Nondipping pattern and carotid atherosclerosis: a systematic review and meta-analysis

Journal of Hypertension
Cesare CuspidiGiuseppe Mancia

Abstract

Evidence on the association of nondipping pattern with carotid atherosclerosis is scarce. We performed a meta-analysis in order to provide comprehensive information on subclinical carotid alterations in nondipping as compared with dipping individuals. A computerized search was performed using PubMed, OVID, EMBASE and Cochrane library databases from 1 January 1990 up to 31 March 2015. Full articles providing data on carotid intima-media thickness (IMT) and plaque in nondipping and dipping individuals, as assessed by ultrasonography, were analyzed. A total of 2753 adult individuals (1003 nondipping and 1750 dipping) included in 13 studies were considered. Common carotid IMT was higher in nondipping than in dipping individuals [807 ± 36  μm vs. 746 ± 28  μm, standard means difference, SMD: 0.37 ± 0.09, confidence interval (CI): 0.19-0.56, P < 0.01]. From data on plaque prevalence provided by five studies, the odds ratio for carotid plaques resulted 67% higher in nondipping (95% CI: 1.26-2.21, P < 0.01) than in dipping individuals. Our findings support an association between nondipping pattern and increased risk of subclinical carotid alterations. In a practical perspective, the present meta-analysis reinforces the view that an eff...Continue Reading

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Citations

Oct 27, 2018·Current Diabetes Reports·Vincenza Spallone
Feb 13, 2019·American Journal of Hypertension·Marilucy Lopez-SubletPatrick Rossignol
May 24, 2019·Current Hypertension Reports·Marissa A BowmanMartica H Hall
Jul 12, 2017·The Journal of Clinical Hypertension·Cesare CuspidiGiuseppe Mancia
Oct 9, 2021·Journal of Hypertension·Yixiao ZhaoYinong Jiang

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