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@article{1229935,
author = {Bendzala, Matej and Kruzliak, Peter and Gaspar, Ludovit and Souček, Miroslav and Mrdovic, Igor and Sabaka, Peter and Dukat, Andrej and Gasparova, Iveta and Malan, Leoné and Takazawa, Kenji},
article_location = {London},
article_number = {2},
doi = {http://dx.doi.org/10.3109/08037051.2014.992198},
keywords = {5-year mortality; ABPM; arterial hypertension; blood pressure dipping},
language = {eng},
issn = {0803-7051},
journal = {Blood Pressure},
title = {Prognostic significance of dipping in older hypertensive patients},
volume = {24},
year = {2015}
}
TY - JOUR
ID - 1229935
AU - Bendzala, Matej - Kruzliak, Peter - Gaspar, Ludovit - Souček, Miroslav - Mrdovic, Igor - Sabaka, Peter - Dukat, Andrej - Gasparova, Iveta - Malan, Leoné - Takazawa, Kenji
PY - 2015
TI - Prognostic significance of dipping in older hypertensive patients
JF - Blood Pressure
VL - 24
IS - 2
SP - 103-110
EP - 103-110
PB - INFORMA HEALTHCARE
SN - 08037051
KW - 5-year mortality
KW - ABPM
KW - arterial hypertension
KW - blood pressure dipping
N2 - Abstract Background and aims. Arterial hypertension doubles the risk of coronary heart disease, heart and kidney failure, and peripheral arterial disease. Less variation in diurnal ambulatory blood pressure monitoring (ABPM) patterns may affect mortality outcome. Therefore, as hypertension occurs in over 95% of older subjects, the prognostic value of dipping status in older hypertensive patients will be assessed. Method. The retrospective study group consisted of 170 hypertensive patients, aged 75-84 years, enrolled in the years 2005 to 2007. Baseline measures included 24-h ABPM. Diurnal index and dipping status was calculated and stratified the group into dippers (40 patients, 23.5%), non-dippers (65 patients, 38.2%) and reverse-dippers (65 patients, 38.2%). Results. During a 5-year observation, after baseline we have observed 69 deaths (40.9%) from the whole group of 170 patients with 23 (35.4%) being non-dippers and 36 (55.4%) reverse-dippers. There were significant differences between the groups divided according to diurnal dipping status in survival time, number of recorded deaths and night mean blood pressure. We have identified and confirmed risk factors for the all-cause mortality: age, mean systolic and diastolic blood pressure, diurnal index and dipping status (dipping, non-dipping or reverse-dipping). Conclusion. Reverse-dippers and non-dippers revealed worse prognosis compared with dippers.
ER -
BENDZALA, Matej, Peter KRUZLIAK, Ludovit GASPAR, Miroslav SOUČEK, Igor MRDOVIC, Peter SABAKA, Andrej DUKAT, Iveta GASPAROVA, Leoné MALAN a Kenji TAKAZAWA. Prognostic significance of dipping in older hypertensive patients. \textit{Blood Pressure}. London: INFORMA HEALTHCARE, 2015, roč.~24, č.~2, s.~103-110. ISSN~0803-7051. Dostupné z: https://dx.doi.org/10.3109/08037051.2014.992198.
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