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dc.contributor.author편욱범*
dc.date.accessioned2016-08-27T04:08:57Z-
dc.date.available2016-08-27T04:08:57Z-
dc.date.issued2014*
dc.identifier.issn0263-6352*
dc.identifier.issn1473-5598*
dc.identifier.otherOAK-11862*
dc.identifier.urihttps://dspace.ewha.ac.kr/handle/2015.oak/216891-
dc.description.abstractObjective: 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.languageEnglish*
dc.publisherLIPPINCOTT WILLIAMS &amp*
dc.publisherWILKINS*
dc.subjectessential hypertension*
dc.subjectleft ventricular hypertrophy*
dc.subjectnocturnal SBP*
dc.titleNot nondipping but nocturnal blood pressure predicts left ventricular hypertrophy in the essential hypertensive patients: the Korean Ambulatory Blood Pressure multicenter observational study*
dc.typeArticle*
dc.relation.issue10*
dc.relation.volume32*
dc.relation.indexSCI*
dc.relation.indexSCIE*
dc.relation.indexSCOPUS*
dc.relation.startpage1999*
dc.relation.lastpage2004*
dc.relation.journaltitleJOURNAL OF HYPERTENSION*
dc.identifier.doi10.1097/HJH.0000000000000272*
dc.identifier.wosidWOS:000341838500014*
dc.author.googleYi, Jeong-Eun*
dc.author.googleShin, Jinho*
dc.author.googleIhm, Sang-Hyun*
dc.author.googleKim, Ju Han*
dc.author.googlePark, Sungha*
dc.author.googleKim, Kwang-il*
dc.author.googleKim, Woo Shik*
dc.author.googlePyun, Wook Bum*
dc.author.googleKim, Yu-Mi*
dc.author.googleKim, Soon Kil*
dc.contributor.scopusid편욱범(6508352922)*
dc.date.modifydate20240123092816*
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의과대학 > 의학과 > Journal papers
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