Impact of disease duration and cardiovascular dysautonomia on hypertension in Parkinson's disease
The authors evaluated the association of Parkinson’s disease (PD) duration with hypertension, assessed by office measurements and 24‐hour (ambulatory) monitoring, in 167 patients. Hypertension was evaluated through both office and ambulatory blood pressure (BP) measurements. Among participants (mean...
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| Veröffentlicht in: | The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2017-04, Vol.19 (4), p.418-423 |
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| container_title | The journal of clinical hypertension (Greenwich, Conn.) |
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| creator | Vetrano, Davide L. Pisciotta, Maria S. Brandi, Vincenzo Lo Monaco, Maria R. Laudisio, Alice Onder, Graziano Fusco, Domenico L′Angiocola, Paolo D. Bentivoglio, Anna R. Bernabei, Roberto Zuccalà, Giuseppe |
| description | The authors evaluated the association of Parkinson’s disease (PD) duration with hypertension, assessed by office measurements and 24‐hour (ambulatory) monitoring, in 167 patients. Hypertension was evaluated through both office and ambulatory blood pressure (BP) measurements. Among participants (mean age 73.4±7.6 years; 35% women), the prevalence of hypertension was 60% and 69% according to office and ambulatory BP measurements, respectively (Cohen's k=0.61; P |
| doi_str_mv | 10.1111/jch.12938 |
| format | Article |
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Hypertension was evaluated through both office and ambulatory blood pressure (BP) measurements. Among participants (mean age 73.4±7.6 years; 35% women), the prevalence of hypertension was 60% and 69% according to office and ambulatory BP measurements, respectively (Cohen's k=0.61; P<.001). PD duration was inversely associated with hypertension as diagnosed by office measurements (odds ratio [OR], 0.92; 95% confidence interval [CI], 0.86–0.98) but not by ambulatory monitoring (OR, 0.94; 95% CI, 0.81–1.01). Ambulatory BP patterns showed higher nocturnal BP among patients with long‐lasting disease. In conclusion, ambulatory BP monitoring improves the detection of hypertension by 15% in PD, compared with office evaluation. The likelihood of having hypertension does not decrease during the PD course; rather, BP pattern shifts towards nocturnal hypertension.</description><identifier>ISSN: 1524-6175</identifier><identifier>ISSN: 1751-7176</identifier><identifier>EISSN: 1751-7176</identifier><identifier>DOI: 10.1111/jch.12938</identifier><identifier>PMID: 27804276</identifier><language>eng</language><publisher>United States: John Wiley and Sons Inc</publisher><subject>Aged ; Aged, 80 and over ; ambulatory blood pressure monitoring ; Blood Pressure Monitoring, Ambulatory - methods ; Circadian Rhythm - physiology ; Cross-Sectional Studies ; dysautonomia ; Female ; Humans ; hypertension ; Hypertension - complications ; Hypertension - physiopathology ; Hypertension and Parkinson's Disease ; Italy - epidemiology ; Male ; non-motor symptoms ; Original Paper ; Parkinson Disease - complications ; Parkinsons disease ; Parkinson′s disease ; Prevalence ; Primary Dysautonomias - complications</subject><ispartof>The journal of clinical hypertension (Greenwich, Conn.), 2017-04, Vol.19 (4), p.418-423</ispartof><rights>2016 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4908-69adf26ed6783b05dc8dbade9b94bfb4a14bc48a4903b1a3b5d438e42e6ae923</citedby><cites>FETCH-LOGICAL-c4908-69adf26ed6783b05dc8dbade9b94bfb4a14bc48a4903b1a3b5d438e42e6ae923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8031361/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8031361/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,550,723,776,780,881,1411,1427,27901,27902,45550,45551,46384,46808,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27804276$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-142603$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:135570953$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Vetrano, Davide L.</creatorcontrib><creatorcontrib>Pisciotta, Maria S.</creatorcontrib><creatorcontrib>Brandi, Vincenzo</creatorcontrib><creatorcontrib>Lo Monaco, Maria R.</creatorcontrib><creatorcontrib>Laudisio, Alice</creatorcontrib><creatorcontrib>Onder, Graziano</creatorcontrib><creatorcontrib>Fusco, Domenico</creatorcontrib><creatorcontrib>L′Angiocola, Paolo D.</creatorcontrib><creatorcontrib>Bentivoglio, Anna R.</creatorcontrib><creatorcontrib>Bernabei, Roberto</creatorcontrib><creatorcontrib>Zuccalà, Giuseppe</creatorcontrib><title>Impact of disease duration and cardiovascular dysautonomia on hypertension in Parkinson's disease</title><title>The journal of clinical hypertension (Greenwich, Conn.)</title><addtitle>J Clin Hypertens (Greenwich)</addtitle><description>The authors evaluated the association of Parkinson’s disease (PD) duration with hypertension, assessed by office measurements and 24‐hour (ambulatory) monitoring, in 167 patients. Hypertension was evaluated through both office and ambulatory blood pressure (BP) measurements. Among participants (mean age 73.4±7.6 years; 35% women), the prevalence of hypertension was 60% and 69% according to office and ambulatory BP measurements, respectively (Cohen's k=0.61; P<.001). PD duration was inversely associated with hypertension as diagnosed by office measurements (odds ratio [OR], 0.92; 95% confidence interval [CI], 0.86–0.98) but not by ambulatory monitoring (OR, 0.94; 95% CI, 0.81–1.01). Ambulatory BP patterns showed higher nocturnal BP among patients with long‐lasting disease. In conclusion, ambulatory BP monitoring improves the detection of hypertension by 15% in PD, compared with office evaluation. The likelihood of having hypertension does not decrease during the PD course; rather, BP pattern shifts towards nocturnal hypertension.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>ambulatory blood pressure monitoring</subject><subject>Blood Pressure Monitoring, Ambulatory - methods</subject><subject>Circadian Rhythm - physiology</subject><subject>Cross-Sectional Studies</subject><subject>dysautonomia</subject><subject>Female</subject><subject>Humans</subject><subject>hypertension</subject><subject>Hypertension - complications</subject><subject>Hypertension - physiopathology</subject><subject>Hypertension and Parkinson's Disease</subject><subject>Italy - epidemiology</subject><subject>Male</subject><subject>non-motor symptoms</subject><subject>Original Paper</subject><subject>Parkinson Disease - complications</subject><subject>Parkinsons disease</subject><subject>Parkinson′s disease</subject><subject>Prevalence</subject><subject>Primary Dysautonomias - complications</subject><issn>1524-6175</issn><issn>1751-7176</issn><issn>1751-7176</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNp10U1P3DAQBuCoKiqU9tA_UOXWVmrAjj_iXCqh7QdUSO0B9WpN7AlrSOytnYD239c0C4IDvng0fvza0hTFO0qOaF7HV2Z9ROuWqRfFAW0ErRrayJe5FjWvZO7sF69TuiJEMNaSV8V-3SjC60YeFHA2bsBMZehL6xJCwtLOESYXfAnelgaideEGkpkHiKXdJpin4MPooMxkvd1gnNCnO-98-RvitfMp-A_pPu9NsdfDkPDtbj8sLr5_u1idVue_fpytTs4rw1uiKtmC7WuJVjaKdURYo2wHFtuu5V3fcaC8M1xBxqyjwDphOVPIa5SAbc0Oi2qJTbe4mTu9iW6EuNUBnN61rnOFWhDKeJP952f9V_fnRId4qdOsKa8lYZl_WXi2I1qDfoowPLn19MS7tb4MN1oRRpmkOeDjLiCGvzOmSY8uGRwG8BjmpKliQjDRCJnpp4WaGFKK2D88Q4m-G7jOA9f_B57t-8f_epD3E87geAG3bsDt80n65-p0ifwHMpa5Kg</recordid><startdate>201704</startdate><enddate>201704</enddate><creator>Vetrano, Davide L.</creator><creator>Pisciotta, Maria S.</creator><creator>Brandi, Vincenzo</creator><creator>Lo Monaco, Maria R.</creator><creator>Laudisio, Alice</creator><creator>Onder, Graziano</creator><creator>Fusco, Domenico</creator><creator>L′Angiocola, Paolo D.</creator><creator>Bentivoglio, Anna R.</creator><creator>Bernabei, Roberto</creator><creator>Zuccalà, Giuseppe</creator><general>John Wiley and Sons Inc</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>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>DG7</scope><scope>D8T</scope><scope>ZZAVC</scope></search><sort><creationdate>201704</creationdate><title>Impact of disease duration and cardiovascular dysautonomia on hypertension in Parkinson's disease</title><author>Vetrano, Davide L. ; Pisciotta, Maria S. ; Brandi, Vincenzo ; Lo Monaco, Maria R. ; Laudisio, Alice ; Onder, Graziano ; Fusco, Domenico ; L′Angiocola, Paolo D. ; Bentivoglio, Anna R. ; Bernabei, Roberto ; Zuccalà, Giuseppe</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4908-69adf26ed6783b05dc8dbade9b94bfb4a14bc48a4903b1a3b5d438e42e6ae923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>ambulatory blood pressure monitoring</topic><topic>Blood Pressure Monitoring, Ambulatory - methods</topic><topic>Circadian Rhythm - physiology</topic><topic>Cross-Sectional Studies</topic><topic>dysautonomia</topic><topic>Female</topic><topic>Humans</topic><topic>hypertension</topic><topic>Hypertension - complications</topic><topic>Hypertension - physiopathology</topic><topic>Hypertension and Parkinson's Disease</topic><topic>Italy - epidemiology</topic><topic>Male</topic><topic>non-motor symptoms</topic><topic>Original Paper</topic><topic>Parkinson Disease - complications</topic><topic>Parkinsons disease</topic><topic>Parkinson′s disease</topic><topic>Prevalence</topic><topic>Primary Dysautonomias - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vetrano, Davide L.</creatorcontrib><creatorcontrib>Pisciotta, Maria S.</creatorcontrib><creatorcontrib>Brandi, Vincenzo</creatorcontrib><creatorcontrib>Lo Monaco, Maria R.</creatorcontrib><creatorcontrib>Laudisio, Alice</creatorcontrib><creatorcontrib>Onder, Graziano</creatorcontrib><creatorcontrib>Fusco, Domenico</creatorcontrib><creatorcontrib>L′Angiocola, Paolo D.</creatorcontrib><creatorcontrib>Bentivoglio, Anna R.</creatorcontrib><creatorcontrib>Bernabei, Roberto</creatorcontrib><creatorcontrib>Zuccalà, Giuseppe</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Stockholms universitet</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vetrano, Davide L.</au><au>Pisciotta, Maria S.</au><au>Brandi, Vincenzo</au><au>Lo Monaco, Maria R.</au><au>Laudisio, Alice</au><au>Onder, Graziano</au><au>Fusco, Domenico</au><au>L′Angiocola, Paolo D.</au><au>Bentivoglio, Anna R.</au><au>Bernabei, Roberto</au><au>Zuccalà, Giuseppe</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of disease duration and cardiovascular dysautonomia on hypertension in Parkinson's disease</atitle><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle><addtitle>J Clin Hypertens (Greenwich)</addtitle><date>2017-04</date><risdate>2017</risdate><volume>19</volume><issue>4</issue><spage>418</spage><epage>423</epage><pages>418-423</pages><issn>1524-6175</issn><issn>1751-7176</issn><eissn>1751-7176</eissn><abstract>The authors evaluated the association of Parkinson’s disease (PD) duration with hypertension, assessed by office measurements and 24‐hour (ambulatory) monitoring, in 167 patients. Hypertension was evaluated through both office and ambulatory blood pressure (BP) measurements. Among participants (mean age 73.4±7.6 years; 35% women), the prevalence of hypertension was 60% and 69% according to office and ambulatory BP measurements, respectively (Cohen's k=0.61; P<.001). PD duration was inversely associated with hypertension as diagnosed by office measurements (odds ratio [OR], 0.92; 95% confidence interval [CI], 0.86–0.98) but not by ambulatory monitoring (OR, 0.94; 95% CI, 0.81–1.01). Ambulatory BP patterns showed higher nocturnal BP among patients with long‐lasting disease. In conclusion, ambulatory BP monitoring improves the detection of hypertension by 15% in PD, compared with office evaluation. The likelihood of having hypertension does not decrease during the PD course; rather, BP pattern shifts towards nocturnal hypertension.</abstract><cop>United States</cop><pub>John Wiley and Sons Inc</pub><pmid>27804276</pmid><doi>10.1111/jch.12938</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over ambulatory blood pressure monitoring Blood Pressure Monitoring, Ambulatory - methods Circadian Rhythm - physiology Cross-Sectional Studies dysautonomia Female Humans hypertension Hypertension - complications Hypertension - physiopathology Hypertension and Parkinson's Disease Italy - epidemiology Male non-motor symptoms Original Paper Parkinson Disease - complications Parkinsons disease Parkinson′s disease Prevalence Primary Dysautonomias - complications |
| title | Impact of disease duration and cardiovascular dysautonomia on hypertension in Parkinson's disease |
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