Chronostructure and circadian rhythms of the parameters of the coagulation system and neurohumoral regulatory systems determining diurnal profile of blood pressure

The article is devoted to circadian rhythms of parameters of the hemostatic systems and humoral vasoactive factors determining diurnal profile of blood pressure. Researches indicate the presence of circadian rhythms of activity of autonomic nervous system and renin-angiotensin-aldosterone system in...

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Main Authors: A.O. Ostapenko, Yu.O. Klitsunova, A.S. Kulbachuk, L.L. Vorontsova
Format: Article
Language:English
Published: Zaporizhzhia State Medical and Pharmaceutical University 2023-03-01
Series:Сучасні медичні технології
Subjects:
Online Access:https://zmapo-journal.com/index.php/journal/article/view/257
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author A.O. Ostapenko
Yu.O. Klitsunova
A.S. Kulbachuk
L.L. Vorontsova
author_facet A.O. Ostapenko
Yu.O. Klitsunova
A.S. Kulbachuk
L.L. Vorontsova
author_sort A.O. Ostapenko
collection DOAJ
description The article is devoted to circadian rhythms of parameters of the hemostatic systems and humoral vasoactive factors determining diurnal profile of blood pressure. Researches indicate the presence of circadian rhythms of activity of autonomic nervous system and renin-angiotensin-aldosterone system in healthy human. Plasma catecholamines maximal activity is observed during the daytime, minimal one at night. Plasma renin activity and aldosterone concentration gradually decreases during the day, reaching its minimum at 4 p.m., followed by increase overnight to a peak at 8 a.m. Angiotensin-converting enzyme diurnal pattern is characterized by monophasic curve with maximal activity in the evening and minimum at night. Physiological features of hemostasis chronobiological characteristics in patients with coronary heart disease are present. All indexes of progressing coagulation and anticoagulation blood system has shown pronounced expressive shift of hypercoagulations in patients in the evening and at night. Fluctuations of insulin and glucose levels during 24 hours are also subject to circadian rhythm, i.e. maximal concentration is observed during the daytime, minimal one at night. Such diurnal rhythms are characteristic for patients without complicated arterial hypertension. However, circadian rhythms disturbances of humoral factors may further violate the circadian profile of blood pressure. It is pointed out that chronotherapy promote further development of the principle of individual treating approach.
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spelling doaj.art-6de95aab3fca4164a5e6e7426d1b957f2025-01-03T00:38:00ZengZaporizhzhia State Medical and Pharmaceutical UniversityСучасні медичні технології2072-93672023-03-011(56)738110.34287/MMT.1(56).2023.12257Chronostructure and circadian rhythms of the parameters of the coagulation system and neurohumoral regulatory systems determining diurnal profile of blood pressureA.O. Ostapenko0Yu.O. Klitsunova1A.S. Kulbachuk2L.L. Vorontsova3State Institution «Zaporizhzhia Medical Academy of post-graduate education Ministry of Health of Ukraine», Zaporizhzhia, UkraineState Institution «Zaporizhzhia Medical Academy of post-graduate education Ministry of Health of Ukraine», Zaporizhzhia, UkraineState Institution «Zaporizhzhia Medical Academy of post-graduate education Ministry of Health of Ukraine», Zaporizhzhia, UkraineState Institution «Zaporizhzhia Medical Academy of post-graduate education Ministry of Health of Ukraine», Zaporizhzhia, UkraineThe article is devoted to circadian rhythms of parameters of the hemostatic systems and humoral vasoactive factors determining diurnal profile of blood pressure. Researches indicate the presence of circadian rhythms of activity of autonomic nervous system and renin-angiotensin-aldosterone system in healthy human. Plasma catecholamines maximal activity is observed during the daytime, minimal one at night. Plasma renin activity and aldosterone concentration gradually decreases during the day, reaching its minimum at 4 p.m., followed by increase overnight to a peak at 8 a.m. Angiotensin-converting enzyme diurnal pattern is characterized by monophasic curve with maximal activity in the evening and minimum at night. Physiological features of hemostasis chronobiological characteristics in patients with coronary heart disease are present. All indexes of progressing coagulation and anticoagulation blood system has shown pronounced expressive shift of hypercoagulations in patients in the evening and at night. Fluctuations of insulin and glucose levels during 24 hours are also subject to circadian rhythm, i.e. maximal concentration is observed during the daytime, minimal one at night. Such diurnal rhythms are characteristic for patients without complicated arterial hypertension. However, circadian rhythms disturbances of humoral factors may further violate the circadian profile of blood pressure. It is pointed out that chronotherapy promote further development of the principle of individual treating approach.https://zmapo-journal.com/index.php/journal/article/view/257chronomedicinecircadian biorhythmsвlood pressurecoronary heart diseasehemocoagulation processmelatoninglucosecatecholamines
spellingShingle A.O. Ostapenko
Yu.O. Klitsunova
A.S. Kulbachuk
L.L. Vorontsova
Chronostructure and circadian rhythms of the parameters of the coagulation system and neurohumoral regulatory systems determining diurnal profile of blood pressure
Сучасні медичні технології
chronomedicine
circadian biorhythms
вlood pressure
coronary heart disease
hemocoagulation process
melatonin
glucose
catecholamines
title Chronostructure and circadian rhythms of the parameters of the coagulation system and neurohumoral regulatory systems determining diurnal profile of blood pressure
title_full Chronostructure and circadian rhythms of the parameters of the coagulation system and neurohumoral regulatory systems determining diurnal profile of blood pressure
title_fullStr Chronostructure and circadian rhythms of the parameters of the coagulation system and neurohumoral regulatory systems determining diurnal profile of blood pressure
title_full_unstemmed Chronostructure and circadian rhythms of the parameters of the coagulation system and neurohumoral regulatory systems determining diurnal profile of blood pressure
title_short Chronostructure and circadian rhythms of the parameters of the coagulation system and neurohumoral regulatory systems determining diurnal profile of blood pressure
title_sort chronostructure and circadian rhythms of the parameters of the coagulation system and neurohumoral regulatory systems determining diurnal profile of blood pressure
topic chronomedicine
circadian biorhythms
вlood pressure
coronary heart disease
hemocoagulation process
melatonin
glucose
catecholamines
url https://zmapo-journal.com/index.php/journal/article/view/257
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AT askulbachuk chronostructureandcircadianrhythmsoftheparametersofthecoagulationsystemandneurohumoralregulatorysystemsdeterminingdiurnalprofileofbloodpressure
AT llvorontsova chronostructureandcircadianrhythmsoftheparametersofthecoagulationsystemandneurohumoralregulatorysystemsdeterminingdiurnalprofileofbloodpressure