Blood pressure patterns in pressurometry and their ralationship with cardiovascular events in follow-up

Introduction: Our objective was to determine, in a cohort of patients from a hospital in the city of Buenos Aires, the distribution of circadian rhythm and the impact, according to the type of circadian behavior, on the rate of cardiovascular events during follow-up.Methods and materials:Retrospecti...

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Autores principales: Malano, Damian Jesus, Perea, Joaquin, García Chamorro, Luis Guillermo, Goldaracena, Francisco, Mazuquin, Andres, Corzo, Sofía, Denner, German, Racki, Mario, Zaidel, Ezequiel, Sosa Liprandi, Alvaro
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/44619
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id I10-R327-article-44619
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic arterial hypertension
nocturnal arterial hypertension
presurometry
circadian rhythm
hipertensión arterial
hipertension arterial nocturana
presurometría
ritmo circadiano
hipertensão arterial
hipertensão arterial noturna
presurometria
ritmo circadiano
spellingShingle arterial hypertension
nocturnal arterial hypertension
presurometry
circadian rhythm
hipertensión arterial
hipertension arterial nocturana
presurometría
ritmo circadiano
hipertensão arterial
hipertensão arterial noturna
presurometria
ritmo circadiano
Malano, Damian Jesus
Perea, Joaquin
García Chamorro, Luis Guillermo
Goldaracena, Francisco
Mazuquin, Andres
Corzo, Sofía
Denner, German
Racki, Mario
Zaidel, Ezequiel
Sosa Liprandi, Alvaro
Blood pressure patterns in pressurometry and their ralationship with cardiovascular events in follow-up
topic_facet arterial hypertension
nocturnal arterial hypertension
presurometry
circadian rhythm
hipertensión arterial
hipertension arterial nocturana
presurometría
ritmo circadiano
hipertensão arterial
hipertensão arterial noturna
presurometria
ritmo circadiano
author Malano, Damian Jesus
Perea, Joaquin
García Chamorro, Luis Guillermo
Goldaracena, Francisco
Mazuquin, Andres
Corzo, Sofía
Denner, German
Racki, Mario
Zaidel, Ezequiel
Sosa Liprandi, Alvaro
author_facet Malano, Damian Jesus
Perea, Joaquin
García Chamorro, Luis Guillermo
Goldaracena, Francisco
Mazuquin, Andres
Corzo, Sofía
Denner, German
Racki, Mario
Zaidel, Ezequiel
Sosa Liprandi, Alvaro
author_sort Malano, Damian Jesus
title Blood pressure patterns in pressurometry and their ralationship with cardiovascular events in follow-up
title_short Blood pressure patterns in pressurometry and their ralationship with cardiovascular events in follow-up
title_full Blood pressure patterns in pressurometry and their ralationship with cardiovascular events in follow-up
title_fullStr Blood pressure patterns in pressurometry and their ralationship with cardiovascular events in follow-up
title_full_unstemmed Blood pressure patterns in pressurometry and their ralationship with cardiovascular events in follow-up
title_sort blood pressure patterns in pressurometry and their ralationship with cardiovascular events in follow-up
description Introduction: Our objective was to determine, in a cohort of patients from a hospital in the city of Buenos Aires, the distribution of circadian rhythm and the impact, according to the type of circadian behavior, on the rate of cardiovascular events during follow-up.Methods and materials:Retrospective cohort study that included adult patients who underwent outpatient presurometry in a hospital in the city of Buenos Aires, incorporated into a in-house registry between March 2017 and July 2020, with up to 36 month follow-up of index presurometry.Results:Of 522 subjects, who underwent outpatient presurometry, 494 were included in the final analysis. 48% were male with a  mean age of 58.9 years. 62% (n = 308) had nocturnal high blood pressure. At follow-up, patients with an inverted dipper pattern presented more cardiovascular events  (6% n: 24). In addition, in the overall event-free time, there results showed lower survival rates in the group of patients with inverted dipper pattern (Log Rank test p: 0.0033).Conclusion In a contemporary cohort from the city of Buenos Aires, the inverted dipper pattern group was associated with the appearance of cardiovascular outcomes. Based on these findings, measures should be implemented to increase its diagnosis in our environment.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2024
url https://revistas.unc.edu.ar/index.php/med/article/view/44619
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spelling I10-R327-article-446192024-12-13T14:58:45Z Blood pressure patterns in pressurometry and their ralationship with cardiovascular events in follow-up Patrones de presión arterial en presurometría y su relación con eventos cardiovasculares en el seguimiento Patrones de pressão arterial na monitorização ambulatorial e sua relação com eventos cardiovasculares no acompanhamento Malano, Damian Jesus Perea, Joaquin García Chamorro, Luis Guillermo Goldaracena, Francisco Mazuquin, Andres Corzo, Sofía Denner, German Racki, Mario Zaidel, Ezequiel Sosa Liprandi, Alvaro arterial hypertension nocturnal arterial hypertension presurometry circadian rhythm hipertensión arterial hipertension arterial nocturana presurometría ritmo circadiano hipertensão arterial hipertensão arterial noturna presurometria ritmo circadiano Introduction: Our objective was to determine, in a cohort of patients from a hospital in the city of Buenos Aires, the distribution of circadian rhythm and the impact, according to the type of circadian behavior, on the rate of cardiovascular events during follow-up.Methods and materials:Retrospective cohort study that included adult patients who underwent outpatient presurometry in a hospital in the city of Buenos Aires, incorporated into a in-house registry between March 2017 and July 2020, with up to 36 month follow-up of index presurometry.Results:Of 522 subjects, who underwent outpatient presurometry, 494 were included in the final analysis. 48% were male with a  mean age of 58.9 years. 62% (n = 308) had nocturnal high blood pressure. At follow-up, patients with an inverted dipper pattern presented more cardiovascular events  (6% n: 24). In addition, in the overall event-free time, there results showed lower survival rates in the group of patients with inverted dipper pattern (Log Rank test p: 0.0033).Conclusion In a contemporary cohort from the city of Buenos Aires, the inverted dipper pattern group was associated with the appearance of cardiovascular outcomes. Based on these findings, measures should be implemented to increase its diagnosis in our environment. Introducción: Nuestro objetivo fue determinar en una cohorte de pacientes de un hospital de la ciudad de Buenos Aires, cómo fue la distribución de ritmo circadiano y el impacto según el tipo de comportamiento circadiano en la tasa de eventos cardiovasculares en el seguimiento. Material y métodos: Estudio de cohorte retrospectiva que incluyó pacientes adultos que se realizaron una presurometría ambulatoria en un hospital de la ciudad de Buenos Aires, incorporados a un registro propio entre marzo de 2017 y julio de 2020, con seguimiento de hasta 36 meses de la presurometría índice.  Resultados: De 522 sujetos, se incluyeron 494 en el análisis final. El 48% eran de sexo masculino y la edad promedio fue de 58,9 años. El 62% (n = 308) presentó hipertensión arterial nocturna. El patrón dipper invertido fue el grupo que presentó más eventos cardiovasculares en el seguimiento (6% n: 24). Además, en el tiempo libre de evento globales, se evidencio menos tasas de supervivencia para el grupo con patrón dipper invertido (Log Rank test p: 0.0033).  Conclusión: En una cohorte contemporánea y de la ciudad de Buenos Aires, el grupo patrón dipper invertido se asoció con la aparición de desenlaces cardiovasculares. En base a estos hallazgos, se deben implementar medidas para incrementar su diagnóstico en nuestro medio. Introdução: Nosso objetivo foi determinar em uma coorte de pacientes de um hospital na cidade de Buenos Aires como foi a distribuição do ritmo circadiano e o impacto de acordo com o tipo de comportamento circadiano na taxa de eventos cardiovasculares no acompanhamento. Material e métodos: Estudo de coorte retrospectivo que incluiu pacientes adultos que realizaram monitorização ambulatorial da pressão arterial em um hospital na cidade de Buenos Aires, incluídos em um registro próprio entre março de 2017 e julho de 2020, com acompanhamento de até 36 meses da monitorização ambulatorial índice.Resultados: Dos 522 sujeitos, 494 foram incluídos na análise final. 48% eram do sexo masculino e a idade média foi de 58,9 anos. 62% (n = 308) apresentaram hipertensão arterial noturna. O padrão "dipper" invertido foi o grupo que apresentou mais eventos cardiovasculares no acompanhamento (6%, n: 24). Além disso, no tempo livre de eventos globais, foram evidenciadas taxas de sobrevivência menores para o grupo com o padrão "dipper" invertido (teste de Log Rank p: 0,0033).Conclusão: Em uma coorte contemporânea da cidade de Buenos Aires, o grupo com padrão "dipper" invertido foi associado ao surgimento de desfechos cardiovasculares. Com base nesses achados, medidas devem ser implementadas para aumentar o seu diagnóstico em nosso meio. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024-12-13 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/44619 10.31053/1853.0605.v81.n3.44619 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 81 No. 4 (2024); 705-718 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 81 Núm. 4 (2024); 705-718 Revista da Faculdade de Ciências Médicas de Córdoba; v. 81 n. 4 (2024); 705-718 1853-0605 0014-6722 10.31053/1853.0605.v81.n4 spa https://revistas.unc.edu.ar/index.php/med/article/view/44619/47181 https://revistas.unc.edu.ar/index.php/med/article/view/44619/47076 Derechos de autor 2024 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0