Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김순길 | - |
dc.date.accessioned | 2018-04-03T06:55:59Z | - |
dc.date.available | 2018-04-03T06:55:59Z | - |
dc.date.issued | 2014-10 | - |
dc.identifier.citation | JOURNAL OF HYPERTENSION, 32권, 10호, p1999-p2004, 6p. | en_US |
dc.identifier.issn | 0263-6352 | - |
dc.identifier.uri | http://ovidsp.tx.ovid.com/sp-3.28.0a/ovidweb.cgi?&S=MNDOFPLNCHDDMDNDNCFKHAFBFFLMAA00&Link+Set=S.sh.24%7c1%7csl_10 | - |
dc.identifier.uri | http://hdl.handle.net/20.500.11754/56930 | - |
dc.description.abstract | Objective: The aim of this study was to investigate whether nocturnal blood pressure (BP), established on the basis of a single 24-h BP monitoring, is a stronger predictor of left ventricular hypertrophy (LVH) compared with nondipping status in the essential hypertensive patients. Methods: A total of 682 hypertensive patients (mean age 56.1±14.5 years, 50.7% women) who underwent echocardiography were enrolled. 'Nondipping status' was defined as a nocturnal SBP fall less than 10% of daytime mean SBP. LVH was defined as a left ventricular mass index exceeding 54.0 g/m2.7 in men and 53.0 g/m2.7 in women. Each patient was categorized in three groups according to the total cardiovascular risk using 2007 European Society of Hypertension/ European Society of Cardiology guidelines as average or low, moderate, and high or very high added risk. Results: Among 682 participants, 184 (26.9%) showed LVH on echocardiography. The proportion of individuals with high or very high added cardiovascular risk profile was 356 (52.1%). In multiple logistic regression analysis, age 56 years at least [odds ratio (OR) 1.047, 95% confidence interval (CI) 1.031-1.063, P<0.0001], female participants (OR 1.751, 95% CI 1.172-2.616, P=0.0062), BMI higher than 24.6 kg/m2 (OR 1.178, 95% CI 1.110- 1.250, P<0.0001), smoking (OR 1.793, 95% CI 1.028- 3.127, P=0.0397), and nocturnal SBP at least 127mmHg (OR 1.032, 95% CI 1.009-1.055, P=0.0059) were significant independent predictors for LVH whereas nondipping was not (OR 0.857, 95% CI 0.481-1.528, P=0.6013). Conclusion: These findings suggest that nocturnal BP rather than nondipping may be a better predictor of LVH, especially in secondary or tertiary referral hospital setting targeting relatively high cardiovascular risk patients. | en_US |
dc.description.sponsorship | The Kor-ABP study was kindly supported financially by the working group of blood pressure measurement in the Korean Society of Hypertension. | en_US |
dc.language.iso | en | en_US |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | en_US |
dc.subject | essential hypertension | en_US |
dc.subject | left ventricular hypertrophy | en_US |
dc.subject | nocturnal SBP | en_US |
dc.title | Not nondipping but nocturnal blood pressure predicts left ventricular hypertrophy in the essential hypertensive patients: the Korean Ambulatory Blood Pressure multicenter observational study | en_US |
dc.type | Article | en_US |
dc.relation.volume | 32 | - |
dc.identifier.doi | 10.1097/HJH.0000000000000272 | - |
dc.relation.page | 1999-2004 | - |
dc.relation.journal | JOURNAL OF HYPERTENSION | - |
dc.contributor.googleauthor | Yi, Jeong-Eun | - |
dc.contributor.googleauthor | Shin, Jinho | - |
dc.contributor.googleauthor | Ihm, Sang-Hyun | - |
dc.contributor.googleauthor | Kim, Ju Han | - |
dc.contributor.googleauthor | Park, Sungha | - |
dc.contributor.googleauthor | Kim, Kwang-il | - |
dc.contributor.googleauthor | Kim, Woo Shik | - |
dc.contributor.googleauthor | Pyun, Wook Bum | - |
dc.contributor.googleauthor | Kim, Yu-Mi | - |
dc.contributor.googleauthor | Kim, Soon Kil | - |
dc.relation.code | 2014033475 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | kimsg | - |
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