Racial Differences Affecting Night Time Blood Pressure Dipping Groups in Hypertensive Patients
Racial Differences Affecting Night Time Blood Pressure Dipping Groups in Hypertensive Patients
复制标题
影响高血压患者夜间血压下降的种族差异
DOI：
10.4172/2167-1095.1000214
复制
发表时间：
2016
期刊：
影响因子：
--
通讯作者：
R. T. Kong
中科院分区：
文献类型：
--
作者：
Lin Ho Wong;Huang Elaine;R. T. Kong
背景正常血压（BP）遵循昼夜节律，夜间BP下降。然而，几乎没有做什么来显示在一年中的不同时期，白色和亚洲人口中的浸渍组是如何变化的。本研究旨在研究白色和亚洲人群之间夜间浸渍的模式，并将其与一年中夏季和冬季的不同时间进行比较。方法220例患者，其中爱尔兰科克市Mercy大学医院的白色患者和新加坡国家心脏中心的亚洲患者各占一半，在夏季5 ~ 6月和冬季10 ~ 12月进行动态血压监测。结果爱尔兰人和新加坡人的反勺总数从夏季到冬季均呈下降趋势。然而，在新加坡，反杓型再分配主要向杓型分配，而在爱尔兰，反杓型再分配既向极杓型分配，也向杓型分配。爱尔兰的季节性变化也导致夜间舒张压增加（95% CI，0.72至6.03，3.37 mm Hg; p<0.05）和夜间浸渍持续时间的变化（95% CI，0.045至1.01，0.53小时; p<0.05）。结论无论种族或温度，反勺似乎在冬季减少。然而，种族差异决定了下降人数的重新分配。这对如何在一年中的不同时期对待反向下降者产生了影响。
Background Normal blood pressure (BP) follows a circadian rhythm, with dipping of BP at night. However, little has been done to show how the dipping groups vary amongst the White and Asian population at different periods of the year. This study aims to examine the pattern of nocturnal dipping between the White and Asian population, as well as to compare it to the different timings of the year, between summer and winter. Methods Ambulatory Blood Pressure Monitor recordings were obtained from 220 patients, half were White patients obtained from Mercy University Hospital, Cork, Ireland and half were Asian patients from National Heart Centre, Singapore during the summer period from May to June and the winter period from October to December. Results Both the Irish and Singaporeans exhibit a decrease in total number of reverse dipper from summer to winter. However, the redistribution of reverse dipper was mainly to the dippers in Singapore, while in Ireland it was to both the extreme dipper and dipper. Irish seasonal changes also resulted in an increase in nocturnal diastolic pressure (95% CI, 0.72 to 6.03, 3.37 mm Hg; p<0.05) and a change in the duration of dipping at night (95% CI, 0.045 to 1.01, 0.53 Hours; p<0.05). Conclusion Regardless of race or temperature, reverse dippers seem to decrease in winter. However, the racial differences dictate the redistribution of the fall in number of dippers. This has implications on how reverse dippers should be treated at different periods of the year.
影响因子：
37.8
作者：
Kario, K;Pickering, TG;Shimada, K
通讯作者：
Shimada, K