Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Circadian variation in blood pressure - Implications for the elderly patient
Autore:
Elliott, WJ;
Indirizzi:
Rush Presbyterian St Lukes Med Ctr, Dept Prevent Med, Chicago, IL 60612 USA Rush Presbyterian St Lukes Med Ctr Chicago IL USA 60612 ago, IL 60612 USA Rush Univ, Rush Med Coll, Dept Prevent Med, Chicago, IL 60612 USA Rush Univ Chicago IL USA 60612 l, Dept Prevent Med, Chicago, IL 60612 USA
Titolo Testata:
AMERICAN JOURNAL OF HYPERTENSION
fascicolo: 2, volume: 12, anno: 1999,
parte:, 2 supplemento:, S
pagine: 43S - 49S
SICI:
0895-7061(199902)12:2<43S:CVIBP->2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
ISCHEMIC OPTIC NEUROPATHY; NOCTURNAL ARTERIAL-HYPOTENSION; SUDDEN CARDIAC DEATH; TIME; FALL;
Keywords:
hypertension; elderly; diurnal variation; nocturnal decline; silent cerebral damage;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Elliott, WJ Rushiteesbyterian St Lukes Med Ctr, Dept Prevent Med, 1725 W Harrison St,Su Rush Presbyterian St Lukes Med Ctr 1725 W Harrison St,Suite 117 Chicago IL USA 60612
Citazione:
W.J. Elliott, "Circadian variation in blood pressure - Implications for the elderly patient", AM J HYPERT, 12(2), 1999, pp. 43S-49S

Abstract

In most people, blood pressure (BP) displays a characteristic diurnal pattern, with a decline during sleep and a sharp increase around the time of awakening. The early morning surge in BP is synchronous with an increase in the risk of catastrophic cardiovascular events, including acute myocardial Infarction, sudden cardiac,death, and stroke.:Although most clinical investigations have centered on modulating or even preventing the morning surge, emerging data suggest that it may be important to avoid nocturnal hypotension, especially in elderly patients and in those with established atherosclerotic disease. Considerable evidence, has been accumulated to suggest that excessive lowering of:BP at night (whether naturally or through the use of antihypertensive medications) can result in untoward ischemic phenomena, including silent cerebral damage (Binswanger's disease) or ophthalmologic symptoms (eg, anterior ischemic optic neuropathy). Controlled-onset extended-release verapamil, through its unique delivery system, tends to diminish the morning BP surge, whereas it preserves a normal nocturnal BP decline; its effect on preventing early morning cardiovascular catastrophes (while preserving relatively normal nocturnal BP) is currently being tested in a large, international clinical trial. Am J Hypertens 1999; 12:43S-49S (C) 1999 American Journal of Hypertension, Ltd.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/07/20 alle ore 19:23:40