Open AccessUrinary Sodium Excretion and Ambulatory Blood Pressure Findings in Patients With Hypertension
Author(s) -
Afsar Baris,
Elsurer Rengin,
Kirkpantur Alper,
Kanbay Mehmet
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.12464
Subject(s) - medicine , ambulatory blood pressure , excretion , blood pressure , pulse wave velocity , cardiology , ambulatory , urinary system , endocrinology , masked hypertension
Use of ambulatory blood pressure ( BP ) monitoring ( ABPM ) allows for identification of dipping, nondipping, extreme dipping, and reverse dipping of BP . Using office BP and ABPM , hypertension subtypes can be identified: sustained normotension ( SNT ), white‐coat hypertension, masked hypertension, and sustained hypertension. The comparison of hemodynamic parameters and salt intake has not been investigated among these patient groups. Office BP , ABPM , augmentation index ( AI x), pulse wave velocity ( PWV ), cardiac output ( CO ), and total peripheral resistance ( TPR ) were automatically measured. Estimation of salt intake was assessed by 24‐hour urinary sodium excretion. Urinary sodium excretion was not different among groups. AI x, PWV , CO , and TPR were lowest in patients with SNT . CO was lowest while AI x adjusted for a heart rate of 75 beats per minute, PWV , and TPR were highest in the extreme dipper group. No relationship was detected between hypertension subtypes and urinary sodium excretion.