Heart rate acceleration and deceleration capacities associated with circadian blood pressure variation
Background Heart rate acceleration and deceleration capacities are novel parameters that can quantify sympathetic and vagal modulation. However, how acceleration and deceleration capacities associated with circadian blood pressure (BP) variation remains unknown. Methods A total of 141 patients with...
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| Veröffentlicht in: | Annals of noninvasive electrocardiology 2020-07, Vol.25 (4), p.e12748-n/a |
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| creator | Yan, Liyuan Jin, Jianling Zhao, Xin Huang, Xingmei Zhu, Wei Jiang, Shili Gao, Meiwen Yuan, Jiamin |
| description | Background
Heart rate acceleration and deceleration capacities are novel parameters that can quantify sympathetic and vagal modulation. However, how acceleration and deceleration capacities associated with circadian blood pressure (BP) variation remains unknown.
Methods
A total of 141 patients with essential hypertension were included in our study. Based on the nocturnal decline rate of systolic BP (SBP), patients were divided into two groups, as dippers and nondippers. Baseline demographic characteristics, ambulatory blood pressure monitoring (ABPM) parameters, Holter recordings, and echocardiographic parameters were collected.
Results
The absolute values of acceleration capacity (AC) (−7.75 [−8.45 ~ −6.3] ms vs. −6.6 [−8.25 ~ −5.2] ms, p = .047) and deceleration capacity (DC) (7.35 [6.1 ~ 8.1] ms vs. 6.3 [5.1 ~ 7.6] ms, p = .042) were significantly higher in dippers than in nondippers. By multivariate logistic regression analysis, left atrial diameter (LAd) was found to be an independent risk factor for nondipper status in acceleration capacity model (odds ratio 1.174, 95% confidence interval 1.019–1.354, p = .027) and deceleration model (odds ratio 1.146, 95% confidence interval 1.003–1.309, p = .045). Sleep SBP was positively correlated to acceleration capacity (r = .256, p = .002) and negatively correlated to deceleration capacity (r = −.194, p = .021).
Conclusions
The absolute values of acceleration capacity and deceleration capacity were higher in patients with dipper hypertension than in patients with nondipper hypertension. However, acceleration and deceleration capacities were not independent risk factors for blunted BP variation. Sleep SBP seemed to be better correlated to the impairment of autonomic nervous system (ANS) function than other ABPM parameters. |
| doi_str_mv | 10.1111/anec.12748 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7358884</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2366632813</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4488-d9833c7cba2686680a2275e683f5063a6c3920ec634a26a96ac386ede9e89e4d3</originalsourceid><addsrcrecordid>eNp9kU1rGzEQhkVoyfelP6AIeimBTfVlSXspGJPEgdBeWshNjKVxo7BeudJuQv595TgJSQ7VRcPomZfR-xLyibNTXs836NGfcmGU3SH7fKJEo4y6_lBrZkVjBLveIwel3DImhBJml-xJwZmcWLFPlnOEPNAMA1LwHjusZUw9hT7QgK8aHtbg4xCxUCgl-VhHAr2Pww31MXsIEXq66FIKdJ2xlDEjvYMcH6ePyMcldAWPn-5D8vv87Nds3lz9vLicTa8ar5S1TWitlN74BQhttbYMhDAT1FYuJ0xL0F62gqHXUlUCWg1eWo0BW7QtqiAPyfet7npcrDB47IcMnVvnuIL84BJE9_aljzfuT7pzptphraoCX58Ecvo7YhncKpbqQldNTmNxQmqtpbBcVvTLO_Q2jbmv33NC8dZIbiSr1MmW8jmVknH5sgxnbhOf28TnHuOr8OfX67-gz3lVgG-B-9jhw3-k3PTH2Wwr-g94Xacu</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2419731730</pqid></control><display><type>article</type><title>Heart rate acceleration and deceleration capacities associated with circadian blood pressure variation</title><source>Wiley Online Library - AutoHoldings Journals</source><source>DOAJ Directory of Open Access Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Wiley Online Library (Open Access Collection)</source><source>PubMed Central</source><creator>Yan, Liyuan ; Jin, Jianling ; Zhao, Xin ; Huang, Xingmei ; Zhu, Wei ; Jiang, Shili ; Gao, Meiwen ; Yuan, Jiamin</creator><creatorcontrib>Yan, Liyuan ; Jin, Jianling ; Zhao, Xin ; Huang, Xingmei ; Zhu, Wei ; Jiang, Shili ; Gao, Meiwen ; Yuan, Jiamin</creatorcontrib><description>Background
Heart rate acceleration and deceleration capacities are novel parameters that can quantify sympathetic and vagal modulation. However, how acceleration and deceleration capacities associated with circadian blood pressure (BP) variation remains unknown.
Methods
A total of 141 patients with essential hypertension were included in our study. Based on the nocturnal decline rate of systolic BP (SBP), patients were divided into two groups, as dippers and nondippers. Baseline demographic characteristics, ambulatory blood pressure monitoring (ABPM) parameters, Holter recordings, and echocardiographic parameters were collected.
Results
The absolute values of acceleration capacity (AC) (−7.75 [−8.45 ~ −6.3] ms vs. −6.6 [−8.25 ~ −5.2] ms, p = .047) and deceleration capacity (DC) (7.35 [6.1 ~ 8.1] ms vs. 6.3 [5.1 ~ 7.6] ms, p = .042) were significantly higher in dippers than in nondippers. By multivariate logistic regression analysis, left atrial diameter (LAd) was found to be an independent risk factor for nondipper status in acceleration capacity model (odds ratio 1.174, 95% confidence interval 1.019–1.354, p = .027) and deceleration model (odds ratio 1.146, 95% confidence interval 1.003–1.309, p = .045). Sleep SBP was positively correlated to acceleration capacity (r = .256, p = .002) and negatively correlated to deceleration capacity (r = −.194, p = .021).
Conclusions
The absolute values of acceleration capacity and deceleration capacity were higher in patients with dipper hypertension than in patients with nondipper hypertension. However, acceleration and deceleration capacities were not independent risk factors for blunted BP variation. Sleep SBP seemed to be better correlated to the impairment of autonomic nervous system (ANS) function than other ABPM parameters.</description><identifier>ISSN: 1082-720X</identifier><identifier>EISSN: 1542-474X</identifier><identifier>DOI: 10.1111/anec.12748</identifier><identifier>PMID: 32103582</identifier><language>eng</language><publisher>United States: John Wiley & Sons, Inc</publisher><subject>Acceleration ; Autonomic nervous system ; Blood pressure ; Circadian rhythms ; Confidence intervals ; Correlation ; Deceleration ; Dipping ; Heart rate ; heart rate variability ; Holter/event recorders ; Hypertension ; Mathematical models ; Original ; Parameters ; Regression analysis ; Risk analysis ; Risk factors ; Sleep ; Statistical analysis ; Vagus nerve ; Variation</subject><ispartof>Annals of noninvasive electrocardiology, 2020-07, Vol.25 (4), p.e12748-n/a</ispartof><rights>2020 The Authors. published by Wiley Periodicals, Inc.</rights><rights>2020 The Authors. Annals of Noninvasive Electrocardiology published by Wiley Periodicals, Inc.</rights><rights>2020. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4488-d9833c7cba2686680a2275e683f5063a6c3920ec634a26a96ac386ede9e89e4d3</citedby><cites>FETCH-LOGICAL-c4488-d9833c7cba2686680a2275e683f5063a6c3920ec634a26a96ac386ede9e89e4d3</cites><orcidid>0000-0002-6601-3264</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358884/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358884/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,1417,11562,27924,27925,45574,45575,46052,46476,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32103582$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yan, Liyuan</creatorcontrib><creatorcontrib>Jin, Jianling</creatorcontrib><creatorcontrib>Zhao, Xin</creatorcontrib><creatorcontrib>Huang, Xingmei</creatorcontrib><creatorcontrib>Zhu, Wei</creatorcontrib><creatorcontrib>Jiang, Shili</creatorcontrib><creatorcontrib>Gao, Meiwen</creatorcontrib><creatorcontrib>Yuan, Jiamin</creatorcontrib><title>Heart rate acceleration and deceleration capacities associated with circadian blood pressure variation</title><title>Annals of noninvasive electrocardiology</title><addtitle>Ann Noninvasive Electrocardiol</addtitle><description>Background
Heart rate acceleration and deceleration capacities are novel parameters that can quantify sympathetic and vagal modulation. However, how acceleration and deceleration capacities associated with circadian blood pressure (BP) variation remains unknown.
Methods
A total of 141 patients with essential hypertension were included in our study. Based on the nocturnal decline rate of systolic BP (SBP), patients were divided into two groups, as dippers and nondippers. Baseline demographic characteristics, ambulatory blood pressure monitoring (ABPM) parameters, Holter recordings, and echocardiographic parameters were collected.
Results
The absolute values of acceleration capacity (AC) (−7.75 [−8.45 ~ −6.3] ms vs. −6.6 [−8.25 ~ −5.2] ms, p = .047) and deceleration capacity (DC) (7.35 [6.1 ~ 8.1] ms vs. 6.3 [5.1 ~ 7.6] ms, p = .042) were significantly higher in dippers than in nondippers. By multivariate logistic regression analysis, left atrial diameter (LAd) was found to be an independent risk factor for nondipper status in acceleration capacity model (odds ratio 1.174, 95% confidence interval 1.019–1.354, p = .027) and deceleration model (odds ratio 1.146, 95% confidence interval 1.003–1.309, p = .045). Sleep SBP was positively correlated to acceleration capacity (r = .256, p = .002) and negatively correlated to deceleration capacity (r = −.194, p = .021).
Conclusions
The absolute values of acceleration capacity and deceleration capacity were higher in patients with dipper hypertension than in patients with nondipper hypertension. However, acceleration and deceleration capacities were not independent risk factors for blunted BP variation. Sleep SBP seemed to be better correlated to the impairment of autonomic nervous system (ANS) function than other ABPM parameters.</description><subject>Acceleration</subject><subject>Autonomic nervous system</subject><subject>Blood pressure</subject><subject>Circadian rhythms</subject><subject>Confidence intervals</subject><subject>Correlation</subject><subject>Deceleration</subject><subject>Dipping</subject><subject>Heart rate</subject><subject>heart rate variability</subject><subject>Holter/event recorders</subject><subject>Hypertension</subject><subject>Mathematical models</subject><subject>Original</subject><subject>Parameters</subject><subject>Regression analysis</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Sleep</subject><subject>Statistical analysis</subject><subject>Vagus nerve</subject><subject>Variation</subject><issn>1082-720X</issn><issn>1542-474X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><recordid>eNp9kU1rGzEQhkVoyfelP6AIeimBTfVlSXspGJPEgdBeWshNjKVxo7BeudJuQv595TgJSQ7VRcPomZfR-xLyibNTXs836NGfcmGU3SH7fKJEo4y6_lBrZkVjBLveIwel3DImhBJml-xJwZmcWLFPlnOEPNAMA1LwHjusZUw9hT7QgK8aHtbg4xCxUCgl-VhHAr2Pww31MXsIEXq66FIKdJ2xlDEjvYMcH6ePyMcldAWPn-5D8vv87Nds3lz9vLicTa8ar5S1TWitlN74BQhttbYMhDAT1FYuJ0xL0F62gqHXUlUCWg1eWo0BW7QtqiAPyfet7npcrDB47IcMnVvnuIL84BJE9_aljzfuT7pzptphraoCX58Ecvo7YhncKpbqQldNTmNxQmqtpbBcVvTLO_Q2jbmv33NC8dZIbiSr1MmW8jmVknH5sgxnbhOf28TnHuOr8OfX67-gz3lVgG-B-9jhw3-k3PTH2Wwr-g94Xacu</recordid><startdate>202007</startdate><enddate>202007</enddate><creator>Yan, Liyuan</creator><creator>Jin, Jianling</creator><creator>Zhao, Xin</creator><creator>Huang, Xingmei</creator><creator>Zhu, Wei</creator><creator>Jiang, Shili</creator><creator>Gao, Meiwen</creator><creator>Yuan, Jiamin</creator><general>John Wiley & Sons, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6601-3264</orcidid></search><sort><creationdate>202007</creationdate><title>Heart rate acceleration and deceleration capacities associated with circadian blood pressure variation</title><author>Yan, Liyuan ; Jin, Jianling ; Zhao, Xin ; Huang, Xingmei ; Zhu, Wei ; Jiang, Shili ; Gao, Meiwen ; Yuan, Jiamin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4488-d9833c7cba2686680a2275e683f5063a6c3920ec634a26a96ac386ede9e89e4d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acceleration</topic><topic>Autonomic nervous system</topic><topic>Blood pressure</topic><topic>Circadian rhythms</topic><topic>Confidence intervals</topic><topic>Correlation</topic><topic>Deceleration</topic><topic>Dipping</topic><topic>Heart rate</topic><topic>heart rate variability</topic><topic>Holter/event recorders</topic><topic>Hypertension</topic><topic>Mathematical models</topic><topic>Original</topic><topic>Parameters</topic><topic>Regression analysis</topic><topic>Risk analysis</topic><topic>Risk factors</topic><topic>Sleep</topic><topic>Statistical analysis</topic><topic>Vagus nerve</topic><topic>Variation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yan, Liyuan</creatorcontrib><creatorcontrib>Jin, Jianling</creatorcontrib><creatorcontrib>Zhao, Xin</creatorcontrib><creatorcontrib>Huang, Xingmei</creatorcontrib><creatorcontrib>Zhu, Wei</creatorcontrib><creatorcontrib>Jiang, Shili</creatorcontrib><creatorcontrib>Gao, Meiwen</creatorcontrib><creatorcontrib>Yuan, Jiamin</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of noninvasive electrocardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yan, Liyuan</au><au>Jin, Jianling</au><au>Zhao, Xin</au><au>Huang, Xingmei</au><au>Zhu, Wei</au><au>Jiang, Shili</au><au>Gao, Meiwen</au><au>Yuan, Jiamin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Heart rate acceleration and deceleration capacities associated with circadian blood pressure variation</atitle><jtitle>Annals of noninvasive electrocardiology</jtitle><addtitle>Ann Noninvasive Electrocardiol</addtitle><date>2020-07</date><risdate>2020</risdate><volume>25</volume><issue>4</issue><spage>e12748</spage><epage>n/a</epage><pages>e12748-n/a</pages><issn>1082-720X</issn><eissn>1542-474X</eissn><abstract>Background
Heart rate acceleration and deceleration capacities are novel parameters that can quantify sympathetic and vagal modulation. However, how acceleration and deceleration capacities associated with circadian blood pressure (BP) variation remains unknown.
Methods
A total of 141 patients with essential hypertension were included in our study. Based on the nocturnal decline rate of systolic BP (SBP), patients were divided into two groups, as dippers and nondippers. Baseline demographic characteristics, ambulatory blood pressure monitoring (ABPM) parameters, Holter recordings, and echocardiographic parameters were collected.
Results
The absolute values of acceleration capacity (AC) (−7.75 [−8.45 ~ −6.3] ms vs. −6.6 [−8.25 ~ −5.2] ms, p = .047) and deceleration capacity (DC) (7.35 [6.1 ~ 8.1] ms vs. 6.3 [5.1 ~ 7.6] ms, p = .042) were significantly higher in dippers than in nondippers. By multivariate logistic regression analysis, left atrial diameter (LAd) was found to be an independent risk factor for nondipper status in acceleration capacity model (odds ratio 1.174, 95% confidence interval 1.019–1.354, p = .027) and deceleration model (odds ratio 1.146, 95% confidence interval 1.003–1.309, p = .045). Sleep SBP was positively correlated to acceleration capacity (r = .256, p = .002) and negatively correlated to deceleration capacity (r = −.194, p = .021).
Conclusions
The absolute values of acceleration capacity and deceleration capacity were higher in patients with dipper hypertension than in patients with nondipper hypertension. However, acceleration and deceleration capacities were not independent risk factors for blunted BP variation. Sleep SBP seemed to be better correlated to the impairment of autonomic nervous system (ANS) function than other ABPM parameters.</abstract><cop>United States</cop><pub>John Wiley & Sons, Inc</pub><pmid>32103582</pmid><doi>10.1111/anec.12748</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6601-3264</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library - AutoHoldings Journals; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; Wiley Online Library (Open Access Collection); PubMed Central |
| subjects | Acceleration Autonomic nervous system Blood pressure Circadian rhythms Confidence intervals Correlation Deceleration Dipping Heart rate heart rate variability Holter/event recorders Hypertension Mathematical models Original Parameters Regression analysis Risk analysis Risk factors Sleep Statistical analysis Vagus nerve Variation |
| title | Heart rate acceleration and deceleration capacities associated with circadian blood pressure variation |
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