Blood pressure patterns in pressurometry and their ralationship with cardiovascular events in follow-up

Introduction: Our objective was to determine, in a cohort of patients from a hospital in the city of Buenos Aires, the distribution of circadian rhythm and the impact, according to the type of circadian behavior, on the rate of cardiovascular events during follow-up.Methods and materials:Retrospecti...

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Autores principales: Malano, Damian Jesus, Perea, Joaquin, García Chamorro, Luis Guillermo, Goldaracena, Francisco, Mazuquin, Andres, Corzo, Sofía, Denner, German, Racki, Mario, Zaidel, Ezequiel, Sosa Liprandi, Alvaro
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024
Materias:
arterial hypertension
nocturnal arterial hypertension
presurometry
circadian rhythm
hipertensión arterial
hipertension arterial nocturana
presurometría
ritmo circadiano
hipertensão arterial
hipertensão arterial noturna
presurometria
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/44619
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
Descripción
Sumario:Introduction: Our objective was to determine, in a cohort of patients from a hospital in the city of Buenos Aires, the distribution of circadian rhythm and the impact, according to the type of circadian behavior, on the rate of cardiovascular events during follow-up.Methods and materials:Retrospective cohort study that included adult patients who underwent outpatient presurometry in a hospital in the city of Buenos Aires, incorporated into a in-house registry between March 2017 and July 2020, with up to 36 month follow-up of index presurometry.Results:Of 522 subjects, who underwent outpatient presurometry, 494 were included in the final analysis. 48% were male with a  mean age of 58.9 years. 62% (n = 308) had nocturnal high blood pressure. At follow-up, patients with an inverted dipper pattern presented more cardiovascular events  (6% n: 24). In addition, in the overall event-free time, there results showed lower survival rates in the group of patients with inverted dipper pattern (Log Rank test p: 0.0033).Conclusion In a contemporary cohort from the city of Buenos Aires, the inverted dipper pattern group was associated with the appearance of cardiovascular outcomes. Based on these findings, measures should be implemented to increase its diagnosis in our environment.

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