The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Stroke Prognosis and Abnormal Nocturnal Blood Pressure Falls in Older Hypertensives
Abstract
It remains uncertain whether abnormal dipping patterns of nocturnal blood pressure influence the prognosis for stroke. We studied stroke events in 575 older Japanese patients with sustained hypertension determined by ambulatory blood pressure monitoring (without medication). They were subclassified by their nocturnal systolic blood pressure fall (97 extreme-dippers, with ≥20% nocturnal systolic blood pressure fall; 230 dippers, with ≥10% but <20% fall; 185 nondippers, with ≥0% but <10% fall; and 63 reverse-dippers, with <0% fall) and were followed prospectively for an average duration of 41 months. Baseline brain magnetic resonance imaging (MRI) disclosed that the percentages with multiple silent cerebral infarct were 53% in extreme-dippers, 29% in dippers, 41% in nondippers, and 49% in reverse-dippers. There was a J-shaped relationship between dipping status and stroke incidence (extreme-dippers, 12%; dippers, 6.1%; nondippers, 7.6%; and reverse-dippers, 22%), and this remained significant in a Cox regression analysis after controlling for age, gender, body mass index, 24-hour systolic blood pressure, and antihypertensive medication. Intracranial hemorrhage was more common in reverse-dippers (29% of strokes) than in other subgroups (7.7% of strokes, P =0.04). In the extreme-dipper group, 27% of strokes were ischemic strokes that occurred during sleep (versus 8.6% of strokes in the other 3 subgroups, P =0.11). In conclusion, in older Japanese hypertensive patients, extreme dipping of nocturnal blood pressure may be related to silent and clinical cerebral ischemia through hypoperfusion during sleep or an exaggerated morning rise of blood pressure, whereas reverse dipping may pose a risk for intracranial hemorrhage.
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Cites
Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension.
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Staessen, J. A. (1999) · JAMA · doi:10.1001/jama.282.6.539 · Cited by 1,592
Kario, K., Matsuo, T., Kobayashi, H., Imiya, M., Matsuo, M., & Shimada, K. (1996) · Hypertension · doi:10.1161/01.hyp.27.1.130 · Cited by 617
Self-citationRelation Between Nocturnal Decline in Blood Pressure and Mortality The Ohasama Study
Ohkubo, T. (1997) · American Journal of Hypertension · doi:10.1016/s0895-7061(97)00274-4 · Cited by 491
Recommendations for the use of home (self) and ambulatory blood pressure monitoring
Pickering, T. (1996) · American Journal of Hypertension · doi:10.1016/0895-7061(95)00341-x · Cited by 472
Self-citationShimada, K., Kawamoto, A., Matsubayashi, K., Nishinaga, M., Kimura, S., & Ozawa, T. (1992) · PubMed · Cited by 454
Self-citationThe clinical significance of diurnal blood pressure variations. Dippers and nondippers.
Pickering, T. G. (1990) · Circulation · doi:10.1161/01.cir.81.2.700 · Cited by 373
Self-citationSubcortical Silent Brain Infarction as a Risk Factor for Clinical Stroke
ShotaiKobayashi, KazunoriOkada, HiromiKoide, HirokazuBokura, & ShuheiYamaguchi (1997) · Stroke · Cited by 307
Ambulatory Physical Activity as a Determinant of Diurnal Blood Pressure Variation
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Self-citationDiurnal Variation of Blood Pressure in Elderly Patients with Essential Hypertension
Kobrin, I., Oigman, W., Kumar, A., Ventura, H. O., Messerli, F. H., Frohlich, E. D., & Dunn, F. G. (1984) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1984.tb00890.x · Cited by 166
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(2013) · European Heart Journal · doi:10.1093/eurheartj/eht151 · Cited by 13,655
Mancia, G., Fagard, R., Narkiewicz, K., Redón, J., Zanchetti, A., Böhm, M., Christiaens, T., Cifkova, R., De Backer, G., Dominiczak, A., et al. (2013) · Journal of Hypertension · doi:10.1097/01.hjh.0000431740.32696.cc · Cited by 5,655
Meschia, J. F., Bushnell, C., Boden-Albala, B., Braun, L. T., Bravata, D. M., Chaturvedi, S., Creager, M. A., Eckel, R. H., Elkind, M. S. V., Fornage, M., et al. (2014) · Stroke · doi:10.1161/str.0000000000000046 · Cited by 2,650
The Japanese Society of Hypertension Guidelines for the Management of Hypertension (JSH 2019)
Umemura, S., Arima, H., Arima, S., Asayama, K., Dohi, Y., Hirooka, Y., Horio, T., Hoshide, S., Ikeda, S., Ishimitsu, T., et al. (2019) · Hypertension Research · doi:10.1038/s41440-019-0284-9 · Cited by 1,880
Self-citationO'Brien, E., Asmar, R., Beilin, L., Imai, Y., Mallion, J.-M., Mancia, G., Mengden, T., Myers, M., Padfield, P., Palatini, P., et al. (2003) · Journal of Hypertension · doi:10.1097/00004872-200305000-00001 · Cited by 1,655
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Metadata
- Authors
- Kario, K., Pickering, T. G., Matsuo, T., Hoshide, S., Schwartz, J. E., & Shimada, K.
- Venue
- Hypertension
- Published
- 2001-10
- Volume
- 38
- Issue
- 4
- Pages
- 852-857
- ISSN
- 0194-911X (ISSN-L)
- 1524-4563
- OpenAlex
- W2112620497
- Cited by
- 759
- References
- 15
- FWCI
- 14.96
- Type
- journal article
- Language
- en
- Open access
- closed
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