The Relationship between Nocturnal Dipping Status, Morning Blood Pressure Surge, and Hospital Admissions in Patients with Systolic Heart Failure

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dc.contributor.authorTaş Ü.
dc.contributor.authorTaş S.
dc.contributor.authorEdem E.
dc.date.accessioned2024-07-22T08:03:17Z
dc.date.available2024-07-22T08:03:17Z
dc.date.issued2023
dc.description.abstractBackground: Hypertension is a known risk factor for developing heart failure. However, there is limited data to investigate the association between morning blood pressure surge (MBPS), dipping status, echocardiographic parameters, and hospital admissions in patients with systolic heart failure. Objectives: To evaluate the relationship between morning blood pressure surge, non-dipper blood pressure pattern, echocardiographic parameters, and hospital admissions in patients with systolic heart failure. Methods: We retrospectively analyzed data from 206 consecutive patients with hypertension and a left ventricular ejection fraction below 40%. We divided the patients into two groups according to 24-hour ambulatory blood pressure monitoring (ABPM) results: dippers (n=110) and non-dippers (n=96). Morning blood pressure surge was calculated. Echocardiographic findings and hospital admissions during follow-up were noted. Statistical significance was defined as p < 0.05. Results: The study group comprised 206 patients with a male predominance and mean age of 63.5 ± 16.1 years. The non-dipper group had significantly more hospital admissions compared to dippers. There was a positive correlation between MBPS and left atrial volume index (r=0.331, p=0.001), the ratio between early mitral inflow velocity and flow propagation velocity (r= 0.326, p=0.001), and the ratio between early mitral inflow velocity and mitral annular early diastolic velocity (E/Em) (r= 0.314, p=0.001). Non-dipper BP, MBPS, and E/Em pattern were found to be independently associated with increased hospital admissions. Conclusion: MBPS is associated with diastolic dysfunction and may be a sensitive predictor of hospital admission in patients with systolic heart failure. © 2023, Sociedade Brasileira de Cardiologia. All rights reserved.
dc.identifier.DOI-ID10.36660/abc.20220932
dc.identifier.issn0066782X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/12210
dc.language.isoEnglish
dc.publisherSociedade Brasileira de Cardiologia
dc.rightsAll Open Access; Gold Open Access; Green Open Access
dc.subjectAged
dc.subjectBlood Pressure
dc.subjectBlood Pressure Monitoring, Ambulatory
dc.subjectFemale
dc.subjectHeart Failure, Systolic
dc.subjectHospitals
dc.subjectHumans
dc.subjectHypertension
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectRetrospective Studies
dc.subjectStroke Volume
dc.subjectVentricular Function, Left
dc.subjectbeta adrenergic receptor blocking agent
dc.subjectbrain natriuretic peptide
dc.subjectdiuretic agent
dc.subjectadult
dc.subjectarterial pressure
dc.subjectArticle
dc.subjectblood pressure
dc.subjectblood pressure monitoring
dc.subjectchronic kidney failure
dc.subjectchronic obstructive lung disease
dc.subjectdiabetes mellitus
dc.subjectdiastolic blood pressure
dc.subjectdiastolic dysfunction
dc.subjectechocardiography
dc.subjectend-diastolic velocity
dc.subjectheart ejection fraction
dc.subjectheart left ventricle ejection fraction
dc.subjecthuman
dc.subjecthypertension
dc.subjectmale
dc.subjectreceiver operating characteristic
dc.subjectrelaxation time
dc.subjectretrospective study
dc.subjectrisk factor
dc.subjectstatistical significance
dc.subjectsystolic blood pressure
dc.subjectsystolic heart failure
dc.subjectvelocity
dc.subjectaged
dc.subjectblood pressure monitoring
dc.subjectcomplication
dc.subjectdiagnostic imaging
dc.subjectfemale
dc.subjectheart left ventricle function
dc.subjectheart stroke volume
dc.subjecthospital
dc.subjecthypertension
dc.subjectmiddle aged
dc.titleThe Relationship between Nocturnal Dipping Status, Morning Blood Pressure Surge, and Hospital Admissions in Patients with Systolic Heart Failure
dc.typeArticle

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