Characterisation of hypertensive patients according to 24 H peripheral resistance

Jpn Heart J. 1998 May;39(3):355-62. doi: 10.1536/ihj.39.355.

Abstract

To clarify whether a circadian rhythm of peripheral resistance exists in humans and whether hypertensive patients represent a homogeneous category in this respect, 15 normotensives aged 31 +/- 4 years and 30 hypertensives aged 41 +/- 13 years were confined to bed for 22 h and forearm flow recorded automatically. Night-time BP values were higher in hypertensive patients (Group B) whose night/day ratios of mean BP were below the 95% C.I. of the normal regression of the normotensives, than in those falling within the 95% C.I. (Group A). Forearm resistance was lower during sleep than during waking in Group A and in the normotensive controls, paralleling the nocturnal blood pressure fall. On the contrary, in the Group B hypertensives, despite a comparable night-time BP decrease, forearm resistance was higher during sleep than during waking.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Analysis of Variance
  • Blood Pressure
  • Circadian Rhythm*
  • Female
  • Forearm / blood supply
  • Humans
  • Hypertension / physiopathology*
  • Male
  • Middle Aged
  • Reference Values
  • Regional Blood Flow
  • Regression Analysis
  • Sleep / physiology
  • Vascular Resistance*