Absence Of Nocturnal Dipping Is Associated With Stroke And Myocardium Infarction [la Ausencia De Descenso Nocturno De La Presión Arterial Se Asocia A Accidente Cerebrovascular E Infarto De Miocardio]

dc.creatorDe Melo R.O.V.
dc.creatorToledo J.C.Y.
dc.creatorLoureiro A.A.C.
dc.creatorCipullo J.P.
dc.creatorMoreno Jr. H.
dc.creatorMartin J.F.V.
dc.date2010
dc.date2015-06-26T12:40:54Z
dc.date2015-11-26T15:24:29Z
dc.date2015-06-26T12:40:54Z
dc.date2015-11-26T15:24:29Z
dc.date.accessioned2018-03-28T22:33:24Z
dc.date.available2018-03-28T22:33:24Z
dc.identifier
dc.identifierArquivos Brasileiros De Cardiologia. , v. 94, n. 1, p. 74 - 80, 2010.
dc.identifier0066782X
dc.identifier
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-77951617434&partnerID=40&md5=5ef96338d8bf9fdd99879bfdd82dada7
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/91381
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/91381
dc.identifier2-s2.0-77951617434
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1260708
dc.descriptionBackground: The arterial hypertension varies in according to the circadian cycle, presenting physiologic fall of blood pressure (BP) during sleep (dipping). The absence of this fall or its increase associates to higher incidence of target-organ damages. Objective: To analyze the prevalence of dipping in hypertensive individuals, to correlate dipping to the blood pressure levels, clinic, and socio-demographic factors, and biochemical characteristics and to associate it cardiovascular events (stroke and myocardial infarction). Methods: Hypertensive individuals were submitted to the ambulatory blood pressure monitoring. Presence of dipper was defined as fall ≥10% of the systolic BP of the day for sleep. Results: 163evaluated patients were divided in dippers (D, n=53) and nondippers (ND, n=110). Between the groups there was not significant difference to the age, sex, race, time of hypertension, glycemia, LDL-cholesterol, total cholesterol, triglycerides, schooling, smoking, and history of diabetes. D presented BP higher than the ND during the day and lower during sleep. ND had higher body mass index (BMI) (p=0.0377), lower level of HDL-cholesterol (p=0.0189), and higher pulse pressure during sleep (p=0.0025). History of stroke alone (p=0,046) and combined with myocardial infarction (p=0.032) were more frequent in nondippers individuals. In the logistic regression, only ND was associated independently with stroke or myocardial infarction. Conclusion: ND was associated in an independent way with the target-organ damages analyzed, what demonstrates its importance and strengthens the necessity of more aggressive treatment with objective to reach BP goals e, consequently, to prevent the development of new cardiologic and cerebrovascular events.
dc.description94
dc.description1
dc.description74
dc.description80
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dc.languageen
dc.publisher
dc.relationArquivos Brasileiros de Cardiologia
dc.rightsaberto
dc.sourceScopus
dc.titleAbsence Of Nocturnal Dipping Is Associated With Stroke And Myocardium Infarction [la Ausencia De Descenso Nocturno De La Presión Arterial Se Asocia A Accidente Cerebrovascular E Infarto De Miocardio]
dc.typeArtículos de revistas


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