Objective To observe the characteristics of changes of 24hour ambulatory blood pressure and heart rate of 50 patients with anterior ischemic optic neuropathy (AION). Methods Fifty patients with AION and the persons without in the control group, which had the same number, gender and age as the patients with AION, underwent 24-hour ambulatory blood pressure and heart rate measurement. Results Both groups had no difference in mean blood pressure and heart rate during the daytime (t=1.25,0.93; P>0.05), higher than those in the nighttime (t=3.63,3.16; P<0.05). Mean blood pressure and heart rate of AION group at night were lower than those of the control group (t=3.82,1.77; P<0.01,0.05), especially diastolic pressure of AION group was lower than that of the control group from 2 am to 7 am (P<0.01), as well as the heart rate from 2 am to 5 am (P<0.05 or P<0.01). The curves of blood pressure of AION group showed more gradual and fluctuant rising, while those of the control group showed sharper and less fluctuant rising. Conclusion According to the curves of blood pressure rising, the patients with AION may have some defects in auto-regulatory mechanism of blood pressure. The low spots of blood pressure and heart rate in early morning, which might be a critical point leading to AION. (Chin J Ocul Fundus Dis, 2002, 18: 259-261)
Citation: WANG Runsheng,CHEN Qingshan,WANG Xinping,et al. Analysis on ambulatory blood pressure and heart rate of 50 patients with anterior ischemic optic neuropathy. Chinese Journal of Ocular Fundus Diseases, 2002, 18(4): 259-261. doi: Copy