Articles Vol. 65 No. 2 08/03/2024

9. NON-DIPPER AND RELATED FACTORS IN ELDER HYPERTENSIVE MEN

Nguyen Dang Phuong Kieu1,2, Nguyen Van Tri3,4
1 175 Hospital
2 Bệnh viện 175
3 Ho Chi Minh City University of Medicine and Pharmacy
4 Đại học Y Dược TP Hồ Chí Minh
Corresponding author: nguyendangphuongkieu87@gmail.com
DOI: 10.52163/yhc.v65i2.926
17 Views
13 Downloads
Keywords
Ambulatory Blood Pressure Monitoring (ABPM), Non-Dipper (ND).
Abstract

Objective: Determine the rate of loss of blood pressure; the relationship between factors including: age, body mass index, smoking, dyslipidemia, diabetes, chronic kidney disease and antihypertensive drugs with loss of blood pressure, the relationship between loss of blood pressure with left ventricular hypertrophy, atherosclerosis and common carotid artery intima-media thickening via ultrasound in elderly men with hypertension.

Method: The study design is descriptive cross-sectional. Subject: elder hypertensive men who are inpatients at Department of Senior Official in 175 Military Hospital from July 2020 to May 2021.

Results: Non-dipper accounts for 85.7%. Obesity, chronic kidney disease, the use of a higher number of antihypertensive drugs and the using time of antihypertensive drug associate with non-dipper (p <0.05). And non-dipper is an independent factor of common cariotid intima-media thickness (OR = 4.39, 95% CI: 1.03 – 18.4, p = 0.045).

Conclusion: Non-dipper is very common in elder hypertensive men. Obesity, chronic kidney disease, number of antihypertensive agent, the using time of antihypertensive drug relate to non-dipper. And the abnormality is an independent factor of common cariotid intima-media thickness.

References
[1]
Blacher J, Levy BI, Mourad JJ et al., From Google Scholar
[2]
epidemiological transition to modern Google Scholar
[3]
cardiovascular epidemiology: hypertension in70 Google Scholar
[4]
the 21st century, The Lancet, 388(10043), 2016, Google Scholar
[5]
-532. doi:10.1016/S0140-6736(16)00002-7 Google Scholar
[6]
Qaseem A, Wilt TJ, Rich R et al., Pharmacologic Google Scholar
[7]
Treatment of Hypertension in Adults Aged 60 Google Scholar
[8]
Years or Older to Higher Versus Lower Blood Google Scholar
[9]
Pressure Targets: A Clinical Practice Guideline Google Scholar
[10]
From the American College of Physicians and the Google Scholar
[11]
American Academy of Family Physicians, Ann Google Scholar
[12]
Intern Med, 166(6), 2017, 430-437. doi:10.7326/ Google Scholar
[13]
M16-1785 Google Scholar
[14]
Kario K, Hoshide S, Chia Y et al., Guidance Google Scholar
[15]
on ambulatory blood pressure monitoring: A Google Scholar
[16]
statement from the HOPE Asia Network, J Clin Google Scholar
[17]
Hypertens, 23(3), 2020, 411-421. doi:10.1111/ Google Scholar
[18]
jch.14128 Google Scholar
[19]
Nakano Y, Oshima T, Ozono R et al., Nondipper Google Scholar
[20]
phenomenon in essential hypertension Google Scholar
[21]
is related to blunted nocturnal rise and fall of Google Scholar
[22]
sympatho-vagal nervous activity and progress Google Scholar
[23]
in retinopathy, Auton Neurosci Basic Clin, Google Scholar
[24]
(3), 2001, 181-186. doi:10.1016/S1566- Google Scholar
[25]
(01)00238-7 Google Scholar
[26]
Pierdomenico SD, Pierdomenico AM, Cuccurullo Google Scholar
[27]
F, Morning blood pressure surge, dipping, and Google Scholar
[28]
risk of ischemic stroke in elderly patients treated Google Scholar
[29]
for hypertension, Am J Hypertens, 27(4), 2014, Google Scholar
[30]
-570. doi:10.1093/ajh/hpt170 Google Scholar
[31]
Trần Thị Bích Liên, Hoàng Khánh, Biến thiên Google Scholar
[32]
huyết áp ở bệnh nhân cao tuổi tăng huyết áp bằng Google Scholar
[33]
đo huyết áp lưu động 24 giờ tại Bệnh viện đa Google Scholar
[34]
khoa thành phố cần thơ, Tạp chí Y Dược Học Google Scholar
[35]
Huế, tập1(1)- số 1/2011, trang 58. Google Scholar
[36]
Bendzala M, Kruzliak P, Gaspar L et al., Google Scholar
[37]
Prognostic significance of dipping in older Google Scholar
[38]
hypertensive patients, Blood Press, 24(2), 2015, Google Scholar
[39]
-110. doi:10.3109/08037051.2014.992198 Google Scholar
[40]
Gao Y, Guo Q, Zhang J et al., The underlying Google Scholar
[41]
risks of circadian blood pressure variation for Google Scholar
[42]
carotid plaque in treated hypertensive patients Google Scholar
[43]
with normal blood pressure, Blood Press Google Scholar
[44]
Monit, 22(4), 2017, 191-195. doi:10.1097/ Google Scholar
[45]
MBP.0000000000000253 Google Scholar
[46]
Viechtbauer W, Smits L, Kotz D et al., A simple Google Scholar
[47]
formula for the calculation of sample size in pilot Google Scholar
[48]
studies, J Clin Epidemiol, 68(11), 2015, 1375- Google Scholar
[49]
doi:10.1016/j.jclinepi.2015.04.014 Google Scholar
[50]
Phạm Tử Dương, Tăng huyết áp, Nhà xuất bản Google Scholar
[51]
Y học, 2005. Google Scholar
[52]
WHO Expert Consultation, Appropriate Google Scholar
[53]
body-mass index for Asian populations and Google Scholar
[54]
its implications for policy and intervention Google Scholar
[55]
strategies, Lancet Lond Engl, 363(9403), 2004, Google Scholar
[56]
-163. doi:10.1016/S0140-6736(03)15268-3 Google Scholar
[57]
Mancia G, Fagard R, Narkiewicz K et al., 2013 Google Scholar
[58]
ESH/ESC Guidelines for the management Google Scholar
[59]
of arterial hypertension: the Task Force for Google Scholar
[60]
the management of arterial hypertension of Google Scholar
[61]
the European Society of Hypertension (ESH) Google Scholar
[62]
and of the European Society of Cardiology Google Scholar
[63]
(ESC), J Hypertens, 31(7), 2013, 1281-1357. Google Scholar
[64]
doi:10.1097/01.hjh.0000431740.32696.cc Google Scholar
[65]
ElSayed NA, Aleppo G, Aroda VR et al., Google Scholar
[66]
Classification and Diagnosis of Diabetes: Google Scholar
[67]
Standards of Care in Diabetes-2023, Diabetes Google Scholar
[68]
Care, 46(Suppl 1):S19-S40, 2023. doi:10.2337/ Google Scholar
[69]
dc23-S002 Google Scholar
[70]
Becker GJ, Wheeler DC, Zeeuw DD et al., Google Scholar
[71]
Kidney disease: Improving global outcomes Google Scholar
[72]
(KDIGO) blood pressure work group. KDIGO Google Scholar
[73]
clinical practice guideline for the management of Google Scholar
[74]
blood pressure in chronic kidney disease, Kidney Google Scholar
[75]
Int Suppl, 2(5), 2012, 337-414. doi:10.1038/ Google Scholar
[76]
kisup.2012.46 Google Scholar
[77]
Vũ Anh Nhị, Cách tiếp cận trường hợp tai biến Google Scholar
[78]
mạch máu não, Chẩn đoán và điều trị tai biến Google Scholar
[79]
mạch máu não, NXB Y học, 2012, tr. 1-17. Google Scholar
[80]
Phạm Thị Tây Thi, Khảo sát biến thiên huyết áp Google Scholar
[81]
giờ ở bệnh nhân tăng huyết áp > 60 tuổi đang Google Scholar
[82]
điều trị tại BV Bạch Mai, Luận văn Chuyên khoa Google Scholar
[83]
, Đại Học Y Hà Nội, 2017. Google Scholar
[84]
de la Sierra A, Redon J, Banegas JR et Google Scholar
[85]
al., Prevalence and factors associated Google Scholar
[86]
with circadian blood pressure patterns in Google Scholar
[87]
hypertensive patients, Hypertens Dallas Tex Google Scholar
[88]
, 53(3), 2009, 466-472. doi:10.1161/ Google Scholar
[89]
HYPERTENSIONAHA.108.124008 Google Scholar
[90]
Piepoli MF, Hoes AW, Agewall S et al., 2016 Google Scholar
[91]
European Guidelines on cardiovascular disease Google Scholar
[92]
prevention in clinical practice: The Sixth Joint Google Scholar
[93]
Task Force of the European Society of Cardiology Google Scholar
[94]
and Other Societies on Cardiovascular Disease Google Scholar
[95]
Prevention in Clinical Practice (constituted by Google Scholar
[96]
representatives of 10 societies and by invited Google Scholar
[97]
experts)Developed with the special contribution Google Scholar
[98]
of the European Association for Cardiovascular Google Scholar
[99]
Prevention & Rehabilitation (EACPR), Eur Google Scholar
[100]
Heart J, 37(29), 2016, 2315-2381. doi:10.1093/ Google Scholar
[101]
eurheartj/ehw106 Google Scholar
[102]
Calvo C, Hermida RC, Ayala DE et al., Prevalence Google Scholar
[103]
of non-dipper blood pressure pattern in elderly Google Scholar
[104]
patients with essential hypertension as a function Google Scholar
[105]
of circadian time of antihypertensive treatment, Google Scholar
[106]
Am J Hypertens, 17(5, Supplement):S43-S44, Google Scholar
[107]
doi:10.1016/j.amjhyper.2004.03.104 Google Scholar
[108]
Kotruchin P, Hoshide S, Kario K, Carotid Google Scholar
[109]
atherosclerosis and the association between Google Scholar
[110]
nocturnal blood pressure dipping and Google Scholar
[111]
cardiovascular events, J Clin Hypertens Google Scholar
[112]
Greenwich Conn, 20(3), 2018, 450-455. Google Scholar
[113]
doi:10.1111/jch.13218 Google Scholar