The relationship between early renal damage and 24 hour ambulatory blood pressure monitoring ;parameters in elderly patients with hypertension
10.3760/cma.j.jssn.1673-4904.2017.02.016
- VernacularTitle:老年高血压患者24小时动态血压监测参数及节律与早期肾损害的关系
- Author:
Aihe WANG
;
Shuxian LIU
;
Yanqing DU
;
Xiaoli WANG
- Keywords:
Hypertension;
Blood pressure monitoring,ambulatory;
Circadian rhythm;
Renal damage
- From:
Chinese Journal of Postgraduates of Medicine
2017;40(2):153-156,157
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the relationship between 24 h ambulatory blood pressure monitoring (24h-ABPM) parameters, circadian rhythm and urinary albumin to creatinine ratio (UACR), urineβ2 microglobulin (β2-MG) in elderly patients with hypertension. Methods One hundred and forty-eight patients with essential hypertension (≥60 years old) were included in this study. 24h-ABPM was performed, and nocturnal blood pressure decline rate (BPR) was calculated. The patients were divided into two groups according the BPR:dipper group with 40 cases and non-dipper group with 108 cases. The levels of 24h-ABPM parameters, UACR and β2-MG were compared between two groups, and the relationship between UACR and 24h-ABPM parameters were analyzed. Results The levels of 24hSBP, dSBP and 24hDBP in two groups had no significant differences (P>0.05). Compared with those in dipper group, the levels of nSBP, nDBP in non-dipper group were significantly increased, and the level of dDBP was significantly decreased, P<0.01 or <0.05. The level of 24hPP in non-dipper group was significantly higher than that in dipper group (P<0.01). The levels of UACR andβ2-MG in non-dipper group were significantly higher than those in dipper group (P<0.05). The levels of BUN and SCr in two groups had no significant differences (P>0.05). The result of Sspearman analysis showed that UACR had significant correlation with 24hDBP, nDBP, 24hSBP, nSBP and 24hPP (P<0.05 or<0.01). The result of multivariate linear regression analysis showed that UACR was independently correlated with nSBP (P<0.05). Conclusions The abnormal circadian rhythm in elderly hypertensive patients is closely related to early renal damage.
