THE EFFECTIVENESS OF CHRONOTHERAPY IN HYPERTENSIVE PATIENTS WITH AN INSUFFICIENT DEGREE OF SLEEP-TIME DIASTOLIC BLOOD PRESSURE
Journal: The Journal of V.N. Karazin Kharkiv National University, series "Medicine" (Vol.35, No. 35)Publication Date: 2018-06-30
Authors : Kanishcheva O. V. Yabluchansky M. I. Litvin A. S.;
Page : 25-32
Keywords : arterial hypertension; chronotherapy; diastolic blood pressure; nondipper;
Abstract
The violation of daily blood pressure (BP) profile is one of the predictors of cardiovascular (CV) morbidity and mortality in patients with arterial hypertension (AH). It is determined by ambulatory BP monitoring (ABPM). The aim of the study was to assess the impact of the chronotherapeutic approach on the level of systolic blood pressure (SBP) and diastolic blood pressure (DPB) and daily BP profile in patients with AH with insufficient degree of sleep-time relative DBP decline. The study included 28 patients with AH with nondipper DBP daily profile in age from 52 to 78 years old. The participants were divided onto two groups. Group 1 included 14 patients, who take all antihypertensive drugs in the morning, group 2 included 14 patients who takе at least one antihypertensive drug at bedtime. All patients underwent 24-hour blood pressure monitoring using the computer system «Cardiosens» (KhAI Medica, Ukraine, with the oscillometric method of BP measurement) when enrolling in the study and after 3 months. The type of SBP and DBP diurnal profile, the mean values of SBP, DBP and hyperbaric indices were determined and compared between groups 1 and 2 at each visit, as well as within groups between visits. The results showed that morning taking of antihypertensive drugs in patients with AH with insufficient degree of DBP decline influences more on SBP while evening taking – on DBP. It was concluded that violation of DBP daily profile in medication therapy of patients with insufficient degree of DBP decline should be provided along with violation of SBP daily profile.
Other Latest Articles
- INFLUENCE OF THE TOTAL POWER OF THE HEART RATE VARIABILITY SPECTRUM ON THE SPECTRAL PARAMETERS DISTRIBUTION IN PATIENTS WITH ARTERIAL HYPERTENSION IN A PACED BREATHING TEST
- COEXISTANCE OF DIABETES MELLITUS AND THYROID DISORDERS: A VIEW ON DYSFUNCTION OF THE ENDOCRINE SYSTEM
- ORAL CONSUMPTION OF CAFFEINATED ENERGY DRINKS AFFECTS THE MORPHOFUNCTIONAL STATE OF STRESS-ASSOCIATED ENDOCRINE GLANDS
- FUNCTIONS AND TASKS OF PROGRAM MANAGEMENT IN MEDIA COMPANIES
- SOFTWARE DEVELOPERS' PERCEPTIONS OF SOFT SKILLS IN SOFTWARE REQUIREMENTS ENGINEERING
Last modified: 2018-06-30 21:02:52