Morning blood pressure surge is associated with carotid intima-media thickness in prehypertensive patients

Alpaydin, Sertac; Turan, Yaşar; Çalışkan, Mustafa; Çalışkan, Zuhal; Aksu, Feyza; Özyıldırım, Serhan; Buyukterzi, Zafer; Köstek, Osman; Müderrisoğlu, Haldun

doi:10.1097/mbp.0000000000000252

Cited by 16 publications

(9 citation statements)

References 31 publications

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“…Markers of hypertensive heart disease, including increased left ventricular mass index (LVMI), left ventricular hypertrophy, and a lower A/E ratio (a measure of diastolic dysfunction), have all been associated with an exaggerated morning BP surge (Consensus Table A10). Significant relationships have also been reported between increased morning BP surge and both increased carotid intima‐media thickness (IMT) and microvascular dysfunction . Vascular function, assessed using pulse wave velocity (PWV), has been shown to be impaired in patients with exaggerated morning BP surge .…”

Section: Resultsmentioning

confidence: 99%

Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network

Kario

Shin

Chen³

et al. 2019

J of Clinical Hypertension

130

167

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Hypertension is an important public health issue because of its association with a number of significant diseases and adverse outcomes. However, there are important ethnic differences in the pathogenesis and cardio-/cerebrovascular consequences of hypertension. Given the large populations and rapidly aging demographic in Asian regions, optimal strategies to diagnose and manage hypertension are of high importance. Ambulatory | 1251 KARIO et Al.

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Section: Resultsmentioning

confidence: 99%

Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network

Kario

Shin

Chen³

et al. 2019

J of Clinical Hypertension

130

167

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“…[ 24 ] For patients with morning hypertension alone, some authors suggested that a good lifestyle can better regulate blood pressure, thereby reducing the risk of stroke recurrence. [ 25 ] Adjusting the medication timing, taking long-acting preparations, and using drugs that are proven to benefit the heart and brain can decrease cardio-cerebrovascular events and improve the quality of life of hypertensive patients.…”

Section: Discussionmentioning

confidence: 99%

Morning hypertension is a risk factor of macrovascular events following cerebral infarction

Qu²,

Yin³

et al. 2018

Medicine

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This study aimed to investigate risk factors (such as morning hypertension, drug compliance, and biochemical parameters) of macrovascular events after cerebral infarction.This was a retrospective study of patients with cerebral infarction admitted between May 2015 and April 2016 at the Fengxian Branch, 6th People's Hospital of Shanghai. They were divided into the macrovascular events and control groups according to the diagnosis of macrovascular events following cerebral infarction.Among the 702 patients included for analysis, 122 patients were with macrovascular events and 580 were without macrovascular events (controls). Morning hypertension (P = .01), dyslipidemia (P = .007), atrial fibrillation (P = .039), carotid artery plaque (P = .014), inflammatory infection (P = .005), high homocysteine (P = .032), antithrombotic compliance (P < .001), statins compliance (P < .001), morning diastolic blood pressure (P < .001), morning systolic blood pressure (P < .001), and morning heart rate (morHR) (P = .033) were associated with macrovascular events. Multivariable analysis showed that morning hypertension (P = .021, odds ratio [OR] = 1.753, 95% confidence interval [CI] [1.088, 2.826]), dyslipidemia (P = .021, OR = 1.708, 95% CI [1.085, 2.687]), and inflammatory infection (P = .031, OR = 2.263, 95% CI [1.078, 4.752]) were independent risk factors for macrovascular events, while antithrombotic compliance (P < .001, OR = 0.488, 95% CI [0.336, 0.709]), statin compliance (P = .02, OR = 0.64, 95% CI [0.44, 0.931]), and morHR (P = .027, OR = 0.977, 95% CI [0.958, 0.997]) were independent protective factors against macrovascular events. Atrial fibrillation showed a tendency to be associated with macrovascular events (P = .077, OR = 1.531, 95% CI [0.955, 2.454]).Morning hypertension, dyslipidemia, and inflammatory infection may increase the risk of macrovascular events following cerebral infarction. Improving morning blood pressure management and drug compliance (antithrombotic drugs and statins) may reduce the risk of macrovascular events following cerebral infarction.

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“…Prooxidant markers in plasma (e.g., oxaliplatin, triacetin, niacin, and transglutamine) in gerontological patients with or in the absence of CHD (CAD) may define the early hazard of CAD [7]. Disease and 50 CAD patients are with angiographic indications for 60 years [8,9]. The control group consisted of 200 healthy individuals without risk factors [10,11].…”

Section: Introductionmentioning

confidence: 99%

[Retracted] Observation of the Clinical Correlation between Carotid Artery Intima‐Media Thickness and Cardiovascular Risk Factors in Hypertensive Patients under Microscope Images

Wu¹

2021

Journal of Sensors

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With the development of social science and technology and people’s demand for exploring the micro world, digital microscope technology came into being. Microscope image processing technology has been widely used in industrial micromanipulation, biomedicine, and cultural relic identification and preservation. In order to in-depth study the use of microscope image technology to observe the thickness of the carotid artery intima-media in hypertensive patients to find out whether it is feasible to explore many risk factors for cardiovascular development, this article uses data analysis, concept analysis, and graphic construction methods to collect samples, analyzed the image, streamlined the algorithm, and created a microscope image that can study its risk factors. The severity of hypertension, diabetes, and other factors affects the thickness of carotid arteries and cardiovascular diseases. The results show that the longer the duration of hypertension, the higher the central and peripheral blood pressure, the higher the height, and the higher the central blood pressure, which is relatively low. The detection rate of elevated central blood pressure is higher (76.8%). The second group (53.6%) and the third group (49.2%) ( P < 0.008 ); older age, the central blood pressure is relatively high, and the detection rate of central blood pressure increases (75.5%). It is higher than normal blood pressure (24.5%), so it can be concluded that hypertension not only affects central blood pressure but also peripheral blood; height and age are independent factors that affect central blood pressure. It is basically realized that starting from the microscope image, many risk factors of cardiovascular disease have been successfully analyzed.

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Morning blood pressure surge is associated with carotid intima-media thickness in prehypertensive patients

Abstract: Our study suggests that greater MBPS is associated independently with C-IMT in prehypertensive patients.

Cited by 16 publications

References 31 publications

Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network

Expert panel consensus recommendations for ambulatory blood pressure monitoring in Asia: The HOPE Asia Network

Morning hypertension is a risk factor of macrovascular events following cerebral infarction

[Retracted] Observation of the Clinical Correlation between Carotid Artery Intima‐Media Thickness and Cardiovascular Risk Factors in Hypertensive Patients under Microscope Images

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