Is blunted heart rate decrease at night associated with prevalent organ damage in essential hypertension?

Abstract:

AIM:The association between a blunted decrease in day–night heart rate and subclinical organ damage has not been investigated earlier in human hypertension. Therefore, we assessed such an association in a cohort of 658 untreated essential hypertensive patients. METHODS:All patients underwent procedures including cardiac and carotid ultrasonography, 24-h urine collection for microalbuminuria, ambulatory blood pressure monitoring with simultaneous assessment of heart rate over two 24-h periods within 4 weeks. Nondipping heart rate was defined as a mean heart rate reduction at night lower than 10% compared with daytime values. RESULTS:A reproducible nocturnal dipping (heart rate decrease >10% in both the ambulatory blood pressure monitoring periods) and nondipping profile was found in 513 (78%) and 76 patients (12%), respectively; 69 hypertensive patients (10%) had a variable dipping profile. The three groups did not differ with regard to age, sex, body size, metabolic variables, office and ambulatory blood pressures, left ventricular mass, carotid intima-media thickness, carotid plaque and microalbuminuria. In a univariate analysis, the decrease in nocturnal heart rate did not correlate with any parameter of subclinical organ damage. CONCLUSION:Our findings from a cross-sectional study do not support the view that a flattened heart rate circadian rhythm is related to a prevalent organ damage in essential hypertension and that this altered pattern is a marker for subclinical cardiovascular disease. The prognostic significance of this finding should be defined by prospective studies.

journal_name

Blood Press Monit

authors

Cuspidi C,Meani S,Negri F,Valerio C,Sala C,Mancia G

doi

10.1097/mbp.0b013e32834331fe

subject

Has Abstract

pub_date

2011-02-01 00:00:00

pages

16-21

issue

1

eissn

1359-5237

issn

1473-5725

journal_volume

16

pub_type

临床试验,杂志文章,多中心研究
  • Accuracy of automated auscultatory blood pressure measurement during supine exercise and treadmill stress electrocardiogram-testing.

    abstract:OBJECTIVES:Monitoring of brachial blood pressure during exercise-electrocardiogram (ECG) testing is mandatory and changes in blood pressure (BP) can provide critical management evidence. Patient movement, mechanical vibration, artifactual sounds and observer variability make standard manual techniques problematic. This...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/00126097-200410000-00007

    authors: Cameron JD,Stevenson I,Reed E,McGrath BP,Dart AM,Kingwell BA

    更新日期:2004-10-01 00:00:00

  • Left ventricular hypertrophy and preclinical impaired glucose tolerance and diabetes mellitus contribute to abnormal left ventricular diastolic function in hypertensive patients.

    abstract:BACKGROUND:Impaired left ventricular diastolic function is not uncommon in patients with either diabetes mellitus or hypertension. This study was carried out to assess the contribution of left ventricular hypertrophy, high blood pressure, preclinical impaired glucose tolerance and diabetes mellitus to left ventricular ...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/01.mbp.0000172710.82287.36

    authors: Salmasi AM,Rawlins S,Dancy M

    更新日期:2005-10-01 00:00:00

  • Automated office blood pressure - being alone and not location is what matters most.

    abstract:OBJECTIVE:Measurement of office blood pressure using a fully automated sphygmomanometer that takes multiple readings with the patient resting quietly alone has been called automated office blood pressure (AOBP). Almost all AOBP research has involved the patient resting alone in an examining room, which is often impract...

    journal_title:Blood pressure monitoring

    pub_type: 临床试验,杂志文章

    doi:10.1097/MBP.0000000000000133

    authors: Armstrong D,Matangi M,Brouillard D,Myers MG

    更新日期:2015-08-01 00:00:00

  • Comparison of the effects of two different teaching methods in blood pressure measurement training: a randomized controlled study.

    abstract:OBJECTIVE:To compare the effects of a high-fidelity simulator and conventional teaching model used during blood pressure measurement training on students' self-confidence, self-efficacy and anxiety levels. METHODS:A randomized controlled trial design was used. The study was conducted on 59 first-year nursing students ...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MBP.0000000000000401

    authors: Terzi B,Topbaş E,Bingöl G,Mavi Aydoğdu SG

    更新日期:2019-12-01 00:00:00

  • Comparison of ambulatory blood pressure reference standards in children evaluated for hypertension.

    abstract:OBJECTIVE:The purpose of this study was to systematically compare methods for standardization of blood pressure levels obtained by ambulatory blood pressure monitoring (ABPM) in a group of 111 children studied at our institution. METHODS:Blood pressure indices, blood pressure loads and standard deviation scores were c...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0b013e32832ce11e

    authors: Jones DP,Richey PA,Alpert BS

    更新日期:2009-06-01 00:00:00

  • Performance of the automated BpTRU measurement device in the assessment of white-coat hypertension and white-coat effect.

    abstract:OBJECTIVES:BpTRU (VSM MedTech Ltd, Vancouver, Canada) is an automated oscillometric device that provides serial blood pressure measurements in an office setting in the absence of a healthcare professional. We sought to determine whether the white-coat effect is reduced by a blood pressure measurement protocol using BpT...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/01.mbp.0000189794.36230.a7

    authors: Culleton BF,McKay DW,Campbell NR

    更新日期:2006-02-01 00:00:00

  • Aortic systolic pressure derived with different calibration methods: associations to brachial systolic pressure in the general population.

    abstract:BACKGROUND:There is increasing evidence that the method of calibration directly influences the association between brachial systolic blood pressure (bSBP) and estimated aortic systolic blood pressure (aSBP) and subsequently affects prognostic and diagnostic differentiation power of the latter. OBJECTIVE:The aim of thi...

    journal_title:Blood pressure monitoring

    pub_type: 临床试验,杂志文章

    doi:10.1097/MBP.0000000000000319

    authors: Wassertheurer S,Hametner B,Mayer CC,Hafez A,Negishi K,Papaioannou TG,Protogerou AD,Sharman JE,Weber T

    更新日期:2018-06-01 00:00:00

  • Ambulatory blood pressure variability: a conceptual review.

    abstract::Ambulatory blood pressure (ABP) has long been recognized by researchers as the gold standard of blood pressure (BP) measurement. Researchers and clinicians typically rely on the mean measure of ABP; however, there is considerable variability in the beat-to-beat BP. Although often ignored, this variability has been fou...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章,评审

    doi:10.1097/MBP.0000000000000230

    authors: Zawadzki MJ,Small AK,Gerin W

    更新日期:2017-04-01 00:00:00

  • The effect of crossing legs on blood pressure.

    abstract:OBJECTIVE:To determine whether crossing of the legs at the knee or at the ankles during blood pressure measurement in sitting position has an effect on blood pressure. METHODS:One hundred and eleven patients, 60 women, mean age 52+/-17 years (19-80): 49 chronically treated hypertensives, 28 treated diabetics and 34 no...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0b013e3280b083a7

    authors: Adiyaman A,Tosun N,Elving LD,Deinum J,Lenders JW,Thien T

    更新日期:2007-06-01 00:00:00

  • The application of generalizability theory to blood pressure resting levels and mental stress responses.

    abstract::BACKGROUND: Blood pressure measurements taken in the clinic or laboratory are assumed to generalize to the world outside. This is true both of casual blood pressure measurements and of changes in blood pressure responses to stress. Such generalizability is crucial to the usefulness of blood pressure measurements as pr...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:

    authors: Gerin W,Christenfeld N,Pieper C

    更新日期:1996-12-01 00:00:00

  • Masked hypertension, a review of the literature.

    abstract::Masked hypertension (blood pressure that is normal in the physicians' office but elevated elsewhere) is a common phenomenon as prevalence among studies varies from 8 to 45% and is seen at all ages. large discrepancies, however, exist between studies that have dealt with masked hypertension. It is of high clinical impo...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章,评审

    doi:10.1097/mbp.0b013e3280fb2792

    authors: Verberk WJ,Thien T,de Leeuw PW

    更新日期:2007-08-01 00:00:00

  • Ambulatory blood pressure monitoring of chronically dialyzed pediatric patients.

    abstract:BACKGROUND:Background Ambulatory blood pressure monitoring (ABPM) has been shown to be more representative of blood pressure levels in adult patients than are casual measurements of blood pressure. OBJECTIVE:To evaluate, by means of ABPM, the behavior of blood pressure in children with chronic renal failure submitted ...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:

    authors: Koch VH,Furusawa EA,Ignes E,Okay Y,Mion Junior D

    更新日期:1999-10-01 00:00:00

  • Ambulatory blood pressure monitoring in pediatric end-stage renal disease: chronic dialysis and transplantation.

    abstract::Hypertension is highly prevalent in pediatric patients with end-stage renal disease (ESRD). Ambulatory blood pressure monitoring (ABPM) has been used to characterize the altered circadian blood pressure patterns in ESRD in order to improve our understanding of the blood pressure dysregulation that occurs in these chil...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章,评审

    doi:

    authors: Sorof JM

    更新日期:1999-06-01 00:00:00

  • Accuracy of the WatchBP O3 device for ambulatory blood pressure monitoring according to the new criteria of the ISO81060-2 2018 protocol.

    abstract:OBJECTIVE:The aim of the study was to determine the accuracy of the Microlife WatchBP O3 monitor for ambulatory blood pressure (BP) measurement according to the new ISO81060-2 2018 protocol. METHODS:The WatchBP O3 was first tested in 97 subjects from the general population (mean age, 71.3 years; 48 men) using four cuf...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0000000000000459

    authors: Fania C,Lazzaretto I,Fontana U,Palatini P

    更新日期:2020-10-01 00:00:00

  • Accuracy of the SpaceLabs Medical 90217 ambulatory blood pressure monitor.

    abstract::OBJECTIVE: To test the SpaceLabs Medical 90217 ambulatory blood pressure monitor for compliance with The Association for the Advancement of Medical Instrumentation's standard and a modification of the British Hypertension Society (BHS) protocol. METHODS: The study concerned 85 subjects aged 17-88 years with various ar...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:

    authors: Baumgart P,Kamp J

    更新日期:1998-10-01 00:00:00

  • The effects of various definitions of dipping and daytime and night-time on the characterization of 24 h profiles of blood pressure.

    abstract:BACKGROUND:Ambulatory blood pressure monitoring allows characterization of the patient's average blood pressure load as well as various profiles of blood pressure. Results from clinical studies suggest that dippers (patients whose blood pressures decrease during night-time) have a lower risk of cardiovascular events th...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/00126097-200002000-00004

    authors: Butkevich A,Phillips RA,Sheinart KF,Tuhrim S

    更新日期:2000-02-01 00:00:00

  • Validation of a new algorithm for the BPM-100 electronic oscillometric office blood pressure monitor.

    abstract:BACKGROUND:To test the accuracy of a new algorithm for the BPM-100, an automated oscillometric blood pressure (BP) monitor, using stored data from an independently conducted validation trial comparing the BPM-100(Beta) with a mercury sphygmomanometer. DESIGN:Raw pulse wave and cuff pressure data were stored electronic...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/00126097-200106000-00008

    authors: Wright JM,Mattu GS,Perry TL Jr,Gelferc ME,Strange KD,Zorn A,Chen Y

    更新日期:2001-06-01 00:00:00

  • Accuracy of oscillometric blood pressure algorithms in healthy adults and in adults with cardiovascular risk factors.

    abstract:BACKGROUND:Fixed-ratio and slope-based algorithms are used to derive oscillometric blood pressure (BP). However, a paucity of published data exists assessing the accuracy of these methods. Our objective was to determine the accuracy of fixed-ratio and slope-based algorithms in healthy adults and in adults with cardiova...

    journal_title:Blood pressure monitoring

    pub_type: 临床试验,杂志文章

    doi:10.1097/MBP.0000000000000356

    authors: Padwal R,Jalali A,McLean D,Anwar S,Smith K,Raggi P,Ringrose JS

    更新日期:2019-02-01 00:00:00

  • Comparison of two automated sphygmomanometers for use in the office setting.

    abstract:OBJECTIVE:To compare readings obtained using two automated blood pressure (BP) recording devices, BpTRU and Omron 907, in a clinical setting. METHODS:Two series of 50 patients attending a hypertension unit for 24-h ambulatory BP monitoring had BP recorded either every 1 or every 2 min using BpTRU and Omron 907 devices...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0b013e32831e314f

    authors: Myers MG,Valdivieso M,Kiss A,Tobe SW

    更新日期:2009-02-01 00:00:00

  • Sympathetic peripheral vasoconstriction may be measured using an artifact of the Finapres volume clamp technique.

    abstract:OBJECTIVES:The objective of this work was to test the hypothesis that the Finapres underestimates blood pressure during sympathetic peripheral vasoconstriction. METHODS:Measurements were made simultaneously with two Finapres devices and one radial artery tonometer during the onset of periodic lower body negative press...

    journal_title:Blood pressure monitoring

    pub_type: 临床试验,杂志文章

    doi:10.1097/MBP.0b013e3282c9acc3

    authors: Birch AA

    更新日期:2007-10-01 00:00:00

  • Identification of subjects with white-coat hypertension and persistently normal ambulatory blood pressure.

    abstract::OBJECTIVE: To assess the spontaneous changes in clinic blood pressure, ambulatory blood pressure (ABP) and left ventricular structure in untreated subjects with white-coat hypertension (WCH). DESIGN: A prospective observational study. PATIENTS AND METHODS: In 83 untreated subjects with WCH, 24 h non-invasive ABP monit...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:

    authors: Verdecchia P,Schillaci G,Borgioni C,Ciucci A,Gattobigio R,Sacchi N,Guerrieri M,Comparato E,Porcellati C

    更新日期:1996-06-01 00:00:00

  • Automated device that complies with current guidelines for office blood pressure measurement: design and pilot application study of the Microlife WatchBP Office device.

    abstract:OBJECTIVE:Current guidelines for office blood pressure (BP) measurement recommend mercury devices, both arms measurement in the initial assessment and at least duplicate measurements at follow-up visits. This study presents the design and a pilot application study of an automated device that fulfils American, European,...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0b013e3283057a84

    authors: Stergiou GS,Lin CW,Lin CM,Chang SL,Protogerou AD,Tzamouranis D,Nasothimiou E,Tan TM

    更新日期:2008-08-01 00:00:00

  • Validation of the blood pressure measurement device Erkameter 125 PRO according to the European Society of Hypertension International Protocol revision 2010.

    abstract:OBJECTIVE:The aim of the present study was to validate the blood pressure (BP) measurement device Erkameter 125 PRO according to the International Protocol revision 2010 of the European Society of Hypertension (ESH-IP2). PATIENTS AND METHODS:In 33 patients aged 32-79 years, BP measurements were performed alternately u...

    journal_title:Blood pressure monitoring

    pub_type: 临床试验,杂志文章

    doi:10.1097/MBP.0000000000000216

    authors: Beime B,Deutsch C,Krüger R,Zimmermann E,Bramlage P

    更新日期:2016-12-01 00:00:00

  • Blood pressure cuff comparability study.

    abstract:BACKGROUND:Manufacturer-supplied blood pressure (BP) cuffs are part of the automatic oscillometric BP devices algorithm. MATERIALS AND METHODS:This study assessed the differences in BP values using the Omron HEM 907-XL (Omron) device with two types of cuffs: the Baum cuff (BC) and the supplied Omron cuff (OC). A sampl...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MBP.0000000000000208

    authors: Ostchega Y,Nwankwo T,Zhang G,Chiappa M

    更新日期:2016-12-01 00:00:00

  • Hypertension in psoriasis patients: based on office and ambulatory blood pressure measurement.

    abstract:OBJECTIVE:Psoriasis is a chronic inflammatory disorder, which is associated with high risk of metabolic comorbidities. Hypertension (HTN) is among the most common and serious associations. In this study, we aimed to evaluate HTN in psoriatic patients through office and ambulatory blood pressure monitoring (ABPM). MATE...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0000000000000489

    authors: Abedini R,Najafi MT,Azizpour A,Nasimi M,Darreshiri M,Teymourpour A

    更新日期:2020-12-01 00:00:00

  • Relationship between noninvasive and invasive blood pressure values in end-stage renal disease patients on dialysis.

    abstract:BACKGROUND:End-stage renal disease (ESRD) is complicated by high blood pressure (BP) and severe atherosclerosis, which may lead to different values of BP measured by invasive and noninvasive methods. However, the differences in BP values between these two methods and their possible mechanisms in ESRD have not been inve...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0000000000000026

    authors: Chen Y,Zhu Y,Chen C,Chen X,Pan H,Chen S,Tan X

    更新日期:2014-04-01 00:00:00

  • Reproducibility of ambulatory blood pressure measurements in essential hypertension.

    abstract:BACKGROUND:Data on the reproducibility of serial measurements of ambulatory blood pressure in hypertensive patients are lacking. The purpose of this study was to examine (1) the reproducibility of four consecutive ambulatory blood pressure measurements, and (2) the reproducibility of nocturnal falls in blood pressure i...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/00126097-200102000-00007

    authors: Zakopoulos NA,Nanas SN,Lekakis JP,Vemmos KN,Kotsis VT,Pitiriga VC,Stamatelopoulos SF,Moulopoulos SD

    更新日期:2001-02-01 00:00:00

  • Endothelial dysfunction predicted increased left atrial volume index in newly diagnosed nondiabetic hypertensive patients.

    abstract:BACKGROUND:Arterial hypertension is associated with cardiovascular morbidity and mortality. It was previously shown that left atrium volume increase associated with mortality and atherosclerotic heart disease. The aim of the present study was to demonstrate the value of endothelial dysfunction in predicting left atrium...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0000000000000419

    authors: Çetin M,Erdoğan T,Kiriş T,Aykan AÇ,Çinier G,Emlek N,Durak H,Kalaycioğlu E,Yilmaz AS

    更新日期:2020-04-01 00:00:00

  • Beneficial response of blood pressure to short-term continuous positive airway pressure in Chinese patients with obstructive sleep apnea-hypopnea syndrome.

    abstract:BACKGROUND:Obstructive sleep apnea-hypopnea syndrome (OSAHS) is common in people with hypertension and cardiac rhythm disorder. The objectives of this study were to determine the effect of short-term continuous positive airway pressure (CPAP) on blood pressure (BP) and cardiac rhythm in Chinese patients with moderate t...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/MBP.0000000000000324

    authors: Wang X,Qiu J,Wang Y,Cai Z,Lu X,Li T

    更新日期:2018-08-01 00:00:00

  • Blood pressure in acute ischemic stroke and mortality: a study with noninvasive blood pressure monitoring.

    abstract:BACKGROUND:In acute ischemic stroke, a transient elevation of blood pressure is common; its significance and its relationship with the neurological outcome are still unclear. METHODS:In 71 consecutive patients with acute ischemic stroke, aged 25-94 years, admitted to our unit, we investigated the relationships between...

    journal_title:Blood pressure monitoring

    pub_type: 杂志文章

    doi:10.1097/01.mbp.0000209077.23084.93

    authors: Sartori M,Benetton V,Carraro AM,Calò LA,Macchini L,Giantin V,Tosato F,Pessina AC,Semplicini A

    更新日期:2006-08-01 00:00:00