Journal
EUROPEAN JOURNAL OF NEUROLOGY
Volume 22, Issue 6, Pages 1022-1025Publisher
WILEY-BLACKWELL
DOI: 10.1111/ene.12659
Keywords
blood pressure; essential hypertension; lacunar infarction; reverse-dipper pattern
Categories
Funding
- National Natural Science Foundation of China [81300116]
- Research Fund of Young Scholars for the Doctoral Program of Higher Education of China [20120201120083]
- Fundamental Research Funds for the Central Universities [XJJ2013062]
Ask authors/readers for more resources
Background and purposeThe fluctuation of circadian blood pressure (BP) is of great diversity in patients with essential hypertension and may provide significant prognostic value for stroke. However, it remains uncertain whether reverse-dipper pattern of BP influences the incidence of lacunar infarction in hypertensive patients. MethodsIn the current study, 362 hypertensive patients (195 males, 167 females) were enrolled. BP patterns were evaluated with 24-h ambulatory BP monitoring (ABPM). Multinomial logistic regression was applied to analyse the possible relationships between lacunar infarction and various clinical risk factors such as ABPM. ResultsA total of 93 patients (25.7%) had reverse-dipper BP pattern. Non-dipper pattern of BP was observed in 179 hypertensive patients (49.4%) and dipper pattern in 90 patients (24.9%). The percentage of lacunar infarction was the highest in the patients with reverse-dipper pattern compared with pure hypertension or atherothrombotic cerebral infarction (P<0.05). After multinomial logistic regression analysis, reverse-dipper pattern of BP (odds ratio 2.492; 95% confidence interval 1.133-5.479; P<0.05) and age (odds ratio 1.084; 95% confidence interval 1.047-1.123; P<0.01) were found to be directly associated with lacunar infarction. ConclusionsReverse-dipper BP pattern may serve as an independent risk factor for lacunar infarction and more personalized BP management should be offered to the patients who have elevated nocturnal BP.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available