LUNDEEN, L. S., Alena HAVELKOVÁ, L. A. BEATY, M. VOTH, Jarmila SIEGELOVÁ, K. OTSUKA and G. CORNELISSEN. Day-to-day variation in day-night ratio of blood pressure. In Cornélissen G., Siegelová J., Dobšák P. Noninvasive methods in cardiology 2019. Brno: Masarykova univerzita, 2019, p. 41-50. ISBN 978-80-210-9442-0.
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Basic information
Original name Day-to-day variation in day-night ratio of blood pressure
Authors LUNDEEN, L. S., Alena HAVELKOVÁ, L. A. BEATY, M. VOTH, Jarmila SIEGELOVÁ, K. OTSUKA and G. CORNELISSEN.
Edition Brno, Noninvasive methods in cardiology 2019, p. 41-50, 2019.
Publisher Masarykova univerzita
Other information
Original language English
Type of outcome Proceedings paper
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW URL
Organization unit Faculty of Medicine
ISBN 978-80-210-9442-0
Tags Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 26/3/2021 14:25.
Abstract
Ambulatory blood pressure monitoring (ABPM) is too often limited to only 24 hours. Too often, the data thus collected are analyzed by computing daytime, nighttime, and 24-hour means rather than assessing the circadian variation by cosinor. The day-night ratio (DNR) based on these mean values is then used for a classification in terms of “dipping”. Earlier work showed the large day-today variability in the circadian pattern of blood pressure (BP) observed in both normotensive and hypertensive individuals. Using data from the Brno database of 7-day/24-hour ABPM records, the extent of reproducibility of a classification in terms of “dipping” is examined herein by comparing results obtained on a daily basis versus those based on the entire record, used as reference. The percentage agreement for systolic (S) and diastolic (D) BP averaged (mean ± SE) 54.43 ± 1.37% and 59.09 ± 1.74%, respectively. Individually, the range in daily DNR values averaged 19.85 ± 0.58 and 26.48 ± 0.87 for SBP and DBP, respectively. These results suggest that the DNR computed from a 24-hour ABPM is not sufficiently reliable.
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