Clinical and prognostic significance of a reverse dipping pattern on ambulatory monitoring : an updated review
Articolo
Data di Pubblicazione:
2017
Citazione:
Clinical and prognostic significance of a reverse dipping pattern on ambulatory monitoring : an updated review / C. Cuspidi, C. Sala, M. Tadic, E. Gherbesi, A. De Giorgi, G. Grassi, G. Mancia. - In: THE JOURNAL OF CLINICAL HYPERTENSION. - ISSN 1524-6175. - 19:7(2017), pp. 713-721. [10.1111/jch.13023]
Abstract:
Reverse or inverted dipping (ie, the phenomenon characterized by higher nighttime compared with daytime blood pressure values) is an alteration of circadian blood pressure rhythm frequently documented in hypertension, type 2 diabetes mellitus, chronic kidney disease, and sleep apnea syndrome, and generally regarded as a harmful condition. Available literature on the clinical and prognostic implications of reverse dipping is scanty. The present article will review a number of relevant issues concerning reverse dipping, in particular: (1) its possible mechanisms; (2) prevalence and clinical correlates, (3) concomitant cardiac and extracardiac subclinical organ damage; (4) association with acute and chronic cardiovascular diseases; (5) prognostic value in predicting cardiovascular events and mortality; and (6) therapeutic interventions aimed at reverting this abnormal circadian blood pressure rhythm.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
cardiovascular disease; cardiovascular prognosis; hypertension; reverse dipping; target organ damage; treatment; adolescent; adult; aged; blood pressure; blood pressure monitoring, ambulatory; cardiovascular diseases; circadian rhythm; diabetes mellitus, type 2; female; humans; hypertension; male; middle aged; prevalence; prognosis; renal insufficiency, chronic; sleep; sleep apnea syndromes; young adult; internal medicine; endocrinology, diabetes and metabolism; cardiology and cardiovascular medicine
Elenco autori:
C. Cuspidi, C. Sala, M. Tadic, E. Gherbesi, A. De Giorgi, G. Grassi, G. Mancia
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