Morning blood pressure surge and associated factors in patients with primary hypertension
Introduction. Patients with arterial hypertension have a higher rate of morning blood pressure surge (MBPS) than non-hypertensive patients. MBPS increases the risk of stroke, myocardial infarction, sudden cardiac death, arterial stiffness, left ventricular hypertrophy, carotid atherosclerosis, and v...
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| Format: | Article |
| Language: | English |
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Balkan Medical Union
2021-12-01
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| Series: | Archives of the Balkan Medical Union |
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| Online Access: | https://umbalk.org/wp-content/uploads/2021/12/06.MORNING-BLOOD-PRESSURE-SURGE-AND-ASSOCIATED.pdf |
| _version_ | 1798034642122571776 |
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| author | Trung Kien NGUYEN Duy Linh NGUYEN Thi Tuyet Ngan DOAN Hong Ha NGUYEN Rebecca S. DEWEY Van De TRAN |
| author_facet | Trung Kien NGUYEN Duy Linh NGUYEN Thi Tuyet Ngan DOAN Hong Ha NGUYEN Rebecca S. DEWEY Van De TRAN |
| author_sort | Trung Kien NGUYEN |
| collection | DOAJ |
| description | Introduction. Patients with arterial hypertension have a higher rate of morning blood pressure surge (MBPS) than non-hypertensive patients. MBPS increases the risk of stroke, myocardial infarction, sudden cardiac death, arterial stiffness, left ventricular hypertrophy, carotid atherosclerosis, and vascular inflammation. The prevalence and predictors of MBPS may vary significantly between geographic regions.
The objective of the study was to determine the incidence of MBPS and associated factors in patients with primary hypertension.
Material and methods. A cross-sectional descriptive study was conducted in patients ≥35 years old, diagnosed with primary arterial hypertension, and hospitalized in the Department of Cardiology of Thanh Vu Hospital, Bac Lieu, Vietnam, between March 2019 and May 2020.
Results. Among 126 hypertensive patients, 80 had MBPS (63.5%): 66 had systolic MBPS (52.4%), 65 had diastolic MBPS (51.6%), and 51 had both systolic and diastolic MBPS (40.5%). Nocturnal hypertension, left ventricular hypertrophy, and stroke were statistically associated with MBPS.
Conclusions. Since there is a high prevalence of MBPS, associated with multiple complications in patients with grade 2 or 3 hypertension, 24-hour ambulatory blood pressure measurement must be used in clinical practice in this group of patients, to ensure the timely detection and treatment of MBPS. |
| first_indexed | 2024-04-11T20:47:03Z |
| format | Article |
| id | doaj.art-4d19c744d5004f0690a900c5b972c21c |
| institution | Directory Open Access Journal |
| issn | 1584-9244 2558-815X |
| language | English |
| last_indexed | 2024-04-11T20:47:03Z |
| publishDate | 2021-12-01 |
| publisher | Balkan Medical Union |
| record_format | Article |
| series | Archives of the Balkan Medical Union |
| spelling | doaj.art-4d19c744d5004f0690a900c5b972c21c2022-12-22T04:03:59ZengBalkan Medical UnionArchives of the Balkan Medical Union1584-92442558-815X2021-12-01564431438https://doi.org/10.31688/ABMU.2021.56.4.06Morning blood pressure surge and associated factors in patients with primary hypertensionTrung Kien NGUYEN0Duy Linh NGUYEN1Thi Tuyet Ngan DOAN2Hong Ha NGUYEN3Rebecca S. DEWEY4Van De TRAN5Can Tho University of Medicine and Pharmacy, Can Tho city, VietnamThanh Vu Hospital Medic Bac Lieu, Bac Lieu, VietnamCan Tho University of Medicine and Pharmacy, Can Tho city, VietnamCan Tho University of Medicine and Pharmacy, Can Tho city, VietnamUniversity of Nottingham, Nottingham, United KingdomCan Tho University of Medicine and Pharmacy, Can Tho city, VietnamIntroduction. Patients with arterial hypertension have a higher rate of morning blood pressure surge (MBPS) than non-hypertensive patients. MBPS increases the risk of stroke, myocardial infarction, sudden cardiac death, arterial stiffness, left ventricular hypertrophy, carotid atherosclerosis, and vascular inflammation. The prevalence and predictors of MBPS may vary significantly between geographic regions. The objective of the study was to determine the incidence of MBPS and associated factors in patients with primary hypertension. Material and methods. A cross-sectional descriptive study was conducted in patients ≥35 years old, diagnosed with primary arterial hypertension, and hospitalized in the Department of Cardiology of Thanh Vu Hospital, Bac Lieu, Vietnam, between March 2019 and May 2020. Results. Among 126 hypertensive patients, 80 had MBPS (63.5%): 66 had systolic MBPS (52.4%), 65 had diastolic MBPS (51.6%), and 51 had both systolic and diastolic MBPS (40.5%). Nocturnal hypertension, left ventricular hypertrophy, and stroke were statistically associated with MBPS. Conclusions. Since there is a high prevalence of MBPS, associated with multiple complications in patients with grade 2 or 3 hypertension, 24-hour ambulatory blood pressure measurement must be used in clinical practice in this group of patients, to ensure the timely detection and treatment of MBPS.https://umbalk.org/wp-content/uploads/2021/12/06.MORNING-BLOOD-PRESSURE-SURGE-AND-ASSOCIATED.pdfmorning blood pressure surgeprimary hypertensionleft ventricular hypertrophystroke |
| spellingShingle | Trung Kien NGUYEN Duy Linh NGUYEN Thi Tuyet Ngan DOAN Hong Ha NGUYEN Rebecca S. DEWEY Van De TRAN Morning blood pressure surge and associated factors in patients with primary hypertension Archives of the Balkan Medical Union morning blood pressure surge primary hypertension left ventricular hypertrophy stroke |
| title | Morning blood pressure surge and associated factors in patients with primary hypertension |
| title_full | Morning blood pressure surge and associated factors in patients with primary hypertension |
| title_fullStr | Morning blood pressure surge and associated factors in patients with primary hypertension |
| title_full_unstemmed | Morning blood pressure surge and associated factors in patients with primary hypertension |
| title_short | Morning blood pressure surge and associated factors in patients with primary hypertension |
| title_sort | morning blood pressure surge and associated factors in patients with primary hypertension |
| topic | morning blood pressure surge primary hypertension left ventricular hypertrophy stroke |
| url | https://umbalk.org/wp-content/uploads/2021/12/06.MORNING-BLOOD-PRESSURE-SURGE-AND-ASSOCIATED.pdf |
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