Nocturnal dipping of heart rate and blood pressure in people with HIV in Tanzania

<p>People with HIV (PWH) have a &gt;2-fold greater risk for development of cardiovascular disease (CVD), which may be associated with abnormalities in 24-h ambulatory blood pressure measurement (ABPM) profile. We conducted a nested case-control study of ABPM in 137 PWH and HIV-uninfected c...

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Prif Awduron: Nolan, C, Reis, K, Fadhil, S, Etyang, A, Ezeomah, C, Kingery, JR, Desderius, B, Lee, M-H, Kapiga, S, Peck, RN
Fformat: Journal article
Iaith:English
Cyhoeddwyd: Wiley 2021
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author Nolan, C
Reis, K
Fadhil, S
Etyang, A
Ezeomah, C
Kingery, JR
Desderius, B
Lee, M-H
Kapiga, S
Peck, RN
author_facet Nolan, C
Reis, K
Fadhil, S
Etyang, A
Ezeomah, C
Kingery, JR
Desderius, B
Lee, M-H
Kapiga, S
Peck, RN
author_sort Nolan, C
collection OXFORD
description <p>People with HIV (PWH) have a &gt;2-fold greater risk for development of cardiovascular disease (CVD), which may be associated with abnormalities in 24-h ambulatory blood pressure measurement (ABPM) profile. We conducted a nested case-control study of ABPM in 137 PWH and HIV-uninfected controls with normal and high clinic blood pressure (BP) in Tanzania. Nocturnal non-dipping of heart rate (HR) was significantly more common among PWH than HIV-uninfected controls (<em>p</em>&nbsp;=&nbsp;.01). Nocturnal non-dipping of BP was significantly more common in PWH with normal clinic BP (<em>p</em>&nbsp;=&nbsp;.048). Clinical correlates of nocturnal non-dipping were similar in PWH and HIV-uninfected adults and included higher BMI, higher CD4<sup>+</sup>&nbsp;cell count, and high C-reactive protein for HR and markers of renal disease for BP. In conclusion, nocturnal non-dipping of both BP and HR was more common in PWH but further research is needed to determine causes and consequences of this difference.</p>
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spelling oxford-uuid:fca347c9-b2c3-4fea-a61c-166c36cd8bbd2023-08-15T13:41:47ZNocturnal dipping of heart rate and blood pressure in people with HIV in TanzaniaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:fca347c9-b2c3-4fea-a61c-166c36cd8bbdEnglishSymplectic ElementsWiley2021Nolan, CReis, KFadhil, SEtyang, AEzeomah, CKingery, JRDesderius, BLee, M-HKapiga, SPeck, RN<p>People with HIV (PWH) have a &gt;2-fold greater risk for development of cardiovascular disease (CVD), which may be associated with abnormalities in 24-h ambulatory blood pressure measurement (ABPM) profile. We conducted a nested case-control study of ABPM in 137 PWH and HIV-uninfected controls with normal and high clinic blood pressure (BP) in Tanzania. Nocturnal non-dipping of heart rate (HR) was significantly more common among PWH than HIV-uninfected controls (<em>p</em>&nbsp;=&nbsp;.01). Nocturnal non-dipping of BP was significantly more common in PWH with normal clinic BP (<em>p</em>&nbsp;=&nbsp;.048). Clinical correlates of nocturnal non-dipping were similar in PWH and HIV-uninfected adults and included higher BMI, higher CD4<sup>+</sup>&nbsp;cell count, and high C-reactive protein for HR and markers of renal disease for BP. In conclusion, nocturnal non-dipping of both BP and HR was more common in PWH but further research is needed to determine causes and consequences of this difference.</p>
spellingShingle Nolan, C
Reis, K
Fadhil, S
Etyang, A
Ezeomah, C
Kingery, JR
Desderius, B
Lee, M-H
Kapiga, S
Peck, RN
Nocturnal dipping of heart rate and blood pressure in people with HIV in Tanzania
title Nocturnal dipping of heart rate and blood pressure in people with HIV in Tanzania
title_full Nocturnal dipping of heart rate and blood pressure in people with HIV in Tanzania
title_fullStr Nocturnal dipping of heart rate and blood pressure in people with HIV in Tanzania
title_full_unstemmed Nocturnal dipping of heart rate and blood pressure in people with HIV in Tanzania
title_short Nocturnal dipping of heart rate and blood pressure in people with HIV in Tanzania
title_sort nocturnal dipping of heart rate and blood pressure in people with hiv in tanzania
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AT etyanga nocturnaldippingofheartrateandbloodpressureinpeoplewithhivintanzania
AT ezeomahc nocturnaldippingofheartrateandbloodpressureinpeoplewithhivintanzania
AT kingeryjr nocturnaldippingofheartrateandbloodpressureinpeoplewithhivintanzania
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