دورية أكاديمية
أعرض في EDS

Heart rate deceleration and acceleration capacities associated with circadian rhythm of blood pressure in essential hypertension.

التفاصيل البيبلوغرافية
العنوان: Heart rate deceleration and acceleration capacities associated with circadian rhythm of blood pressure in essential hypertension.
المؤلفون: Wang J; Department of Cardiopulmonary Function, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, No.7 Weiwu road, Jinshui District, Zhengzhou, Henan, 450003, China., Xu J; Department of Cardiopulmonary Function, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, No.7 Weiwu road, Jinshui District, Zhengzhou, Henan, 450003, China., Yang L; Department of Cardiopulmonary Function, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, No.7 Weiwu road, Jinshui District, Zhengzhou, Henan, 450003, China., Zhang Y; Henan Institute of Cardiovascular Epidemiology, Zhengzhou, China.; Department of Cardiology, Central China Fuwai Hospital of Zhengzhou University, Henan Provincial People's Hospital Heart Center, No. 1 Fuwai Road, Zhengzhou, Henan, 451464, China., Wu R; Department of Cardiopulmonary Function, Central China Fuwai Hospital of Zhengzhou University, Henan Provincial People's Hospital Heart Center, No. 1 Fuwai Road, Zhengzhou, Henan, 451464, China., Wang W; Department of Cardiopulmonary Function, Central China Fuwai Hospital of Zhengzhou University, Henan Provincial People's Hospital Heart Center, No. 1 Fuwai Road, Zhengzhou, Henan, 451464, China., Gao C; Department of Cardiology, Central China Fuwai Hospital of Zhengzhou University, Henan Provincial People's Hospital Heart Center, No. 1 Fuwai Road, Zhengzhou, Henan, 451464, China. gaocy68020@163.com.
المصدر: BMC cardiovascular disorders [BMC Cardiovasc Disord] 2024 May 17; Vol. 24 (1), pp. 257. Date of Electronic Publication: 2024 May 17.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968539 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2261 (Electronic) Linking ISSN: 14712261 NLM ISO Abbreviation: BMC Cardiovasc Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Circadian Rhythm* , Blood Pressure* , Heart Rate* , Blood Pressure Monitoring, Ambulatory* , Essential Hypertension*/physiopathology , Essential Hypertension*/diagnosis , Essential Hypertension*/drug therapy , Antihypertensive Agents*/therapeutic use, Humans ; Male ; Female ; Middle Aged ; Time Factors ; Aged ; Predictive Value of Tests ; Adult ; Risk Factors ; Electrocardiography, Ambulatory ; Acceleration ; Deceleration
مستخلص: Background: This study aimed to investigate the potential association between the circadian rhythm of blood pressure and deceleration capacity (DC)/acceleration capacity (AC) in patients with essential hypertension.
Methods: This study included 318 patients with essential hypertension, whether or not they were being treated with anti-hypertensive drugs, who underwent 24-hour ambulatory blood pressure monitoring (ABPM). Patients were categorized into three groups based on the percentage of nocturnal systolic blood pressure (SBP) dipping: the dipper, non-dipper and reverse dipper groups. Baseline demographic characteristics, ambulatory blood pressure monitoring parameters, Holter recordings (including DC and AC), and echocardiographic parameters were collected.
Results: In this study, the lowest DC values were observed in the reverse dipper group, followed by the non-dipper and dipper groups (6.46 ± 2.06 vs. 6.65 ± 1.95 vs. 8.07 ± 1.79 ms, P < .001). Additionally, the AC gradually decreased (-6.32 ± 2.02 vs. -6.55 ± 1.95 vs. -7.80 ± 1.73 ms, P < .001). There was a significant association between DC (r = .307, P < .001), AC (r=-.303, P < .001) and nocturnal SBP decline. Furthermore, DC (β = 0.785, P = .001) was positively associated with nocturnal SBP decline, whereas AC was negatively associated with nocturnal SBP (β = -0.753, P = .002). By multivariate logistic regression analysis, deceleration capacity [OR (95% CI): 0.705 (0.594-0.836), p < .001], and acceleration capacity [OR (95% CI): 1.357 (1.141-1.614), p = .001] were identified as independent risk factors for blood pressure nondipper status. The analysis of ROC curves revealed that the area under the curve for DC/AC in predicting the circadian rhythm of blood pressure was 0.711/0.697, with a sensitivity of 73.4%/65.1% and specificity of 66.7%/71.2%.
Conclusions: Abnormal DC and AC density were correlated with a blunted decline in nighttime SBP, suggesting a potential association between the circadian rhythm of blood pressure in essential hypertension patients and autonomic nervous dysfunction.
(© 2024. The Author(s).)
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معلومات مُعتمدة: 2018YFC0114502 National Key Research and Development Program of China; 2018YFC0114502 National Key Research and Development Program of China
فهرسة مساهمة: Keywords: Circadian rhythm of blood pressure; Deceleration capacity; Essential hypertension.; Heart rate variability
تواريخ الأحداث: Date Created: 20240517 Date Completed: 20240518 Latest Revision: 20240520
رمز التحديث: 20240520
مُعرف محوري في PubMed: PMC11100176
DOI: 10.1186/s12872-024-03933-9
PMID: 38760695
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2261
DOI:10.1186/s12872-024-03933-9