000147003 001__ 147003
000147003 005__ 20241205091043.0
000147003 0247_ $$2doi$$a10.1016/j.rceng.2024.10.011
000147003 0248_ $$2sideral$$a140806
000147003 037__ $$aART-2024-140806
000147003 041__ $$aeng
000147003 100__ $$0(orcid)0000-0002-3132-2171$$aDíez-Manglano, J.$$uUniversidad de Zaragoza
000147003 245__ $$aCircadian pattern of blood pressure in patients with stable COPD
000147003 260__ $$c2024
000147003 5203_ $$aObjective
To describe the circadian blood pressure (BP) pattern in stable COPD patients.
Methods
We included stable COPD patients from Internal Medicine Departments. Office BP and ambulatory BP monitoring were performed. Patients were classified as BP reducers (dipper or extreme dipper) or non-reducers (non-dipper or riser).
Results
We included 43 patients (5 women, mean age 69.5 ± 9.5 years). Among them, 11 had sustained normotension, 13 sustained hypertension, 2 white coat hypertension, and 17 masked hypertension. Arterial stiffness was observed in 12 (27.9%) patients. Overall, 26 (60.5%) exhibited a non-reducer BP profile. Non-reducers had a higher frequency of previous major cardiovascular events (50% vs. 11.8%, p = 0.020) and long-acting muscarinic antagonist use (84.6% vs. 47.1%, p = 0.009).
Conclusions
Hypertension is often masked in COPD patients, who frequently display an altered circadian BP pattern. Longitudinal studies with larger samples are needed to evaluate the impact of these patterns on COPD progression.
000147003 540__ $$9info:eu-repo/semantics/closedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000147003 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000147003 700__ $$aDíaz-Peromingo, J.A.
000147003 700__ $$aBoixeda-Viu, R.
000147003 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000147003 773__ $$tRevista Clínica Española (English Edition)$$x2254-8874
000147003 8564_ $$s438707$$uhttps://zaguan.unizar.es/record/147003/files/texto_completo.pdf$$yVersión publicada
000147003 8564_ $$s2044588$$uhttps://zaguan.unizar.es/record/147003/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000147003 909CO $$ooai:zaguan.unizar.es:147003$$particulos$$pdriver
000147003 951__ $$a2024-12-05-08:46:27
000147003 980__ $$aARTICLE