There is a significant relationship between morning blood pressure surge and increased abdominal aortic intima–media thickness in hypertensive patients
Purpose There are limited data about increased aortic intima–media thickness (A-IMT) in the presence of subclinical target organ damage in hypertensive (HT) patients. In this study, we aimed to determine the frequency of increased A-IMT, the parameters determining increased A-IMT, and the relationsh...
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| Veröffentlicht in: | Journal of medical ultrasonics (2001) 2018-10, Vol.45 (4), p.597-603 |
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| creator | Koc, Ayse Selcan Gorgulu, Ferıde Fatma Donmez, Yurdaer Icen, Yahya Kemal |
| description | Purpose
There are limited data about increased aortic intima–media thickness (A-IMT) in the presence of subclinical target organ damage in hypertensive (HT) patients. In this study, we aimed to determine the frequency of increased A-IMT, the parameters determining increased A-IMT, and the relationship between increased A-IMT and other vascular IMT measurements.
Materials and methods
We prospectively included 265 patients (mean age 54.1 ± 10.6 years, male/female 91/174) with essential HT. Physical examination of all patients was performed. Laboratory data and antihypertensive treatments were recorded. Twenty-four-hour ambulatory blood pressure monitoring (ABPM) was performed. Bilateral carotid, brachial, and femoral artery and abdominal A-IMT values were measured by B-mode ultrasonography (USG). Patients were categorized into two main groups: patients with increased A-IMT (≥ 3 mm) or normal A-IMT ( |
| doi_str_mv | 10.1007/s10396-018-0877-y |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2013785269</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A714890807</galeid><sourcerecordid>A714890807</sourcerecordid><originalsourceid>FETCH-LOGICAL-c463t-fc6d7e40265a68814fac77f20e6054417b8a5590ecdfd8a87895fff4b565cc403</originalsourceid><addsrcrecordid>eNp1ksuOFCEUhitG44yjD-DGkLhxUyNQ3Go5mXhLJnEzrglFHaoZq6AEWtM738HVvN48ibTdajQaEiCc7__hHE7TPCX4nGAsX2aCu160mKgWKynb3b3mlAjStZRydr_uOyZaxml30jzK-QZj1jFMHzYntOedoIqcNrfXG0iAfEYGZT8F77w1oaAEsyk-hrzxKxqgfAEIaIkp-DChYY5xRGuCnLdVXKcJkAkj8sEmMBlGZIYxLj6YGZmYirc1VPxi7r5-W2D0BpWNtx9DNagBtNmtkAqE7D8DWuu9EEp-3DxwZs7w5LieNR9ev7q-fNtevX_z7vLiqrVMdKV1VowSalqCG6EUYc5YKR3FIDBnjMhBGc57DHZ0ozJKqp4759jABbeW4e6seXHwXVP8tIVc9OKzhXk2AeI2a4pJJxWnoq_o87_Qm7hNNclK9UQRJfkPwyM1mRm0Dy6WZOzeVF9IwlSPFZaVOv8HVccIi7cxgPP1_A8BOQhsijkncHpNtaJppwnW-3bQh3bQtR30vh30rmqeHR-8HWrdfyl-_n8F6AHINRQmSL8z-r_rdxjMw4E</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2918187540</pqid></control><display><type>article</type><title>There is a significant relationship between morning blood pressure surge and increased abdominal aortic intima–media thickness in hypertensive patients</title><source>MEDLINE</source><source>ProQuest Central (Alumni Edition)</source><source>ProQuest Central UK/Ireland</source><source>SpringerLink Journals - AutoHoldings</source><source>ProQuest Central</source><creator>Koc, Ayse Selcan ; Gorgulu, Ferıde Fatma ; Donmez, Yurdaer ; Icen, Yahya Kemal</creator><creatorcontrib>Koc, Ayse Selcan ; Gorgulu, Ferıde Fatma ; Donmez, Yurdaer ; Icen, Yahya Kemal</creatorcontrib><description>Purpose
There are limited data about increased aortic intima–media thickness (A-IMT) in the presence of subclinical target organ damage in hypertensive (HT) patients. In this study, we aimed to determine the frequency of increased A-IMT, the parameters determining increased A-IMT, and the relationship between increased A-IMT and other vascular IMT measurements.
Materials and methods
We prospectively included 265 patients (mean age 54.1 ± 10.6 years, male/female 91/174) with essential HT. Physical examination of all patients was performed. Laboratory data and antihypertensive treatments were recorded. Twenty-four-hour ambulatory blood pressure monitoring (ABPM) was performed. Bilateral carotid, brachial, and femoral artery and abdominal A-IMT values were measured by B-mode ultrasonography (USG). Patients were categorized into two main groups: patients with increased A-IMT (≥ 3 mm) or normal A-IMT (< 3 mm).
Results
Increased A-IMT was detected in 55 patients (20.8%). There was a close relationship between increased A-IMT and advanced age, presence of coronary artery disease, high morning blood pressure surge (MBPS), and bilateral carotid and femoral IMT. Parameters associated with increased A-IMT in univariate analysis were assessed by regression analysis. Left femoral IMT and MBPS were independently associated with increased A-IMT. In the regression model, each 5-mmHg elevation in MBPS increased the risk of increased A-IMT by 34.2%. The cutoff value of MBPS obtained by the ROC curve analysis was 32 mmHg for the prediction of increased A-IMT (sensitivity 76.3%, specificity 63.5%). The area under the curve was 0.784 (95% CI 0.720–0.847,
p
< 0.001).
Conclusion
Abdominal A-IMT increased at a significant rate in patients with HT. An independent association was found between MBPS and A-IMT, which can both be easily detected by ABPM and B-mode USG. The high MBPS level was considered to be a simple and inexpensive method for detecting subclinical target organ damage. A-IMT measurement should also be a part of abdominal USG, which is a routine examination in HT patients.</description><identifier>ISSN: 1346-4523</identifier><identifier>EISSN: 1613-2254</identifier><identifier>DOI: 10.1007/s10396-018-0877-y</identifier><identifier>PMID: 29536281</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Abdomen ; Analysis ; Antihypertensives ; Aorta ; Aorta, Abdominal - diagnostic imaging ; Blood pressure ; Blood Pressure - physiology ; Blood Pressure Monitoring, Ambulatory ; Cardiovascular disease ; Care and treatment ; Carotid arteries ; Carotid Intima-Media Thickness ; Circadian Rhythm - physiology ; Coronary artery disease ; Coronary heart disease ; Coronary vessels ; Cross-Sectional Studies ; Damage detection ; Electrocardiography ; Female ; Humans ; Hypertension ; Hypertension - diagnostic imaging ; Hypertension - physiopathology ; Imaging ; Male ; Measurement ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Middle Aged ; Original Article ; Parameters ; Pressure surges ; Prospective Studies ; Radiology ; Regression analysis ; Regression models ; Stroke ; Target detection ; Thickness ; Ultrasonic imaging ; Ultrasound ; Ultrasound imaging</subject><ispartof>Journal of medical ultrasonics (2001), 2018-10, Vol.45 (4), p.597-603</ispartof><rights>The Japan Society of Ultrasonics in Medicine 2018</rights><rights>COPYRIGHT 2018 Springer</rights><rights>The Japan Society of Ultrasonics in Medicine 2018.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-fc6d7e40265a68814fac77f20e6054417b8a5590ecdfd8a87895fff4b565cc403</citedby><cites>FETCH-LOGICAL-c463t-fc6d7e40265a68814fac77f20e6054417b8a5590ecdfd8a87895fff4b565cc403</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10396-018-0877-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918187540?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21388,21389,27924,27925,33530,33531,33744,33745,41488,42557,43659,43805,51319,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29536281$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koc, Ayse Selcan</creatorcontrib><creatorcontrib>Gorgulu, Ferıde Fatma</creatorcontrib><creatorcontrib>Donmez, Yurdaer</creatorcontrib><creatorcontrib>Icen, Yahya Kemal</creatorcontrib><title>There is a significant relationship between morning blood pressure surge and increased abdominal aortic intima–media thickness in hypertensive patients</title><title>Journal of medical ultrasonics (2001)</title><addtitle>J Med Ultrasonics</addtitle><addtitle>J Med Ultrason (2001)</addtitle><description>Purpose
There are limited data about increased aortic intima–media thickness (A-IMT) in the presence of subclinical target organ damage in hypertensive (HT) patients. In this study, we aimed to determine the frequency of increased A-IMT, the parameters determining increased A-IMT, and the relationship between increased A-IMT and other vascular IMT measurements.
Materials and methods
We prospectively included 265 patients (mean age 54.1 ± 10.6 years, male/female 91/174) with essential HT. Physical examination of all patients was performed. Laboratory data and antihypertensive treatments were recorded. Twenty-four-hour ambulatory blood pressure monitoring (ABPM) was performed. Bilateral carotid, brachial, and femoral artery and abdominal A-IMT values were measured by B-mode ultrasonography (USG). Patients were categorized into two main groups: patients with increased A-IMT (≥ 3 mm) or normal A-IMT (< 3 mm).
Results
Increased A-IMT was detected in 55 patients (20.8%). There was a close relationship between increased A-IMT and advanced age, presence of coronary artery disease, high morning blood pressure surge (MBPS), and bilateral carotid and femoral IMT. Parameters associated with increased A-IMT in univariate analysis were assessed by regression analysis. Left femoral IMT and MBPS were independently associated with increased A-IMT. In the regression model, each 5-mmHg elevation in MBPS increased the risk of increased A-IMT by 34.2%. The cutoff value of MBPS obtained by the ROC curve analysis was 32 mmHg for the prediction of increased A-IMT (sensitivity 76.3%, specificity 63.5%). The area under the curve was 0.784 (95% CI 0.720–0.847,
p
< 0.001).
Conclusion
Abdominal A-IMT increased at a significant rate in patients with HT. An independent association was found between MBPS and A-IMT, which can both be easily detected by ABPM and B-mode USG. The high MBPS level was considered to be a simple and inexpensive method for detecting subclinical target organ damage. A-IMT measurement should also be a part of abdominal USG, which is a routine examination in HT patients.</description><subject>Abdomen</subject><subject>Analysis</subject><subject>Antihypertensives</subject><subject>Aorta</subject><subject>Aorta, Abdominal - diagnostic imaging</subject><subject>Blood pressure</subject><subject>Blood Pressure - physiology</subject><subject>Blood Pressure Monitoring, Ambulatory</subject><subject>Cardiovascular disease</subject><subject>Care and treatment</subject><subject>Carotid arteries</subject><subject>Carotid Intima-Media Thickness</subject><subject>Circadian Rhythm - physiology</subject><subject>Coronary artery disease</subject><subject>Coronary heart disease</subject><subject>Coronary vessels</subject><subject>Cross-Sectional Studies</subject><subject>Damage detection</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - diagnostic imaging</subject><subject>Hypertension - physiopathology</subject><subject>Imaging</subject><subject>Male</subject><subject>Measurement</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Parameters</subject><subject>Pressure surges</subject><subject>Prospective Studies</subject><subject>Radiology</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Stroke</subject><subject>Target detection</subject><subject>Thickness</subject><subject>Ultrasonic imaging</subject><subject>Ultrasound</subject><subject>Ultrasound imaging</subject><issn>1346-4523</issn><issn>1613-2254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1ksuOFCEUhitG44yjD-DGkLhxUyNQ3Go5mXhLJnEzrglFHaoZq6AEWtM738HVvN48ibTdajQaEiCc7__hHE7TPCX4nGAsX2aCu160mKgWKynb3b3mlAjStZRydr_uOyZaxml30jzK-QZj1jFMHzYntOedoIqcNrfXG0iAfEYGZT8F77w1oaAEsyk-hrzxKxqgfAEIaIkp-DChYY5xRGuCnLdVXKcJkAkj8sEmMBlGZIYxLj6YGZmYirc1VPxi7r5-W2D0BpWNtx9DNagBtNmtkAqE7D8DWuu9EEp-3DxwZs7w5LieNR9ev7q-fNtevX_z7vLiqrVMdKV1VowSalqCG6EUYc5YKR3FIDBnjMhBGc57DHZ0ozJKqp4759jABbeW4e6seXHwXVP8tIVc9OKzhXk2AeI2a4pJJxWnoq_o87_Qm7hNNclK9UQRJfkPwyM1mRm0Dy6WZOzeVF9IwlSPFZaVOv8HVccIi7cxgPP1_A8BOQhsijkncHpNtaJppwnW-3bQh3bQtR30vh30rmqeHR-8HWrdfyl-_n8F6AHINRQmSL8z-r_rdxjMw4E</recordid><startdate>20181001</startdate><enddate>20181001</enddate><creator>Koc, Ayse Selcan</creator><creator>Gorgulu, Ferıde Fatma</creator><creator>Donmez, Yurdaer</creator><creator>Icen, Yahya Kemal</creator><general>Springer Singapore</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20181001</creationdate><title>There is a significant relationship between morning blood pressure surge and increased abdominal aortic intima–media thickness in hypertensive patients</title><author>Koc, Ayse Selcan ; Gorgulu, Ferıde Fatma ; Donmez, Yurdaer ; Icen, Yahya Kemal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-fc6d7e40265a68814fac77f20e6054417b8a5590ecdfd8a87895fff4b565cc403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abdomen</topic><topic>Analysis</topic><topic>Antihypertensives</topic><topic>Aorta</topic><topic>Aorta, Abdominal - diagnostic imaging</topic><topic>Blood pressure</topic><topic>Blood Pressure - physiology</topic><topic>Blood Pressure Monitoring, Ambulatory</topic><topic>Cardiovascular disease</topic><topic>Care and treatment</topic><topic>Carotid arteries</topic><topic>Carotid Intima-Media Thickness</topic><topic>Circadian Rhythm - physiology</topic><topic>Coronary artery disease</topic><topic>Coronary heart disease</topic><topic>Coronary vessels</topic><topic>Cross-Sectional Studies</topic><topic>Damage detection</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - diagnostic imaging</topic><topic>Hypertension - physiopathology</topic><topic>Imaging</topic><topic>Male</topic><topic>Measurement</topic><topic>Medical research</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Medicine, Experimental</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Parameters</topic><topic>Pressure surges</topic><topic>Prospective Studies</topic><topic>Radiology</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Stroke</topic><topic>Target detection</topic><topic>Thickness</topic><topic>Ultrasonic imaging</topic><topic>Ultrasound</topic><topic>Ultrasound imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Koc, Ayse Selcan</creatorcontrib><creatorcontrib>Gorgulu, Ferıde Fatma</creatorcontrib><creatorcontrib>Donmez, Yurdaer</creatorcontrib><creatorcontrib>Icen, Yahya Kemal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of medical ultrasonics (2001)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Koc, Ayse Selcan</au><au>Gorgulu, Ferıde Fatma</au><au>Donmez, Yurdaer</au><au>Icen, Yahya Kemal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>There is a significant relationship between morning blood pressure surge and increased abdominal aortic intima–media thickness in hypertensive patients</atitle><jtitle>Journal of medical ultrasonics (2001)</jtitle><stitle>J Med Ultrasonics</stitle><addtitle>J Med Ultrason (2001)</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>45</volume><issue>4</issue><spage>597</spage><epage>603</epage><pages>597-603</pages><issn>1346-4523</issn><eissn>1613-2254</eissn><abstract>Purpose
There are limited data about increased aortic intima–media thickness (A-IMT) in the presence of subclinical target organ damage in hypertensive (HT) patients. In this study, we aimed to determine the frequency of increased A-IMT, the parameters determining increased A-IMT, and the relationship between increased A-IMT and other vascular IMT measurements.
Materials and methods
We prospectively included 265 patients (mean age 54.1 ± 10.6 years, male/female 91/174) with essential HT. Physical examination of all patients was performed. Laboratory data and antihypertensive treatments were recorded. Twenty-four-hour ambulatory blood pressure monitoring (ABPM) was performed. Bilateral carotid, brachial, and femoral artery and abdominal A-IMT values were measured by B-mode ultrasonography (USG). Patients were categorized into two main groups: patients with increased A-IMT (≥ 3 mm) or normal A-IMT (< 3 mm).
Results
Increased A-IMT was detected in 55 patients (20.8%). There was a close relationship between increased A-IMT and advanced age, presence of coronary artery disease, high morning blood pressure surge (MBPS), and bilateral carotid and femoral IMT. Parameters associated with increased A-IMT in univariate analysis were assessed by regression analysis. Left femoral IMT and MBPS were independently associated with increased A-IMT. In the regression model, each 5-mmHg elevation in MBPS increased the risk of increased A-IMT by 34.2%. The cutoff value of MBPS obtained by the ROC curve analysis was 32 mmHg for the prediction of increased A-IMT (sensitivity 76.3%, specificity 63.5%). The area under the curve was 0.784 (95% CI 0.720–0.847,
p
< 0.001).
Conclusion
Abdominal A-IMT increased at a significant rate in patients with HT. An independent association was found between MBPS and A-IMT, which can both be easily detected by ABPM and B-mode USG. The high MBPS level was considered to be a simple and inexpensive method for detecting subclinical target organ damage. A-IMT measurement should also be a part of abdominal USG, which is a routine examination in HT patients.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>29536281</pmid><doi>10.1007/s10396-018-0877-y</doi><tpages>7</tpages></addata></record> |
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| ispartof | Journal of medical ultrasonics (2001), 2018-10, Vol.45 (4), p.597-603 |
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| source | MEDLINE; ProQuest Central (Alumni Edition); ProQuest Central UK/Ireland; SpringerLink Journals - AutoHoldings; ProQuest Central |
| subjects | Abdomen Analysis Antihypertensives Aorta Aorta, Abdominal - diagnostic imaging Blood pressure Blood Pressure - physiology Blood Pressure Monitoring, Ambulatory Cardiovascular disease Care and treatment Carotid arteries Carotid Intima-Media Thickness Circadian Rhythm - physiology Coronary artery disease Coronary heart disease Coronary vessels Cross-Sectional Studies Damage detection Electrocardiography Female Humans Hypertension Hypertension - diagnostic imaging Hypertension - physiopathology Imaging Male Measurement Medical research Medicine Medicine & Public Health Medicine, Experimental Middle Aged Original Article Parameters Pressure surges Prospective Studies Radiology Regression analysis Regression models Stroke Target detection Thickness Ultrasonic imaging Ultrasound Ultrasound imaging |
| title | There is a significant relationship between morning blood pressure surge and increased abdominal aortic intima–media thickness in hypertensive patients |
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