Maintenance of negative fluid balance can improve endothelial and cardiac functions in primary hypertensive patients
Purpose: The issue of unidentified volume expansion is well recognized as a cause for resistance to antihypertensive therapy. The aim of study is to identify contribution of negative fluid balance to hypertension control and impact on endothelial and cardiac functions among primary hypertensive pati...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2017-08-01
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| Series: | Clinical and Experimental Hypertension |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/10641963.2017.1291663 |
| _version_ | 1797681505069170688 |
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| author | Ali Yeşiltepe Oguzhan Sıtkı Dizdar Hasan Gorkem Engin Dondurmacı Eyup Ozkan Ali Koç Ahmet Oguz Baktır Ali Ihsan Gunal |
| author_facet | Ali Yeşiltepe Oguzhan Sıtkı Dizdar Hasan Gorkem Engin Dondurmacı Eyup Ozkan Ali Koç Ahmet Oguz Baktır Ali Ihsan Gunal |
| author_sort | Ali Yeşiltepe |
| collection | DOAJ |
| description | Purpose: The issue of unidentified volume expansion is well recognized as a cause for resistance to antihypertensive therapy. The aim of study is to identify contribution of negative fluid balance to hypertension control and impact on endothelial and cardiac functions among primary hypertensive patients who do not have kidney failure. Materials and Methods: This is a prospective interventional study with one-year follow-up. Preceded by volume status measurements were performed by a body composition monitor (BCM), the patients were put on ambulatory blood pressure monitoring for 24 hours. Then, echocardiographic assessments and flow-mediated dilation (FMD) and carotid intima-media thickness (CIMT) measurements were completed. Patients in one of the two groups were kept negative hydrated during trial with diuretic treatment. Results: At the end of one-year follow-up, patients in negative hydrated group were found to have significantly lower CIMT, left ventricle mass index, left ventricular end-diastolic diameter, mean systolic and diastolic BP, non-dipper patient ratio, and higher FMD. In negatively hydrated group, target organ damage significantly reduced during trial. Conclusions: The significance of negative hydration status with respect to blood pressure control, endothelial and cardiac functions within primary hypertensive patients who do not suffer from kidney failure has been demonstrated. |
| first_indexed | 2024-03-11T23:45:46Z |
| format | Article |
| id | doaj.art-3b556012194644ffb836a4fdfae0c456 |
| institution | Directory Open Access Journal |
| issn | 1064-1963 1525-6006 |
| language | English |
| last_indexed | 2024-03-11T23:45:46Z |
| publishDate | 2017-08-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Clinical and Experimental Hypertension |
| spelling | doaj.art-3b556012194644ffb836a4fdfae0c4562023-09-19T09:24:45ZengTaylor & Francis GroupClinical and Experimental Hypertension1064-19631525-60062017-08-0139657958610.1080/10641963.2017.12916631291663Maintenance of negative fluid balance can improve endothelial and cardiac functions in primary hypertensive patientsAli Yeşiltepe0Oguzhan Sıtkı Dizdar1Hasan Gorkem2Engin Dondurmacı3Eyup Ozkan4Ali Koç5Ahmet Oguz Baktır6Ali Ihsan Gunal7Kayseri Training and Research HospitalKayseri Training and Research HospitalKayseri Training and Research HospitalKayseri Training and Research HospitalKayseri Training and Research HospitalKayseri Training and Research HospitalKayseri Training and Research HospitalKayseri Training and Research HospitalPurpose: The issue of unidentified volume expansion is well recognized as a cause for resistance to antihypertensive therapy. The aim of study is to identify contribution of negative fluid balance to hypertension control and impact on endothelial and cardiac functions among primary hypertensive patients who do not have kidney failure. Materials and Methods: This is a prospective interventional study with one-year follow-up. Preceded by volume status measurements were performed by a body composition monitor (BCM), the patients were put on ambulatory blood pressure monitoring for 24 hours. Then, echocardiographic assessments and flow-mediated dilation (FMD) and carotid intima-media thickness (CIMT) measurements were completed. Patients in one of the two groups were kept negative hydrated during trial with diuretic treatment. Results: At the end of one-year follow-up, patients in negative hydrated group were found to have significantly lower CIMT, left ventricle mass index, left ventricular end-diastolic diameter, mean systolic and diastolic BP, non-dipper patient ratio, and higher FMD. In negatively hydrated group, target organ damage significantly reduced during trial. Conclusions: The significance of negative hydration status with respect to blood pressure control, endothelial and cardiac functions within primary hypertensive patients who do not suffer from kidney failure has been demonstrated.http://dx.doi.org/10.1080/10641963.2017.1291663bioimpedanceechocardiographyendothelhypertensionnegative fluid balance |
| spellingShingle | Ali Yeşiltepe Oguzhan Sıtkı Dizdar Hasan Gorkem Engin Dondurmacı Eyup Ozkan Ali Koç Ahmet Oguz Baktır Ali Ihsan Gunal Maintenance of negative fluid balance can improve endothelial and cardiac functions in primary hypertensive patients Clinical and Experimental Hypertension bioimpedance echocardiography endothel hypertension negative fluid balance |
| title | Maintenance of negative fluid balance can improve endothelial and cardiac functions in primary hypertensive patients |
| title_full | Maintenance of negative fluid balance can improve endothelial and cardiac functions in primary hypertensive patients |
| title_fullStr | Maintenance of negative fluid balance can improve endothelial and cardiac functions in primary hypertensive patients |
| title_full_unstemmed | Maintenance of negative fluid balance can improve endothelial and cardiac functions in primary hypertensive patients |
| title_short | Maintenance of negative fluid balance can improve endothelial and cardiac functions in primary hypertensive patients |
| title_sort | maintenance of negative fluid balance can improve endothelial and cardiac functions in primary hypertensive patients |
| topic | bioimpedance echocardiography endothel hypertension negative fluid balance |
| url | http://dx.doi.org/10.1080/10641963.2017.1291663 |
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