Prognostic significance of nocturnal fall of systolic arterial pressure in patients with mild and moderate essential hypertension (7-9-year prospective trial)
- Authors: Zelveian PA1, Oschepkova EV1, Buniatian MS1, Rogoza AN1, Sergakova LM1, Varakin Y.Y.2, Gornostaeva GV2
-
Affiliations:
- Российский кардиологический научно-производственный комплекс Минздрава РФ
- НИИ неврологии РАМН
- Issue: Vol 78, No 1 (2003)
- Pages: 48-51
- Section: Editorial
- URL: https://journals.rcsi.science/0040-3660/article/view/29291
- ID: 29291
Cite item
Full Text
Abstract
Results. No significant differences were found between the groups by mean age, body mass index, duration of arterial hypertension, mean 24-h and awake systolic and diastolic BP while significant differences were by nighttime BP profile parameters. During the follow-up 16 CE in 12 patients were documented (3 fatal and 13 nonfatal). In group 1 CE were observed in 1 patient (twice MI), in group 2-7 cases of CE (1 S, 1 TCIA, 2 Ml, 2 AP) in 6 patients, in group 3-7 cases (2 MI, 3 TIA, 2 AP) in 5 patients, 3 of them were fatal.
Conclusion. Insufficient nocturnal fall ofSBP (< 10%) is an adverse prognostic factor for cardiovascular morbidity in mild to moderate essential male hypertensives.
About the authors
P A Zelveian
Российский кардиологический научно-производственный комплекс Минздрава РФМосква; Российский кардиологический научно-производственный комплекс Минздрава РФ
E V Oschepkova
Российский кардиологический научно-производственный комплекс Минздрава РФМосква; Российский кардиологический научно-производственный комплекс Минздрава РФ
M S Buniatian
Российский кардиологический научно-производственный комплекс Минздрава РФМосква; Российский кардиологический научно-производственный комплекс Минздрава РФ
A N Rogoza
Российский кардиологический научно-производственный комплекс Минздрава РФМосква; Российский кардиологический научно-производственный комплекс Минздрава РФ
L M Sergakova
Российский кардиологический научно-производственный комплекс Минздрава РФМосква; Российский кардиологический научно-производственный комплекс Минздрава РФ
Yu Ya Varakin
НИИ неврологии РАМНМосква; НИИ неврологии РАМН
G V Gornostaeva
НИИ неврологии РАМНМосква; НИИ неврологии РАМН
References
- Guideliness of the management of mild hypertension: Memorandum from the World Health Organization/International Society of Hypertension Meeting Guidelines Subcommittee. J. Hypertens. 1993; 1: 905-918.
- Ciaroni S., Bloch A. Ambulatory blood pressure measurement: clinical significance and prognostic evaluation of nocturnal arterial hypertension. Schweiz. Rundsch. Med. Prax. 1997; 86(1-2): 17-22.
- Di Iorio A., Marini E., Lupinetti M. et al. Blood pressure rhythm and prevalence of vascular events in hypertensive subjects. Age and Ageing 1999; (1): 23-28.
- Kukla C., Sander D., Schwarze J. et al. Changes of circadian blood pressure patterns are associated with the occurence of lucunar infarction. Arch. Neurol. 1988; 55(5): 683-688.
- Kuwajima I., Suzuki Y., Nishinaga M. et al. Clinical implication of nighttime blood pressure in elderly: 5-year follow-up study. Circulation 1997; 96(suppl. 1): 1-338.
- Mann S., Millar M., Raftery E. Superiority of 24-hour measurement of blood pressure over clinic values in determinig prognosis in hypertension. Clin. Exp. Hvpertens. 1985: 7: 279-281.
- O'Brien E., Sheridan J., O'Malley K. Dippers and non-dippers. Lancet 1988; 2(8607): 327.
- Ohkubo Т., Imai Y., Tsuji I. et al. Nocturnal decline in blood pressure, in combination with 24-h blood pressure, better predicts future death: The Ohasama study. J. Hypertens. 1998; 16(suppl. 2): S35.
- Zweiker R., Eber В., Schumacher M. et al. "Non-dipping" related to cardiovascular events in essential hypertensive patients. Acta Med. Austr. 1994; 21(3): 86-89.
- Verdecchia P., Porcellati C., Schillaci G. et al. Ambulatory blood pressure: an independent predictor of prognosis in essential hypertension. Hypertension 1994; 24: 793-801.
- Verdecchia P., Schillaci G., Borgioni С. et al. Altered circadian blood pressure profile and prognosis. Blood Pressure Monitor. 1997; 2: 347-352.
- Verdecchia P., Schillaci G., Gatteschi С. et al. Blunted nocturnal fall in blood pressure in hypertensive women with future cardiovascular morbid events. Circulation 1993; 88: 986-992.
- Арабидзе Г. Г. Симптоматические артериальные гипертонии / Под ред. Е. И. Чазова. М.: Медицина; 1982. 65-101.
- Schachinger H., Landewitz W., Schmieder R. et al. Comparison of parameters for assessing pressure and heart rate variability from non-invasive 24-hour blood pressure monitoring. J. Hypertens. 1989; 7(3): 81-84.
- Рогоза А. Н., Никольский В. П., Ощепкова Е. В. и др. Суточное мониторирование артериального давления: (метод. вопросы) / Под ред. Г. Г. Арабидзе, О. Ю. Атькова. М.: Эй энд Ди; 1996.
- Маllion J., Gaudemaris R. et al. Day & night blood pressure values in normotensive and essential hypertensive subjects assessed by 24-hour ambulatory monitoring. J. Hypertens. 1990: 8(6): 49-55.
- Devereux R., Alonso D., Lutas E. et al. Echocardiography assessment of left ventricular hypertrophy: comparison to necropsy findings. Am. J. Cardiol. 1986; 57: 450-458.
- Du Bois, Du Bois. Nomogram for estimation of adult body surface area from height and body mass. Arch. Intern. Med. 1916; 17: 863.
- Koren M., Devereux R., Casale P. et al. Relation of left ventricular mass geometry to morbidity and mortality in men and women with essential hypertension Ann. Intern. Med. 1991; 114: 345-353.
- Лупанов В. П. Проба с физическими нагрузками при ИБС. Критерии, достижения и перспективы. Кардиология 1984; 24(4): 119-124.
- Aronow W. S. Risk factors for geriatric stroke: identification and follow-up. Geriatrics 1990; 45(9): 37-44.
![](/img/style/loading.gif)