Left ventricular mass is better correlated with arising blood pressure than with office or occasional blood pressure

American Journal of Hypertension
P GosseJ Clementy

Abstract

The peak incidence of cardiovascular complications in the morning points to a possible role of the abrupt increase in blood pressure on arising. However, there is as yet no firm evidence linking the extent of the elevation in blood pressure on arising and the risk of cardiovascular complications. We sought a correlation between blood pressure on arising and left ventricular mass in a population of 181 previously untreated hypertensive patients. Ambulatory blood pressure was measured over a 24-h period, and each patient was requested to trigger a blood pressure determination immediately after standing on arising in the morning. Left ventricular mass was measured with M-mode echocardiography and indexed for height, height(2.7), and body surface area. The systolic blood pressure on arising was significantly (P <.01) better correlated than office blood pressure with left ventricular mass index and wall thickness. On multivariate analysis, the values of systolic blood pressure on arising and mean 24-h systolic blood pressure contributed significantly and independently to the correlation with left ventricular mass and wall thickness. These observations point to the significance of the arising blood pressure. A marked abrupt daily ele...Continue Reading

Citations

May 17, 2005·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Toshio IkedaRie Furutera
Jul 11, 2007·Journal of Hypertension·Damiano RizzoniEnrico Agabiti Rosei
Jul 6, 2001·Journal of Human Hypertension·P GosseJ Clementy
Aug 10, 2001·Current Opinion in Nephrology and Hypertension·T G Pickering, K Kario
Jan 24, 2002·Blood Pressure Monitoring·J RedónE Lurbe
Jun 12, 2003·Blood Pressure·Raquel Hernández del-ReyHelios Pardell
Aug 10, 2006·The Journal of Clinical Hypertension·Philippe Gosse, Helmut Schumacher
Nov 15, 2011·Journal of Hypertension·Paolo Palatini, Guido Grassi
Apr 12, 2005·Journal of Hypertension. Supplement : Official Journal of the International Society of Hypertension·Philippe Gosse
Mar 19, 2009·Circulation Journal : Official Journal of the Japanese Circulation Society·Ahmet SoyluHasan Gok
May 29, 2004·Journal of Hypertension·Philippe GosseJacques Clementy
Jan 19, 2012·Clinical and Experimental Hypertension : CHE·Hiroshi HasegawaIssei Komuro
Jan 18, 2014·American Journal of Hypertension·Elisabeth A LambertGeoffrey A Head
Oct 12, 2011·Journal of Hypertension·Dagmara HeringKrzysztof Narkiewicz
Apr 30, 2019·Journal of Hypertension·Geoffrey A HeadElena V Lukoshkova
Apr 30, 2002·The Annals of Pharmacotherapy·Jean LefebvreYves Lacourcière

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