Effect of Persistent Atrial Fibrillation on Circadian Rhythm of Blood Pressure in Patients With Essential Hypertension
10.3969/j.issn.1000-3614.2015.10.013
- VernacularTitle:持续性心房颤动对原发性高血压患者血压昼夜节律的影响
- Author:
Jianjun DENG
;
Guangyan MEI
;
Ping XIE
;
Xiaohuan WANG
;
Tingting HOU
;
Yanqiang AN
;
Zhongwei LI
;
Wenjing ZHANG
- Publication Type:Journal Article
- Keywords:
Persistent atrial ifbrillation;
Essential hypertension;
Circadian rhythm
- From:
Chinese Circulation Journal
2015;(10):981-983
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To explore the effect of persistent atrial ifbrillation (AF) on circadian rhythm of blood pressure (BP) in patients with essential hypertension (EH).
Methods: A total of 173 EH patients treated in Gansu Provincial Hospital from 2013-02 to 2014-01were studied. The patients were divided into 2 groups: EH group,n=88 and Persistent AF combining EH group,n=85. The baseline information was studied and the risk factors of persistent AF combining EH were investigated by multivariate logistic regression analysis.
Results: Compared with EH group, the Persistent AF combining EH group showed decreased average daytime DBP, minimum daytime SBP, minimum daytime DBP and the average 24-hour DBP, while increased maximum nighttime SBP and the percentage of reverse dipper in DBP, allP<0.05. There were no significant differences for the average of daytime SBP, maximum daytime SBP, maximum daytime DBP, the average 24-hour SBP, average nighttime SBP, average nighttime DBP, maximum nighttime DBP, minimum nighttime SBP, minimum nighttime DBP and the percentage of reverse dipper in SBP between 2 groups, allP>0.05. Multivariate logistic regression analysis indicated that the maximum nighttime SBP was obviously related to persistent AF combining EH (OR=1.038, 95 CI 1.014-1.062,P=0.001).
Conclusion: Persistent AF may incur daytime BP dropping, such change was not obviously observed for nighttime BP in EH patients.
