NON-DIPPER HYPERTENSION AND BLOOD PRESSURE VARIABILITY IN YOUNG HYPERTENSION PATIENTS
Journal Title: Kocatepe Medical Journal - Year 2023, Vol 24, Issue 3
Abstract
OBJECTIVE: Hypertension is a global health problem that also affects the young population and increases cardiovascular mortality. Young hypertensive patients are more prone to end-organ damage and complications from hypertension due to the long exposure time to high blood pressure. In our study, we aimed to investigate the mean systolic and diastolic blood pressure values of young hypertensive patients compared to hypertensive patients over 40 years of age with 24-hour ambulatory blood pressure measurement, and especially non-dipper hypertension states and blood pressure variability associated with end organ damage. MATERIAL AND METHODS: The study included 337 patients, 83 of whom were young hypertensive patients. 24-hour ambulatory blood pressure monitoring records of the patients were reviewed retrospectively. The mean systolic and diastolic blood pressure values, dipper and non-dipper hypertension status, and blood pressure variability of the patients were calculated. The results of young hypertensive patients were compared with hypertensive patients aged above 40. RESULTS: The mean 24-hour diastolic blood pressure was found to be higher in young hypertensive patients than hypertensive patients aged above 40. When both groups were compared according to non-dipper hypertension, non-dipper hypertension was found to be higher in the hypertensive patients group aged above 40. While 24-hour diastolic blood pressure variability was found to be higher in young hypertensive patients, daytime systolic blood pressure variability was found to be higher in the hypertensive patients aged above 40. CONCLUSIONS: Evaluation of non-dipper blood pressure and blood pressure variability with 24-hour Ambulatory blood pressure monitoring (ABPM) in young hypertension patients may help to identify the patient group at risk for end-organ damage development.
Authors and Affiliations
Serkan GÖKASLAN, İbrahim Etem DURAL, Ömer Faruk YILMAZ
Keywords
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- EP ID EP722669
- DOI https://doi.org/10.18229/kocatepetip.1207644
- Views 59
- Downloads 0
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