Association of dipping pattern of blood pressure and atherosclerotic burden of coronary arteries in hypertensive patients
O. Taşbulak,
T. Aktemur,
A. A. Şahin,
A. R. Demir,
A. Güler,
C. Topel,
A. Turkvatan,
H. Pusuroglu,
M. Erturk https://doi.org/10.18087/cardio.2022.3.n2010
Abstract
Aim The aim of this study was to determine the association between the dipping pattern of BP and coronary artery disease in hypertensive patients.
Material and methods A total of 356 hypertensive patients were included in the study. The results of ambulatory BP monitoring, echocardiography, and coronary computerised tomographic angiography were evaluated retrospectively. The patients were divided into two groups on the basis of their ambulatory BP monitoring: 1) patients with the dipping pattern of BP; 2) patients with the non-dipping pattern (NDP).
Results Among the 356 patients, 145 were male (40.7 %). The smoking status was higher in patients with NDP (p=0.023). The statin usage in patients with the dipping pattern was higher in patients with NDP (p=0.027). There were no significant differences in the echocardiographic findings. 58.6 % of the patients without plaque formation had the dipping pattern of BP (p<0.05), however 84.4 % of patients with >50 % plaque formation had the NDP of BP (p<0.001).
Conclusion The NDP of BP might be related to the increased atherosclerotic process in coronary arteries, and patients with NDP might have an increased atherosclerotic burden for coronary arteries when compared with patients with a dipping pattern.
Supporting agencies: No conflict of interest is reported.
About the Authors
O. Taşbulak
University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital
Turkey
Turkey
Omer Tasbulak, MD, Department of Cardiology
Istanbul
T. Aktemur
University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital
Turkey
Tugba Aktemur, MD, Department of Cardiology
Istanbul
Turkey
Tugba Aktemur, MD, Department of Cardiology
Istanbul
A. A. Şahin
Istinye University, Faculty of Medicine, Liv Hospital Bahcesehir
Turkey
Turkey
Ahmet Anıl Şahin, MD, Department of Cardiology
Istanbul
A. R. Demir
University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital
Turkey
Turkey
Ali Riza Demir, MD, Department of Cardiology
Istanbul
A. Güler
University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital
Turkey
Turkey
Arda Guler, MD, Department of Cardiology
Istanbul
C. Topel
University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital
Turkey
Turkey
Cagdas Topel, MD, Department of Radiology
Istanbul
A. Turkvatan
University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital
Turkey
Turkey
Aysel Turkvatan, MD, Department of Radiology
Istanbul
H. Pusuroglu
University of Health Sciences Basaksehir Cam and Sakura City Hospital
Turkey
Turkey
Hamdi Pusuroglu, Prof. DR, Department of Cardiology
Istanbul
M. Erturk
University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital
Turkey
Turkey
Mehmet Erturk, Prof.Dr, Department of Cardiology
Istanbul
References
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Review
For citations:
Taşbulak O., Aktemur T., Şahin A.A., Demir A.R., Güler A., Topel C., Turkvatan A., Pusuroglu H., Erturk M. Association of dipping pattern of blood pressure and atherosclerotic burden of coronary arteries in hypertensive patients. Kardiologiia. 2022;62(3):56-64. https://doi.org/10.18087/cardio.2022.3.n2010
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