Open AccessDiurnal Blood Pressure Changes in Stroke Subtypes
Author(s) -
Georgios Tsivgoulis,
Konstantinos Spengos,
Nikolaos Zakopoulos
Publication year - 2006
Publication title -
hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.986
H-Index - 265
eISSN - 1524-4563
pISSN - 0194-911X
DOI - 10.1161/01.hyp.0000219699.71559.c2
Subject(s) - medicine , blood pressure , morning , intracerebral hemorrhage , stroke (engine) , neurology , circadian rhythm , pediatrics , cardiology , subarachnoid hemorrhage , psychiatry , mechanical engineering , engineering
To the Editor:We read with interest the recent article by Metoki and colleagues investigating the relationship between the patterns of circadian blood pressure (BP) variation and the magnitude of the morning BP surge (MBPS) with the incidence of stroke subtypes. The authors reported that a disturbed nocturnal BP decline (nondipping/inverse-dipping) was associated with cerebral infarction (CI), whereas an excessive nocturnal BP fall (extreme-dipping) and an exaggerated MBPS were related to intracerebral hemorrhage (ICH).1However, the former results were deviant from those of Kario et al who documented inverse-dipping as an independent predictor of ICH in hypertensive patients.2 Our …
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