Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Abnormalities in blood pressure circadian rythm. Physiopathological mechanisms and clinical implications.
Autore:
Ragot, S; Herpin, D;
Indirizzi:
CHU La Miletrie, Serv Cardiol, F-86021 Poitiers, France CHU La Miletrie Poitiers France F-86021 ardiol, F-86021 Poitiers, France
Titolo Testata:
ARCHIVES DES MALADIES DU COEUR ET DES VAISSEAUX
fascicolo: 12, volume: 92, anno: 1999,
pagine: 1745 - 1753
SICI:
0003-9683(199912)92:12<1745:AIBPCR>2.0.ZU;2-O
Fonte:
ISI
Lingua:
FRE
Soggetto:
ELDERLY HYPERTENSIVE PATIENTS; HEART-RATE-VARIABILITY; NOCTURNAL DECLINE; ARTERIAL-DISEASE; NON-DIPPERS; SLEEP; NONDIPPER; RHYTHM; FALL; REPRODUCIBILITY;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
50
Recensione:
Indirizzi per estratti:
Indirizzo: Ragot, S CHU La Miletrie, Serv Cardiol, F-86021 Poitiers, France CHU La Miletrie Poitiers France F-86021 -86021 Poitiers, France
Citazione:
S. Ragot e D. Herpin, "Abnormalities in blood pressure circadian rythm. Physiopathological mechanisms and clinical implications.", ARCH MAL C, 92(12), 1999, pp. 1745-1753

Abstract

A wide range of definitions is used to distinguish the hypertensives with a blunted circadian pattern of blood pressure, labeled as " non dippers ", from those presenting with a normal night blood pressure fall, designated as " dippers ". Consequently the prevalence of non dipping phenomenon is quite uncertain : from 6 to 40% of the hypertensive subjects. The mechanisms of night blood pressure fall remain unclear, but the involvement of autonomic nervous system turns out to be partly demonstrated. Froma clinical point of view, non dippers and dippers characteristics are not obviously different, but the prognosis of non dipper patients appears to berather poor, with a more frequent target organ damage and a higher rate ofcardiovascular events, as compared to dippers, even in a general population. In order to improve the identification of non dippers, an ambulatory bloodpressure monitoring should be performed in patients with autonomic nervoussystem impairment and in subjects with target organ damage more severe than expected from office or home blood pressure measurements.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 22:30:52