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https://www.readbyqxmd.com/read/27821618/diurnal-blood-pressure-rhythmicity-in-relation-to-environmental-and-genetic-cues-in-untreated-referred-patients
#1
Chang-Sheng Sheng, Yi-Bang Cheng, Fang-Fei Wei, Wen-Yi Yang, Qian-Hui Guo, Fei-Ka Li, Qi-Fang Huang, Lutgarde Thijs, Jan A Staessen, Ji-Guang Wang, Yan Li
No previous study has addressed the relative contributions of environmental and genetic cues to the diurnal blood pressure rhythmicity. From 24-hour ambulatory recordings of systolic blood pressure obtained in untreated patients (51% women; mean age, 51 years), we computed the night-to-day ratio in 897 and morning surge in 637. Environmental cues included season, mean daily outdoor temperature, atmospheric pressure, humidity and weekday, and the genetic cues 14 single nucleotide polymorphisms in 10 clock genes...
November 7, 2016: Hypertension
https://www.readbyqxmd.com/read/27806809/increased-level-of-morning-surge-in-blood-pressure-in-normotensives-across-sectional-study-from-pakistan
#2
Aysha Almas, Fatehali Tipoo Sultan, Khawar Kazmi
OBJECTIVE: To determine the mean morning surge (MS) in blood pressure, the frequency of increased morning surge in normotensive subjects, and to compare those with morning surge with those without MS. STUDY DESIGN: Across-sectional, comparative study. PLACE AND DURATION OF STUDY: The Department of Medicine, The Aga Khan University Hospital, Karachi, from April 2011 to March 2012. METHODOLOGY: Adult normotensive healthy volunteers aged 35 to 65 years were inducted...
October 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27754309/lbos-03-04-strict-blood-pressure-control-as-shown-in-the-sprint-trial-can-it-be-generalized-to-all-asian-populations
#3
Satoshi Hoshide, Yuichiro Yano, Hajime Haimoto, Kayo Yamagiwa, Kiyoshi Uchiba, Shoichiro Nagasaka, Yoshio Matsui, Akira Nakamura, Motoki Fukutomi, Kazuo Eguchi, Joji Ishikawa, Kazuomi Kario
OBJECTIVE: The SPRINT (Systolic Blood Pressure Intervention Trial) recently demonstrated that strict blood pressure (BP) control resulted in a lower cardiovascular disease (CVD) risk compared to standard BP control, however, this association was not observed regarding the incidence of stroke. Previous studies revealed that the contribution of BP as a risk factor was higher for stroke incidence than for any other CVD, especially in Asian populations. It is thus not clear whether the results of the SPRINT can be generalized to all Asian populations...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753958/os-09-02-prevalence-and-determinants-of-exaggerated-morning-surge-and-morning-hypertension-in-chinese-the-china-ambulatory-and-home-blood-pressure-registry-abpr
#4
Qian-Hui Guo, Yuan-Yuan Kang, Jie Song, Qi Chen, Chang-Yuan Liu, Shao-Kun Xu, Yi-Bang Cheng, Yan Li, Ji-Guang Wang
OBJECTIVE: Prognosis of exaggerated morning surge (MS) of blood pressure (BP) remains controversial, possibly due to the ethnic difference in the size of MS. Compared to MS, evidence on morning hypertension (MH) is more consistent. With the use of a national BP registry database, we studied the size of MS and the prevalence and determinants of exaggerated MS and MH in Chinese. DESIGN AND METHOD: In the 3547 patients (mean age, 56.8 years; women, 49.1%; hypertension, 79...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753949/os-07-05-determinants-of-morning-blood-pressure-surge-in-normotensive-subjects-and-untreated-hypertensive-patients-the-korean-ambulatory-blood-pressure-multicenter-observational-study
#5
Jeong-Eun Yi, Wook Bum Pyun, Yoonpyo Lee, Junbeom Park, Gee Yeon Kim, Sang-Hyun Ihm, Ju Han Kim, Soon Kil Kim, Gil Ja Shin
OBJECTIVE: Morning blood pressure (BP) surge has been regarded as a predictor of adverse cardiovascular events. However, its determinants remain controversial and no previous studies have evaluated whether or not there is a difference in the determinants of morning BP surge between normotensive and hypertensive subjects. DESIGN AND METHOD: We included 476 normotensive subjects (mean age 52.8 ± 15.4 years, 49.2% males) and 1028 untreated hypertensive patients (age 51...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753946/os-07-02-differences-in-circadian-blood-pressure-variability-patterns-between-japanese-and-american-treatment-resistant-hypertensive-populations
#6
Kazuomi Kario, Deepak Bhatt, Sandeep Brar, George Bakris
OBJECTIVE: Dynamic changes in 24-hour ambulatory blood pressure (BP) are associated with basal autonomic function and cardiovascular risk. We examined the influence of ethnicity on these parameters by comparing ambulatory BP dynamics in Japanese, African American (AA), and white populations with treatment-resistant hypertension. DESIGN AND METHOD: Both HTN-Japan (N = 41) and SYMPLICITY HTN-3 (N = 384 white and 140 AA) enrolled patients with office systolic BP ≥ 160 mmHg and 24-hour ambulatory systolic BP ≥ 135 mmHg while on ≥3 antihypertensive medications...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753938/os-06-03-diurnal-blood-pressure-rhythmicity-in-relation-to-environmental-and-genetic-cues
#7
Chang-Sheng Sheng, Yi-Bang Cheng, Fang-Fei Wei, Wen-Yi Yang, Qian-Hui Guo, Fei-Ka Li, Qi-Fang Huang, Lutgarde Thijs, Yan Li, Jan A Staessen, Ji-Guang Wang
OBJECTIVE: No previous study addressed the relative contributions of environmental and genetic cues to the diurnal blood pressure rhythmicity. We firstly investigated the explained variance of environmental and clock genes in relation to the night-to-day ratio (NDR) and morning surge (MS), respectively. DESIGN AND METHOD: From 24-h ambulatory recordings of systolic blood pressure (SBP) obtained in untreated Chinese patients (51% women; mean age, 51 years), we computed NDR in 897 and MS in 637...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753860/me-01-2-assessment-and-treatment-of-morning-hypertension-update
#8
Kazuomi Kario
The essential benefit of the management of hypertension is derived from the blood pressure (BP) lowering per se, indicating the importance of BP throughout 24 hours. Recent guidelines stressed the importance of home BP for the diagnosis and management of hypertension. It is well-known that cardiovascular events occur more frequently in the morning BP levels have been shown to increase during the period from night to early morning. Clinical research using ambulatory BP monitoring (ABPM) or home BP monitoring has clarified that morning BP and BP surge are more closely related to the cardiovascular risk than office BP (Kario et al...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753854/db-01-3-treatment-target-of-systolic-blood-pressure-in-diabetes-may-differ-according-to-ethnicity-pro
#9
Kazuomi Kario
Asians have specific characteristics of hypertension and related cardiovascular disease. Stroke is more common than coronary artery disease in Eastern Asian countries, while the coronary artery disease is more common than stroke in Western countries. The association slope between higher blood pressure (BP) and the risk of cardiovascular events is steeper in Asians than in Caucasians. This may partly explained by the recent result demonstrating that the morning BP surge in Asians is more extended (Hoshide, Kario, Parati et al...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27753848/ed-03-2-home-blood-pressure-monitoring-is-better-than-office-bp-and-ambulatory-bp-update
#10
Kazuomi Kario
Out-of-office blood pressure (BP) measured by home BP monitoring (HBPM) or ambulatory BP monitoring (ABPM) was demonstrated to be superior to office BP for the prediction of cardiovascular events. The ABPM is superior to HBPM for detecting the all the BP-related risks throughout 24-hr, and the self-measured HBPM underestimates the risk of daytime stress hypertension and nocturnal hypertension. However, ABPM cannot always be provided in clinical practice, and home BP monitoring can be superior to ABPM as part of a home BP-guided antihypertension strategy in clinical practice...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27720065/morning-blood-pressure-surge-and-markers-of-cardiovascular-alterations%C3%A2-in-untreated-middle-aged-hypertensive-subjects
#11
Barbara Pręgowska-Chwała, Aleksander Prejbisz, Marek Kabat, Bogna Puciłowska, Katarzyna Paschalis-Purtak, Elżbieta Florczak, Anna Klisiewicz, Beata Kuśmierczyk-Droszcz, Katarzyna Hanus, Michael Bursztyn, Andrzej Januszewicz
The purpose of the study was to evaluate the degree of morning blood pressure surge (MBPS) and its relationship with markers of cardiovascular alterations in untreated middle-aged hypertensives. We studied 241 patients (mean age, 36.6 ± 10.7 years). Subjects with higher sleep-through MBPS (st-MBPS) were older (P = .003), had higher carotid intima-media thickness (cIMT) (P = .05) and lower E/A ratio (P = .01) than those with lower MBPS. Subjects with higher prewakening MBPS (pw-MBPS) had significantly higher deceleration time (P = ...
October 2016: Journal of the American Society of Hypertension: JASH
https://www.readbyqxmd.com/read/27677130/evaluation-of-telmesartan-monotherapy-on-morning-blood-pressure-surge-in-patients-with-mild-to-moderate-hypertension
#12
U M Jadhav, A Kulkarni
No abstract text is available yet for this article.
July 2016: Journal of the American Society of Hypertension: JASH
https://www.readbyqxmd.com/read/27660603/magnitude-of-morning-surge-in-blood-pressure-is-associated-with-sympathetic-but-not-cardiac-baroreflex-sensitivity
#13
Aaron W Johnson, Sarah L Hissen, Vaughan G Macefield, Rachael Brown, Chloe E Taylor
The ability of the arterial baroreflex to regulate blood pressure may influence the magnitude of the morning surge in blood pressure (MSBP). The aim was to investigate the relationships between sympathetic and cardiac baroreflex sensitivity (BRS) and the morning surge. Twenty-four hour ambulatory blood pressure was recorded in 14 young individuals. The morning surge was defined via the pre-awakening method, which is calculated as the difference between mean blood pressure values 2 h before and 2 h after rising from sleep...
2016: Frontiers in Neuroscience
https://www.readbyqxmd.com/read/27643355/os-09-02-prevalence-and-determinants-of-exaggerated-morning-surge-and-morning-hypertension-in-chinese-the-china-ambulatory-and-home-blood-pressure-registry-abpr
#14
Qian-Hui Guo, Yuan-Yuan Kang, Jie Song, Qi Chen, Chang-Yuan Liu, Shao-Kun Xu, Yi-Bang Cheng, Yan Li, Ji-Guang Wang
OBJECTIVE: Prognosis of exaggerated morning surge (MS) of blood pressure (BP) remains controversial, possibly due to the ethnic difference in the size of MS. Compared to MS, evidence on morning hypertension (MH) is more consistent. With the use of a national BP registry database, we studied the size of MS and the prevalence and determinants of exaggerated MS and MH in Chinese. DESIGN AND METHOD: In the 3547 patients (mean age, 56.8 years; women, 49.1%; hypertension, 79...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27643344/os-07-05-determinants-of-morning-blood-pressure-surge-in-normotensive-subjects-and-untreated-hypertensive-patients-the-korean-ambulatory-blood-pressure-multicenter-observational-study
#15
Jeong-Eun Yi, Wook Bum Pyun, Yoonpyo Lee, Junbeom Park, Gee Yeon Kim, Sang-Hyun Ihm, Ju Han Kim, Soon Kil Kim, Gil Ja Shin
OBJECTIVE: Morning blood pressure (BP) surge has been regarded as a predictor of adverse cardiovascular events. However, its determinants remain controversial and no previous studies have evaluated whether or not there is a difference in the determinants of morning BP surge between normotensive and hypertensive subjects. DESIGN AND METHOD: We included 476 normotensive subjects (mean age 52.8 ± 15.4 years, 49.2% males) and 1028 untreated hypertensive patients (age 51...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27643341/os-07-02-differences-in-circadian-blood-pressure-variability-patterns-between-japanese-and-american-treatment-resistant-hypertensive-populations
#16
Kazuomi Kario, Deepak Bhatt, Sandeep Brar, George Bakris
OBJECTIVE: Dynamic changes in 24-hour ambulatory blood pressure (BP) are associated with basal autonomic function and cardiovascular risk. We examined the influence of ethnicity on these parameters by comparing ambulatory BP dynamics in Japanese, African American (AA), and white populations with treatment-resistant hypertension. DESIGN AND METHOD: Both HTN-Japan (N = 41) and SYMPLICITY HTN-3 (N = 384 white and 140 AA) enrolled patients with office systolic BP ≥ 160 mmHg and 24-hour ambulatory systolic BP ≥ 135 mmHg while on ≥3 antihypertensive medications...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27643333/os-06-03-diurnal-blood-pressure-rhythmicity-in-relation-to-environmental-and-genetic-cues
#17
Chang-Sheng Sheng, Yi-Bang Cheng, Fang-Fei Wei, Wen-Yi Yang, Qian-Hui Guo, Fei-Ka Li, Qi-Fang Huang, Lutgarde Thijs, Yan Li, Jan A Staessen, Ji-Guang Wang
OBJECTIVE: No previous study addressed the relative contributions of environmental and genetic cues to the diurnal blood pressure rhythmicity. We firstly investigated the explained variance of environmental and clock genes in relation to the night-to-day ratio (NDR) and morning surge (MS), respectively. DESIGN AND METHOD: From 24-h ambulatory recordings of systolic blood pressure (SBP) obtained in untreated Chinese patients (51% women; mean age, 51 years), we computed NDR in 897 and MS in 637...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27643311/lbos-03-04-strict-blood-pressure-control-as-shown-in-the-sprint-trial-can-it-be-generalized-to-all-asian-populations
#18
Satoshi Hoshide, Yuichiro Yano, Hajime Haimoto, Kayo Yamagiwa, Kiyoshi Uchiba, Shoichiro Nagasaka, Yoshio Matsui, Akira Nakamura, Motoki Fukutomi, Kazuo Eguchi, Joji Ishikawa, Kazuomi Kario
OBJECTIVE: The SPRINT (Systolic Blood Pressure Intervention Trial) recently demonstrated that strict blood pressure (BP) control resulted in a lower cardiovascular disease (CVD) risk compared to standard BP control, however, this association was not observed regarding the incidence of stroke. Previous studies revealed that the contribution of BP as a risk factor was higher for stroke incidence than for any other CVD, especially in Asian populations. It is thus not clear whether the results of the SPRINT can be generalized to all Asian populations...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27643097/me-01-2-assessment-and-treatment-of-morning-hypertension-update
#19
Kazuomi Kario
The essential benefit of the management of hypertension is derived from the blood pressure (BP) lowering per se, indicating the importance of BP throughout 24 hours. Recent guidelines stressed the importance of home BP for the diagnosis and management of hypertension. It is well-known that cardiovascular events occur more frequently in the morning BP levels have been shown to increase during the period from night to early morning. Clinical research using ambulatory BP monitoring (ABPM) or home BP monitoring has clarified that morning BP and BP surge are more closely related to the cardiovascular risk than office BP (Kario et al...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27643091/db-01-3-treatment-target-of-systolic-blood-pressure-in-diabetes-may-differ-according-to-ethnicity-pro
#20
Kazuomi Kario
Asians have specific characteristics of hypertension and related cardiovascular disease. Stroke is more common than coronary artery disease in Eastern Asian countries, while the coronary artery disease is more common than stroke in Western countries. The association slope between higher blood pressure (BP) and the risk of cardiovascular events is steeper in Asians than in Caucasians. This may partly explained by the recent result demonstrating that the morning BP surge in Asians is more extended (Hoshide, Kario, Parati et al...
September 2016: Journal of Hypertension
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