Correlation between Morning Blood Pressure Surge and Ambulatory Arterial Stiffness Index_West China Medical Journal

Authors：

 LIJun-feng ¹ ,  WANGAn-wei ¹ , GAOJin-quan ¹ , CHENXiao-ping ² , ZHANGYa-xi ¹ , ZHANGHong ¹ , LIUYao ¹

1. Department of Cardiovascular, People's Hospital of Chongzhou, Chongzhou, Sichuan 611230, P. R. China;
2. Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan, 610041, P. R. China;

Corresponding author：

WANGAn-wei, Email: kucky414@aliyun.com

Keywords：

Essential hypertension; Morning blood pressure surge; Ambulatory blood pressure; Monitoring; Stiffness index

DOI：

10.7507/1002-0179.20140503

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the value of morning blood pressure surge in the evaluation of atherosclerosis by the observation of the relationship between morning blood pressure surge and ambulatory arterial stiffness index. Methods From May 2011 to March 2013, we followed up 300 hypertensive patients who received ambulatory blood pressure monitoring, and they were divide into elevated morning blood pressure surge group and non-elevated morning blood pressure surge group. The AASI value was recorded and compared between the two groups according to the grade of hypertension. Results Morning blood pressure surge was more common in patients with hypertension. Compared with patients in the non-elevated morning blood pressure surge group, ambulatory arterial stiffness index was significantly higher in patients in the elevated morning blood pressure surge group. Conclusion There is a certain correlation between morning blood pressure surge and arterial stiffness, which is an important factor leading to a variety of target organ damage.

Citation： LIJun-feng, WANGAn-wei, GAOJin-quan, CHENXiao-ping, ZHANGYa-xi, ZHANGHong, LIUYao. Correlation between Morning Blood Pressure Surge and Ambulatory Arterial Stiffness Index. West China Medical Journal, 2014, 29(9): 1639-1641. doi: 10.7507/1002-0179.20140503 Copy

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12.	马淑云.高血压患者血压晨峰与颈动脉硬化的相关性分析[J].吉林医学,2013,34(20):4000-4001.
13.	李明珠,杜萱.动态动脉硬化指数与动脉硬化研究进展[J].中华老年心脑血管病杂志,2008,10(12):952-954.
14.	Muxfeldt ES,Cardoso CR,Dias VB,et al.Prognostic impact of the ambulatory arterial stiffness index in resistant hypertension[J].J Hypertens,2010,28(7):1547-1553.
15.	张瑞华,秦明照.动态动脉硬化指数在原发性高血压患者中的初步临床研究[J].中华老年心脑血管病杂志,2010,12(7):584-586.

1. 张维忠.血压变异和晨峰的概念及其临床意义[J].中华心血管病杂志,2006,34(3):287-288.
2. 张源明,王翠霞.原发性高血压患者晨峰现象与靶器官损害[J].中华高血压杂志,2008,16(7):602-605.
3. Amici A,Cicconetti P,Sagrafoli C,et al.Exaggerated morning blood pressure surge and cardiovascular events.A 5-year longitudinal study in normotensive and well-controlled hypertensive elderly[J].Arch Gerontol Geriatr,2009,49(2):e105-e109.
4. 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管杂志,2011,39(7):579-616.
5. 郭瑞敏,李英梅,刘欣艳,等.勺型形态高龄高血压患者的动态动脉硬化指数与靶器官损伤关系[J].上海预防医学,2013,25(6):345-348.
6. 李燕.动态动脉硬化指数对高血压预后的评价[J].内科理论与实践,2009(6):465-468.
7. Takagi T,Ohishi M,Ogihara T.Morning blood pressure variability and autonomic nervous activity[J].Nihon Rinsho,2006,64(Suppl 6):44-49.
8. Pimenta E,Gaddam KK,Pratt-Ubunama MN,et al.Aldosterone excess and resistance to 24-h blood pressure control[J].J Hypertens,2007,25(10):2131-2137.
9. 裴志勇,姚依群.血压晨峰现象的研究现状[J].中华老年心脑血管病杂志,2012,14(7):767-769.
10. Ohkubo T.Prognostic significance of variability in ambulatory and home blood pressure from the Ohasama Study[J].J Epidemiol,2007,17(4):109-113.
11. 王淼,王义围,辛红菊,等.老年杓型高血压患者血压晨峰现象与踝肱指数的关系[J].河北医学,2013,19(9):1315-1318.
12. 马淑云.高血压患者血压晨峰与颈动脉硬化的相关性分析[J].吉林医学,2013,34(20):4000-4001.
13. 李明珠,杜萱.动态动脉硬化指数与动脉硬化研究进展[J].中华老年心脑血管病杂志,2008,10(12):952-954.
14. Muxfeldt ES,Cardoso CR,Dias VB,et al.Prognostic impact of the ambulatory arterial stiffness index in resistant hypertension[J].J Hypertens,2010,28(7):1547-1553.
15. 张瑞华,秦明照.动态动脉硬化指数在原发性高血压患者中的初步临床研究[J].中华老年心脑血管病杂志,2010,12(7):584-586.

West China Medical Journal

Correlation between Morning Blood Pressure Surge and Ambulatory Arterial Stiffness Index

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