Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 편욱범 | * |
dc.date.accessioned | 2016-08-27T04:08:57Z | - |
dc.date.available | 2016-08-27T04:08:57Z | - |
dc.date.issued | 2014 | * |
dc.identifier.issn | 0263-6352 | * |
dc.identifier.issn | 1473-5598 | * |
dc.identifier.other | OAK-11862 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/216891 | - |
dc.description.abstract | Objective: The aim of this study was to investigate whether nocturnal blood pressure (BP), established on the basis of a single 24-h BP monitoring, is a stronger predictor of left ventricular hypertrophy (LVH) compared with nondipping status in the essential hypertensive patients. Methods: A total of 682 hypertensive patients (mean age 56.1 +/- 14.5 years, 50.7% women) who underwent echocardiography were enrolled. 'Nondipping status' was defined as a nocturnal SBP fall less than 10% of daytime mean SBP. LVH was defined as a left ventricular mass index exceeding 54.0 g/m(2.7) in men and 53.0 g/m(2.7) in women. Each patient was categorized in three groups according to the total cardiovascular risk using 2007 European Society of Hypertension/European Society of Cardiology guidelines as average or low, moderate, and high or very high added risk. Results: Among 682 participants, 184 (26.9%) showed LVH on echocardiography. The proportion of individuals with high or very high added cardiovascular risk profile was 356 (52.1%). In multiple logistic regression analysis, age 56 years at least [odds ratio (OR) 1.047, 95% confidence interval (CI) 1.031-1.063, P < 0.0001], female participants (OR 1.751, 95% CI 1.172-2.616, P = 0.0062), BMI higher than 24.6 kg/m(2) (OR 1.178, 95% CI 1.110-1.250, P < 0.0001), smoking (OR 1.793, 95% CI 1.028-3.127, P = 0.0397), and nocturnal SBP at least 127 mmHg (OR 1.032, 95% CI 1.009-1.055, P = 0.0059) were significant independent predictors for LVH whereas nondipping was not (OR 0.857, 95% CI 0.481-1.528, P = 0.6013). Conclusion: These findings suggest that nocturnal BP rather than nondipping may be a better predictor of LVH, especially in secondary or tertiary referral hospital setting targeting relatively high cardiovascular risk patients. | * |
dc.language | English | * |
dc.publisher | LIPPINCOTT WILLIAMS & | * |
dc.publisher | WILKINS | * |
dc.subject | essential hypertension | * |
dc.subject | left ventricular hypertrophy | * |
dc.subject | nocturnal SBP | * |
dc.title | Not nondipping but nocturnal blood pressure predicts left ventricular hypertrophy in the essential hypertensive patients: the Korean Ambulatory Blood Pressure multicenter observational study | * |
dc.type | Article | * |
dc.relation.issue | 10 | * |
dc.relation.volume | 32 | * |
dc.relation.index | SCI | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 1999 | * |
dc.relation.lastpage | 2004 | * |
dc.relation.journaltitle | JOURNAL OF HYPERTENSION | * |
dc.identifier.doi | 10.1097/HJH.0000000000000272 | * |
dc.identifier.wosid | WOS:000341838500014 | * |
dc.author.google | Yi, Jeong-Eun | * |
dc.author.google | Shin, Jinho | * |
dc.author.google | Ihm, Sang-Hyun | * |
dc.author.google | Kim, Ju Han | * |
dc.author.google | Park, Sungha | * |
dc.author.google | Kim, Kwang-il | * |
dc.author.google | Kim, Woo Shik | * |
dc.author.google | Pyun, Wook Bum | * |
dc.author.google | Kim, Yu-Mi | * |
dc.author.google | Kim, Soon Kil | * |
dc.contributor.scopusid | 편욱범(6508352922) | * |
dc.date.modifydate | 20240123092816 | * |