    authors: Laviades C,Gil MJ,Monreal I,González A,Díez J

    更新日期:1997-10-01 00:00:00

  • Genotypes of sarco(endo)plasmic reticulum Ca(2+)-dependent ATPase II gene in substrains of spontaneously hypertensive rats.

    abstract:OBJECTIVE:To search for a genetic marker of the sarco(endo)plasmic reticulum Ca(2+)-dependent ATPase (SERCA) II gene in spontaneously hypertensive rats (SHRs) and to investigate differences in blood pressure and intracellular Ca2+ among some substrains of SHRs and Wistar-Kyoto (WKY) rats related to their SERCA II genot...

    journal_title:Journal of hypertension

    pub_type: 杂志文章

    doi:10.1097/00004872-199603000-00003

    authors: Ohno Y,Matsuo K,Suzuki H,Tanase H,Ikeshima H,Takano T,Saruta T

    更新日期:1996-03-01 00:00:00