PMID: 2091830Sep 1, 1990Paper

Importance of the determination of blood pressure profile in the diagnosis of atherosclerotic cardiovascular disease

Cardiologia : bollettino della Società italiana di cardiologia
A ArtomS Ricciardi

Abstract

The nocturnal decline of blood pressure (BP) is not observed in autonomic dysfunction (after cardiac transplantation and in patients with diabetic neuropathy) or in patients with atherosclerotic cardiovascular disease. This study evaluated if smoking prematurely alters the blood pressure during the night and if the cumulative risk of hypertension and smoking may additionally alter this nocturnal profile. Three different groups of subjects were studied. In each subject systolic and diastolic BP was recorded, for 24 hours at 15 min intervals, by automatic non-invasive monitoring. Group 1 consisted of 14 normotensive nonsmokers (with a mean age 50, range 38 to 54 years); Group 2 consisted of 14 normotensive heavy smokers (with a mean age 48, range 37 to 52); Group 3 consisted of 14 heavy smokers with mild or moderate hypertension and with left ventricular hypertrophy (with a mean age 51, range 39 to 54 years). We have evaluated particularly the average systolic and diastolic BP during 3 hours of the day and 3 hours of the night, the latter selected from midnight to 3.00 am, when the patients were asleep, and the former selected from 3.00 pm to 6.00 pm when they were engaged in social activities in the hospital. The statistical ana...Continue Reading

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