32. SAYFAYA BENZER SAYFALAR
Beyaz önlük hipertansiyonunun ve diurnal kan basıncı ritminin sol ventrikül kitle indeksi üzerine etkisi - Sayfa 6SUMMARY
Alagöz B., Influence of white coat hypertension and diurnal blood pressure rhythm over left ventricular mass index. Zonguldak 2008 Physicians know, for years, that some patients have apparently raised blood pressure but they actually have normal blood pressure levels when the measurement is repeated away from the medical environment. This phenomenon, which is easly detected with the ambul...
İ.Ü. Cerrahpaşa Tıp Fakültesi İç Hastalıkları Anabilim Dalı Genel Dahiliye Polikliniği'ne başvuran metabolik sendromlu hastaların arter basınçlarının ambulatuar kan basıncı ölçümleri ile değerlendirilmesi - Sayfa 29ABSTRACT
Objective: To examine 24-hour instabilities of blood pressure in hypertensive patients with metabolic syndrome, to present the additional benefits that the dippernondipper patients could introduce in risk, diagnostic approach, prevention, treatment.
Patient Selection and Method: Study participants were the hypertensive patients diagnosed with MS who applied to CMF Internal Medicine Depa...
32. SAYFADAKI ANAHTAR KELIMELERwerepatientsstudypressurebloodwith
32. SAYFA ICERIGI
SUMMARY Hypertensive patients are classified to dipper and non-dipper groups according to
difference between daytime and nighttime blood pressure during diurnal blood pressure monitoring. Nighttime blood pressure is approximately 10% to 20% lower than daytime blood pressure (normal dipper pattern). In contrast to normal dipper pattern, non-dipper pattern refers to difference lower than 10%. Hypertension affects atrial remodeling and facilitates AF development, thus leads to increased risk for targen organ damage in nondipper patients. However the role of daytime to nighttime blood pressure difference in normotensive patients is still unknown. There are few data with small sample sizes in normotensive patients with respect to relationship between non-dipper patterna and endorgan damage, i.e., decreased creatinine clearence, left ventricular hypertrophy and etc. However the effect of diurnal blood pressure variability on atrial tissue Doppler has not been investigated before. The development of AF is increasing with the prolongation of atrial electromechanical conduction times. In thi study, we aimed to assess the effect of dipper and non-dipper patterns on atrial tissue Doppler parameters in normotensive patients.
The study involved patients admitted to Cardiology clinic for routine screening in N.E.University. According to ambulatory blood pressure monitoring (ABPM), difference between daytime and nighttime systolic and diastolic blood pressures lower than 10% were defined as non-dippers and higher than 10% was defined as dippers.
The patients echocardiographic evaluation were obtained from the apical 4-chamber view using tissue Doppler parameters with the ECG gating. Following parameters were measured: lateral and septal atrial tissue Doppler parameters, total atrial electromechanical activation time (TEMA) obtained from the septal and lateral walls of the left atrium.