Circadian blood pressure rhythm and increased body weight in patients with arterial hypertension and obstructive sleep apnoea syndrome

Aim. To assess the specifics of 24-hour blood pressure monitoring (BPM) parameters and their association with body mass index (BMI) in patients with arterial hypertension (AH) and obstructive sleep apnoea (OSA) syndrome. Material and methods. The study included 120 AH patients with BMI under or over...

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Main Authors: A. P. Ivanov, I. A. Elgardt, V. V. Rostorotskaya
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2012-04-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/1764
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author A. P. Ivanov
I. A. Elgardt
V. V. Rostorotskaya
author_facet A. P. Ivanov
I. A. Elgardt
V. V. Rostorotskaya
author_sort A. P. Ivanov
collection DOAJ
description Aim. To assess the specifics of 24-hour blood pressure monitoring (BPM) parameters and their association with body mass index (BMI) in patients with arterial hypertension (AH) and obstructive sleep apnoea (OSA) syndrome. Material and methods. The study included 120 AH patients with BMI under or over 25 kg/m2, who underwent 24-hour BMP and combined monitoring of electrocardiogram (ECG) and breathing. Results. AH patients with OSA syndrome demonstrated increased mean daytime and nighttime levels of systolic and diastolic BP (SBP, DBP) and a 1,5-fold increase in SBP and DBP pressure load indices. Patients with increased BMI had disturbed circadian BP profile, with reduced mean 24-hour difference, more pronounced for DBP (2,4-fold difference), and an increase in the “over-dipper” prevalence (from 13,3 % to 42,1 %). Conclusion. The combination of AH, OSA syndrome, and increased BMI substantially affected 24-hour BPM parameters. Increased BMI was associated with disturbed circadian BP profile and increased levels of mean 24-hour BP and nighttime BP
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publisher «SILICEA-POLIGRAF» LLC
record_format Article
series Кардиоваскулярная терапия и профилактика
spelling doaj-art-21cde9235964467e9a0dcee677d33db72025-08-20T03:21:39Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252012-04-01112242810.15829/1728-8800-2012-2-24-281479Circadian blood pressure rhythm and increased body weight in patients with arterial hypertension and obstructive sleep apnoea syndromeA. P. Ivanov0I. A. Elgardt1V. V. Rostorotskaya2Tver Clinical Cardiology Dispanser, TverTver Clinical Cardiology Dispanser, TverMedical Centre, Russian Federation Agency of Special Building, MoscowAim. To assess the specifics of 24-hour blood pressure monitoring (BPM) parameters and their association with body mass index (BMI) in patients with arterial hypertension (AH) and obstructive sleep apnoea (OSA) syndrome. Material and methods. The study included 120 AH patients with BMI under or over 25 kg/m2, who underwent 24-hour BMP and combined monitoring of electrocardiogram (ECG) and breathing. Results. AH patients with OSA syndrome demonstrated increased mean daytime and nighttime levels of systolic and diastolic BP (SBP, DBP) and a 1,5-fold increase in SBP and DBP pressure load indices. Patients with increased BMI had disturbed circadian BP profile, with reduced mean 24-hour difference, more pronounced for DBP (2,4-fold difference), and an increase in the “over-dipper” prevalence (from 13,3 % to 42,1 %). Conclusion. The combination of AH, OSA syndrome, and increased BMI substantially affected 24-hour BPM parameters. Increased BMI was associated with disturbed circadian BP profile and increased levels of mean 24-hour BP and nighttime BPhttps://cardiovascular.elpub.ru/jour/article/view/1764sleep apnoea24-hour blood pressure monitoringobesityarterial hypertension
spellingShingle A. P. Ivanov
I. A. Elgardt
V. V. Rostorotskaya
Circadian blood pressure rhythm and increased body weight in patients with arterial hypertension and obstructive sleep apnoea syndrome
Кардиоваскулярная терапия и профилактика
sleep apnoea
24-hour blood pressure monitoring
obesity
arterial hypertension
title Circadian blood pressure rhythm and increased body weight in patients with arterial hypertension and obstructive sleep apnoea syndrome
title_full Circadian blood pressure rhythm and increased body weight in patients with arterial hypertension and obstructive sleep apnoea syndrome
title_fullStr Circadian blood pressure rhythm and increased body weight in patients with arterial hypertension and obstructive sleep apnoea syndrome
title_full_unstemmed Circadian blood pressure rhythm and increased body weight in patients with arterial hypertension and obstructive sleep apnoea syndrome
title_short Circadian blood pressure rhythm and increased body weight in patients with arterial hypertension and obstructive sleep apnoea syndrome
title_sort circadian blood pressure rhythm and increased body weight in patients with arterial hypertension and obstructive sleep apnoea syndrome
topic sleep apnoea
24-hour blood pressure monitoring
obesity
arterial hypertension
url https://cardiovascular.elpub.ru/jour/article/view/1764
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AT iaelgardt circadianbloodpressurerhythmandincreasedbodyweightinpatientswitharterialhypertensionandobstructivesleepapnoeasyndrome
AT vvrostorotskaya circadianbloodpressurerhythmandincreasedbodyweightinpatientswitharterialhypertensionandobstructivesleepapnoeasyndrome