Associations between nondipping of nocturnal blood pressure decrease and cardiovascular target organ damage in strictly selected community-dwelling normotensives
In hypertensives, nondippers are more likely than dippers to suffer silent, as well as overt, hypertensive target organ damage. In this study, we investigated whether a nondipper status was associated with target organ damage in normotensives. We performed ambulatory blood pressure (BP) monitoring,...
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| Veröffentlicht in: | American journal of hypertension 2003-06, Vol.16 (6), p.434-438 |
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| container_title | American journal of hypertension |
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| creator | Hoshide, Satoshi Kario, Kazuomi Hoshide, Yoko Umeda, Yuji Hashimoto, Toru Kunii, Osamu Ojima, Toshiyuki Shimada, Kazuyuki |
| description | In hypertensives, nondippers are more likely than dippers to suffer silent, as well as overt, hypertensive target organ damage. In this study, we investigated whether a nondipper status was associated with target organ damage in normotensives.
We performed ambulatory blood pressure (BP) monitoring, echocardiography, and carotid ultrasonography and measured natriuretic peptides and urinary albumin (UAE) in 74 normotensive subjects with the following criteria: 1) clinical BP |
| doi_str_mv | 10.1016/S0895-7061(03)00567-3 |
| format | Article |
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We performed ambulatory blood pressure (BP) monitoring, echocardiography, and carotid ultrasonography and measured natriuretic peptides and urinary albumin (UAE) in 74 normotensive subjects with the following criteria: 1) clinical BP <140/90 mm Hg; 2) average 24-h ambulatory BP <125/80 mm Hg.
The left ventricular mass index (LVMI) and the relative wall thickness (RWT) measured by echocardiography, were greater in nondippers than dippers (LVMI: 103 ± 26
v 118 ± 34 g/m
2,
P < .05; RWT: 0.38 ± 0.07
v 0.43 ± 0.09,
P < .01). Plasma atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) were higher in nondippers than dippers (ANP: 14 ± 10
v 36 ± 63 pg/mL,
P < .01; BNP: 16 ± 12
v 62 ± 153 pg/mL,
P < .05). There were no significant differences in UAE and intima–media thickness measured by carotid ultrasonography.
Normotensive nondipping may not reflect renal damage, but may have a predominant effect on cardiac damage. Nondipping of nocturnal BP seems to be a determinant of cardiac hypertrophy and remodeling, and may result in a cardiovascular risk independent of ambulatory BP levels in normotensives.]]></description><identifier>ISSN: 0895-7061</identifier><identifier>EISSN: 1879-1905</identifier><identifier>EISSN: 1941-7225</identifier><identifier>DOI: 10.1016/S0895-7061(03)00567-3</identifier><identifier>PMID: 12799090</identifier><identifier>CODEN: AJHYE6</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Albuminuria - urine ; Arterial hypertension. Arterial hypotension ; Atrial Natriuretic Factor - blood ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure ; Blood Pressure Monitoring, Ambulatory ; Cardiology. Vascular system ; Carotid Arteries - diagnostic imaging ; Circadian Rhythm ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Cross-Sectional Studies ; Echocardiography ; Female ; Humans ; Hypertrophy, Left Ventricular - diagnostic imaging ; Hypertrophy, Left Ventricular - epidemiology ; Hypertrophy, Left Ventricular - physiopathology ; left ventricular hypertrophy ; Male ; Medical sciences ; Middle Aged ; nondipper ; Normotensives ; Risk Factors</subject><ispartof>American journal of hypertension, 2003-06, Vol.16 (6), p.434-438</ispartof><rights>2003 American Journal of Hypertension, Ltd.</rights><rights>American Journal of Hypertension, Ltd. © 2003 by the American Journal of Hypertension, Ltd. 2003</rights><rights>2003 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Jun 2003</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c635t-bfb50f362b357b2a1c71b11d6db301135a4b5246b370aae6f8762eaa63d356313</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14833586$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12799090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hoshide, Satoshi</creatorcontrib><creatorcontrib>Kario, Kazuomi</creatorcontrib><creatorcontrib>Hoshide, Yoko</creatorcontrib><creatorcontrib>Umeda, Yuji</creatorcontrib><creatorcontrib>Hashimoto, Toru</creatorcontrib><creatorcontrib>Kunii, Osamu</creatorcontrib><creatorcontrib>Ojima, Toshiyuki</creatorcontrib><creatorcontrib>Shimada, Kazuyuki</creatorcontrib><title>Associations between nondipping of nocturnal blood pressure decrease and cardiovascular target organ damage in strictly selected community-dwelling normotensives</title><title>American journal of hypertension</title><addtitle>AJH</addtitle><description><![CDATA[In hypertensives, nondippers are more likely than dippers to suffer silent, as well as overt, hypertensive target organ damage. In this study, we investigated whether a nondipper status was associated with target organ damage in normotensives.
We performed ambulatory blood pressure (BP) monitoring, echocardiography, and carotid ultrasonography and measured natriuretic peptides and urinary albumin (UAE) in 74 normotensive subjects with the following criteria: 1) clinical BP <140/90 mm Hg; 2) average 24-h ambulatory BP <125/80 mm Hg.
The left ventricular mass index (LVMI) and the relative wall thickness (RWT) measured by echocardiography, were greater in nondippers than dippers (LVMI: 103 ± 26
v 118 ± 34 g/m
2,
P < .05; RWT: 0.38 ± 0.07
v 0.43 ± 0.09,
P < .01). Plasma atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) were higher in nondippers than dippers (ANP: 14 ± 10
v 36 ± 63 pg/mL,
P < .01; BNP: 16 ± 12
v 62 ± 153 pg/mL,
P < .05). There were no significant differences in UAE and intima–media thickness measured by carotid ultrasonography.
Normotensive nondipping may not reflect renal damage, but may have a predominant effect on cardiac damage. Nondipping of nocturnal BP seems to be a determinant of cardiac hypertrophy and remodeling, and may result in a cardiovascular risk independent of ambulatory BP levels in normotensives.]]></description><subject>Aged</subject><subject>Albuminuria - urine</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Atrial Natriuretic Factor - blood</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure</subject><subject>Blood Pressure Monitoring, Ambulatory</subject><subject>Cardiology. Vascular system</subject><subject>Carotid Arteries - diagnostic imaging</subject><subject>Circadian Rhythm</subject><subject>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</subject><subject>Cross-Sectional Studies</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertrophy, Left Ventricular - diagnostic imaging</subject><subject>Hypertrophy, Left Ventricular - epidemiology</subject><subject>Hypertrophy, Left Ventricular - physiopathology</subject><subject>left ventricular hypertrophy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>nondipper</subject><subject>Normotensives</subject><subject>Risk Factors</subject><issn>0895-7061</issn><issn>1879-1905</issn><issn>1941-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkV2L1DAUhoso7jj6E9SAKHpRTZpJ2l7Jsn6sMuCF6wfehDQ5HTPbJjVJZ52f4z81nRl2UASvQuB533M4T5bdJ_g5wYS_-IirmuUl5uQpps8wZrzM6Y1sRqqyzkmN2c1sdo2cZHdCWGOMF5yT29kJKcq6xjWeZb9OQ3DKyGicDaiBeAVgkXVWm2EwdoVcm34qjt7KDjWdcxoNHkIYPSANyoMMgKTVSEmvjdvIoMZOehSlX0FEzq-kRVr2cgXIWBSiNyp2WxSgAxUh5Vzfj9bEba6voOummdb53kWwwWwg3M1utbILcO_wzrNPb15fnJ3nyw9v352dLnPFKYt50zYMt5QXDWVlU0iiStIQorluKCaEMrloWLHgDS2xlMDbquQFSMmppoxTQufZk33v4N2PEUIUvQkqbSQtuDGIktKSc04T-OgvcO125wmC4IJzTIpUOM_YnlLeheChFYM3vfTbBInJoNgZFJMeganYGRRT-4ND-9j0oI-pg7IEPD4A6dSya720yoQjt6goZdW0AN5zbhz-PTv_Y3Y-zX64j1iZhMN1Sq6_FxjTapGIfE-YEOHnEfCXgpe0ZOL86zfx5f0rxpcXRHxO_Ms9D8ncxoAXQRmwCrTxSb_QzvznHr8Bvh_jmA</recordid><startdate>20030601</startdate><enddate>20030601</enddate><creator>Hoshide, Satoshi</creator><creator>Kario, Kazuomi</creator><creator>Hoshide, Yoko</creator><creator>Umeda, Yuji</creator><creator>Hashimoto, Toru</creator><creator>Kunii, Osamu</creator><creator>Ojima, Toshiyuki</creator><creator>Shimada, Kazuyuki</creator><general>Elsevier Inc</general><general>Oxford University Press</general><general>Elsevier Science</general><scope>BSCLL</scope><scope>IQODW</scope><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>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20030601</creationdate><title>Associations between nondipping of nocturnal blood pressure decrease and cardiovascular target organ damage in strictly selected community-dwelling normotensives</title><author>Hoshide, Satoshi ; Kario, Kazuomi ; Hoshide, Yoko ; Umeda, Yuji ; Hashimoto, Toru ; Kunii, Osamu ; Ojima, Toshiyuki ; Shimada, Kazuyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c635t-bfb50f362b357b2a1c71b11d6db301135a4b5246b370aae6f8762eaa63d356313</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Aged</topic><topic>Albuminuria - urine</topic><topic>Arterial hypertension. Arterial hypotension</topic><topic>Atrial Natriuretic Factor - blood</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure</topic><topic>Blood Pressure Monitoring, Ambulatory</topic><topic>Cardiology. Vascular system</topic><topic>Carotid Arteries - diagnostic imaging</topic><topic>Circadian Rhythm</topic><topic>Clinical manifestations. Epidemiology. Investigative techniques. Etiology</topic><topic>Cross-Sectional Studies</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertrophy, Left Ventricular - diagnostic imaging</topic><topic>Hypertrophy, Left Ventricular - epidemiology</topic><topic>Hypertrophy, Left Ventricular - physiopathology</topic><topic>left ventricular hypertrophy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>nondipper</topic><topic>Normotensives</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hoshide, Satoshi</creatorcontrib><creatorcontrib>Kario, Kazuomi</creatorcontrib><creatorcontrib>Hoshide, Yoko</creatorcontrib><creatorcontrib>Umeda, Yuji</creatorcontrib><creatorcontrib>Hashimoto, Toru</creatorcontrib><creatorcontrib>Kunii, Osamu</creatorcontrib><creatorcontrib>Ojima, Toshiyuki</creatorcontrib><creatorcontrib>Shimada, Kazuyuki</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><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>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</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>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</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>American journal of hypertension</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hoshide, Satoshi</au><au>Kario, Kazuomi</au><au>Hoshide, Yoko</au><au>Umeda, Yuji</au><au>Hashimoto, Toru</au><au>Kunii, Osamu</au><au>Ojima, Toshiyuki</au><au>Shimada, Kazuyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations between nondipping of nocturnal blood pressure decrease and cardiovascular target organ damage in strictly selected community-dwelling normotensives</atitle><jtitle>American journal of hypertension</jtitle><addtitle>AJH</addtitle><date>2003-06-01</date><risdate>2003</risdate><volume>16</volume><issue>6</issue><spage>434</spage><epage>438</epage><pages>434-438</pages><issn>0895-7061</issn><eissn>1879-1905</eissn><eissn>1941-7225</eissn><coden>AJHYE6</coden><abstract><![CDATA[In hypertensives, nondippers are more likely than dippers to suffer silent, as well as overt, hypertensive target organ damage. In this study, we investigated whether a nondipper status was associated with target organ damage in normotensives.
We performed ambulatory blood pressure (BP) monitoring, echocardiography, and carotid ultrasonography and measured natriuretic peptides and urinary albumin (UAE) in 74 normotensive subjects with the following criteria: 1) clinical BP <140/90 mm Hg; 2) average 24-h ambulatory BP <125/80 mm Hg.
The left ventricular mass index (LVMI) and the relative wall thickness (RWT) measured by echocardiography, were greater in nondippers than dippers (LVMI: 103 ± 26
v 118 ± 34 g/m
2,
P < .05; RWT: 0.38 ± 0.07
v 0.43 ± 0.09,
P < .01). Plasma atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP) were higher in nondippers than dippers (ANP: 14 ± 10
v 36 ± 63 pg/mL,
P < .01; BNP: 16 ± 12
v 62 ± 153 pg/mL,
P < .05). There were no significant differences in UAE and intima–media thickness measured by carotid ultrasonography.
Normotensive nondipping may not reflect renal damage, but may have a predominant effect on cardiac damage. Nondipping of nocturnal BP seems to be a determinant of cardiac hypertrophy and remodeling, and may result in a cardiovascular risk independent of ambulatory BP levels in normotensives.]]></abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>12799090</pmid><doi>10.1016/S0895-7061(03)00567-3</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0895-7061 |
| ispartof | American journal of hypertension, 2003-06, Vol.16 (6), p.434-438 |
| issn | 0895-7061 1879-1905 1941-7225 |
| language | eng |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Aged Albuminuria - urine Arterial hypertension. Arterial hypotension Atrial Natriuretic Factor - blood Biological and medical sciences Blood and lymphatic vessels Blood Pressure Blood Pressure Monitoring, Ambulatory Cardiology. Vascular system Carotid Arteries - diagnostic imaging Circadian Rhythm Clinical manifestations. Epidemiology. Investigative techniques. Etiology Cross-Sectional Studies Echocardiography Female Humans Hypertrophy, Left Ventricular - diagnostic imaging Hypertrophy, Left Ventricular - epidemiology Hypertrophy, Left Ventricular - physiopathology left ventricular hypertrophy Male Medical sciences Middle Aged nondipper Normotensives Risk Factors |
| title | Associations between nondipping of nocturnal blood pressure decrease and cardiovascular target organ damage in strictly selected community-dwelling normotensives |
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