Circulation, Vol 81, 528-536, Copyright © 1990 by American Heart Association
P Verdecchia, G Schillaci, M Guerrieri, C Gatteschi, G Benemio, F Boldrini and C Porcellati
The effects of circadian blood pressure (BP) changes on the
echocardiographic parameters of left ventricular (LV) hypertrophy were
investigated in 235 consecutive subjects (137 unselected untreated patients
with essential hypertension and 98 healthy normotensive subjects) who
underwent 24-hour noninvasive ambulatory blood pressure monitoring (ABPM)
and cross-sectional and M-mode echocardiography. In the hypertensive group,
LV mass index correlated with nighttime (8:00 PM to 6:00 AM) systolic (r =
0.51) and diastolic (r = 0.35) blood pressure more closely than with
daytime (6:00 AM to 8:00 PM) systolic (r = 0.38) and diastolic (r = 0.20)
BP, or with casual systolic (r = 0.33) and diastolic (r = 0.27) BP.
Hypertensive patients were divided into two groups by presence (group 1)
and absence (group 2) of a reduction of both systolic and diastolic BP
during the night by an average of more than 10% of the daytime pressure.
Casual BP, ambulatory daytime systolic and diastolic BP, sex, body surface
area, duration of hypertension, prevalence of diabetes, quantity of sleep
during monitoring, funduscopic changes, and serum creatinine did not differ
between the two groups. LV mass index, after adjustment for the age, the
sex, the height, and the daytime BP differences between the two groups
(analysis of covariance) was 82.4 g/m2 in the normotensive patient group,
83.5 g/m2 in hypertensive patients of group 1 and 98.3 g/m2 in hypertensive
patients of group 2 (normotensive patients vs. group 1, p = NS; group 1 vs.
group 2, p = 0.002).(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Circadian blood pressure changes and left ventricular hypertrophy in essential hypertension
Division of Medicine, Civic Hospital Beato G. Villa, Citta della Pieve (Perugia), Italy.
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A. Jula, P. Puukka, and H. Karanko Multiple Clinic and Home Blood Pressure Measurements Versus Ambulatory Blood Pressure Monitoring Hypertension, August 1, 1999; 34(2): 261 - 266. [Abstract] [Full Text] [PDF]
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F. A. VALERO, A. MARTINEZ-VEA, A. BARDAJÍ, C. GUTIERREZ, C. GARCIA, C. RICHART, and J. A. OLIVER Ambulatory Blood Pressure and Left Ventricular Mass in Normotensive Patients with Autosomal Dominant Polycystic Kidney Disease J. Am. Soc. Nephrol., May 1, 1999; 10(5): 1020 - 1026. [Abstract] [Full Text]
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P. Li, M. Morris, C. M. Ferrario, C. Barrett, D. Ganten, and M. F. Callahan Cardiovascular, endocrine, and body fluid-electrolyte responses to salt loading in mRen-2 transgenic rats Am J Physiol Heart Circ Physiol, October 1, 1998; 275(4): H1130 - H1137. [Abstract] [Full Text] [PDF]
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G. Schillaci, P. Verdecchia, C. Borgioni, A. Ciucci, and C. Porcellati Early Cardiac Changes After Menopause Hypertension, October 1, 1998; 32(4): 764 - 769. [Abstract] [Full Text] [PDF]
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F. Yamasaki, J. E. Schwartz, L. M. Gerber, K. Warren, and T. G. Pickering Impact of Shift Work and Race/Ethnicity on the Diurnal Rhythm of Blood Pressure and Catecholamines Hypertension, September 1, 1998; 32(3): 417 - 423. [Abstract] [Full Text] [PDF]
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S. L. Dawson, S. N. Evans, B. N. Manktelow, M. D. Fotherby, T. G. Robinson, and J. F. Potter Diurnal Blood Pressure Change Varies With Stroke Subtype in the Acute Phase Stroke, August 1, 1998; 29(8): 1519 - 1524. [Abstract] [Full Text] [PDF]
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P. Grenier and C Beigelman Spiral computed tomographic scanning and magnetic resonance angiography for the diagnosis of pulmonary embolism Thorax, August 1, 1998; 53(90002): S25 - 31. [Abstract] [PDF]
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 C. Kukla, D. Sander, J. Schwarze, I. Wittich, and J. Klingelhofer Changes of Circadian Blood Pressure Patterns Are Associated With the Occurrence of Lacunar Infarction Arch Neurol, May 1, 1998; 55(5): 683 - 688. [Abstract] [Full Text] [PDF]
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Y. Yamamoto, I. Akiguchi, K. Oiwa, M. Hayashi, and J. Kimura Adverse Effect of Nighttime Blood Pressure on the Outcome of Lacunar Infarct Patients Stroke, March 1, 1998; 29(3): 570 - 576. [Abstract] [Full Text] [PDF]
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G. A. Mansoor and W. B. White Circadian Blood Pressure Variation in Hypertensive Patients With Primary Hyperaldosteronism Hypertension, March 1, 1998; 31(3): 843 - 847. [Abstract] [Full Text] [PDF]
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T. Uzu, K. Ishikawa, T. Fujii, S. Nakamura, T. Inenaga, and G. Kimura Sodium Restriction Shifts Circadian Rhythm of Blood Pressure From Nondipper to Dipper in Essential Hypertension Circulation, September 16, 1997; 96(6): 1859 - 1862. [Abstract] [Full Text]
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Y. Higashi, T. Oshima, R. Ozono, Y. Nakano, H. Matsuura, M. Kambe, and G. Kajiyama Nocturnal Decline in Blood Pressure Is Attenuated by NaCl Loading in Salt-Sensitive Patients With Essential Hypertension : Noninvasive 24-Hour Ambulatory Blood Pressure Monitoring Hypertension, August 1, 1997; 30(2): 163 - 167. [Abstract] [Full Text]
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G. Y.H. Lip, J. Zarifis, I. S. Farooqi, A. Page, G. Sagar, and D. G. Beevers Ambulatory Blood Pressure Monitoring in Acute Stroke: The West Birmingham Stroke Project Stroke, January 1, 1997; 28(1): 31 - 35. [Abstract] [Full Text]
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R. H. Fagard, J. A. Staessen, and L. Thijs Prediction of Cardiac Structure and Function by Repeated Clinic and Ambulatory Blood Pressure Hypertension, January 1, 1997; 29(1): 22 - 29. [Abstract] [Full Text]
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J. A. Staessen, L. Bieniaszewski, E. O'Brien, P. Gosse, H. Hayashi, Y. Imai, T. Kawasaki, K. Otsuka, P. Palatini, L. Thijs, et al. Nocturnal Blood Pressure Fall on Ambulatory Monitoring in a Large International Database Hypertension, January 1, 1997; 29(1): 30 - 39. [Abstract] [Full Text]
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N. Prasad and C. Isles Fortnightly Review: Ambulatory blood pressure monitoring: a guide for general practitioners BMJ, December 14, 1996; 313(7071): 1535 - 1541. [Abstract] [Full Text]
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S. Majahalme, V. Turjanmaa, A. B. Weder, H. Lu, M. T. Tuomisto, and A. Uusitalo Blood Pressure Level and Variability in the Prediction of Blood Pressure After 5-Year Follow-up Hypertension, November 1, 1996; 28(5): 725 - 731. [Abstract] [Full Text]
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V. Rizzo, G. Piccirillo, P. Cicconetti, A. Bianchi, L. Capponi, M. C. Salza, M. Cacciafesta, and V. Marigliano Ambulatory Blood Pressure and Echocardiographic Left Ventricular Dimensions in Elderly Hypertensive Subjects Angiology, October 1, 1996; 47(10): 981 - 989. [Abstract] [PDF]
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M. Gallerani, F. Portaluppi, G. Maida, A. Chieregato, F. Calzolari, G. Trapella, and R. Manfredini Circadian and Circannual Rhythmicity in the Occurrence of Subarachnoid Hemorrhage Stroke, October 1, 1996; 27(10): 1793 - 1797. [Abstract] [Full Text]
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A. Georgiades, C. Lemne, U. de Faire, K. Lindvall, and M. Fredrikson Stress-Induced Laboratory Blood Pressure in Relation to Ambulatory Blood Pressure and Left Ventricular Mass Among Borderline Hypertensive and Normotensive Individuals Hypertension, October 1, 1996; 28(4): 641 - 646. [Abstract] [Full Text]
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N. Watanabe, Y. Imai, K. Nagai, I. Tsuji, H. Satoh, M. Sakuma, H. Sakuma, J. Kato, N. Onodera-Kikuchi, M. Yamada, et al. Nocturnal Blood Pressure and Silent Cerebrovascular Lesions in Elderly Japanese Stroke, August 1, 1996; 27(8): 1319 - 1327. [Abstract] [Full Text]
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G. Schillaci, P. Verdecchia, C. Borgioni, A. Ciucci, I. Zampi, M. Battistelli, R. Gattobigio, N. Sacchi, and C. Porcellati Association Between Persistent Pressure Overload and Ventricular Arrhythmias in Essential Hypertension Hypertension, August 1, 1996; 28(2): 284 - 289. [Abstract] [Full Text]
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T. Uzu, F. S. Kazembe, K. Ishikawa, S. Nakamura, T. Inenaga, and G. Kimura High Sodium Sensitivity Implicates Nocturnal Hypertension in Essential Hypertension Hypertension, July 1, 1996; 28(1): 139 - 142. [Abstract] [Full Text]
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