Open Access
How to characterize daily profile of pulse blood pressure?
Author(s) -
Julia Kotovskaya,
Ж. Д. Кобалава
Publication year - 2006
Publication title -
arterialʹnaâ gipertenziâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.126
H-Index - 5
eISSN - 2411-8524
pISSN - 1607-419X
DOI - 10.18705/1607-419x-2006-12-1-59-65
Subject(s) - dipper , rhythm , blood pressure , pulse pressure , circadian rhythm , medicine , diastole , cardiology , chemistry , endocrinology , ambulatory blood pressure
The aim of this work is studying of double-phase rhythm characteristics of pulse pressure (PP) at untreated patients AH. The absent of night reduce of PP can be the consequent of night incommensurable change of systolic and diastolic pressure at night in comparison with day change. It was revealed two types of incommensurable double-phase rhythm of pulse pressure ( PP) on the basis of database analysis: Type 1 - with night increase of SHP (type 1a with night decrease DBP, type 1b with gap of increase DBP from SBP at night). Type 2 - with decrease of SBP and DBP at night. Ratio of daily index SBP and DBP ≥ 0,70 provide for decrease PP at night in comparison of day hours with probability ≥ 96 %. Accepting k = 0,70 as bench mark allow us to insert quantitative characteristics of double-phase rhythm of pulse pressure (PP), without using the traditional measure scale of daily index, the usage opportunity of which by BP demands more precise definition The presence of incommensurable daily rhythm of BP was associated with more expressed abnormalities from the point of target organs even with normal daily rhythm of SHP. Thus, I he estimation of proportionality of daily rhythm of SHP and DBP against their daily index is very important additional characteristic of daily profile of HP, allowing to identify patients in dipper and non-dipper groups, whose target organs condition can't be explained by the character of double-phase rhythm of SHP.