Open AccessAssociation of Isolated Systolic, Isolated Diastolic, and Systolic‐Diastolic Masked Hypertension With Carotid Artery Intima‐Media Thickness
Author(s) -
Manios Efstathios,
Michas Fotios,
Stamatelopoulos Kimon,
Koroboki Eleni,
Stellos Konstantinos,
Tsouma Iliana,
Vemmos Konstantinos,
Zakopoulos Nikolaos
Publication year - 2015
Publication title -
the journal of clinical hypertension
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.909
H-Index - 67
eISSN - 1751-7176
pISSN - 1524-6175
DOI - 10.1111/jch.12430
Subject(s) - medicine , diastole , cardiology , blood pressure , ambulatory blood pressure , intima media thickness , ambulatory , systole , systolic hypertension , pulse pressure , carotid arteries
Masked hypertension ( MH ) is associated with advanced target organ damage. However, patients with MH constitute a group of individuals with heterogeneous characteristics concerning their ambulatory blood pressure ( BP ) status. The aim of this study was to evaluate the association of isolated systolic MH , isolated diastolic MH , and systolic/diastolic MH with carotid artery intima‐media thickness ( CIMT ). A total of 101 patients with MH underwent carotid artery ultrasonographic measurements. The patients were divided into three groups according to office and daytime BP values: isolated systolic MH , isolated diastolic MH , and systolic/diastolic MH . Patients with isolated systolic (n=36) (0.771 mm) and systolic/diastolic MH (n=37) (0.775 mm) had significantly ( P <.05) higher CIMT values than those with isolated diastolic MH (n=28) (0.664 mm), even after adjustment for baseline characteristics and risk factors. Patients with isolated systolic and systolic/diastolic MH presented significantly higher CIMT values compared with patients with isolated diastolic MH .