Key result
The nondipping blood pressure pattern was more prevalent in patients with adrenal hypertension, such as primary aldosteronism (51.5%), compared with essential hypertension (34.2%).
Why the study?
Does ambulatory blood pressure monitoring reveal a higher prevalence of the nondipping pattern in patients with adrenal hypertension compared to essential hypertension?
Population
364 subjects, including 66 patients with primary aldosteronism, 37 with pheochromocytomas, 45 with adrenal…
Comparison
Ambulatory blood pressure monitoring (ABPM) vs Essential hypertensive patients and normotensive…
Design
Cross-sectional
Authors
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May support ABPM consideration in adrenal hypertension; leaves open whether nondipping independently predicts outcomes.
Observational (n=364)
Does ambulatory blood pressure monitoring reveal a higher prevalence of the nondipping pattern in patients with adrenal hypertension compared to essential hypertension?
Absolute Event Rate: 51.5% vs 34.2%
Patients with secondary hypertension due to adrenal diseases have a significantly higher prevalence of the nondipping blood pressure pattern compared to those with essential hypertension, suggesting an independent cardiovascular risk factor.
Ceruti et al. (2006) conducted an observational in Secondary arterial hypertension due to adrenal diseases (n=364). Ambulatory blood pressure monitoring vs. Essential hypertension and normotensive subjects was evaluated on Presence of the 'nondipper' phenomenon. The nondipping blood pressure pattern was more prevalent in patients with adrenal hypertension, such as primary aldosteronism (51.5%), compared with essential hypertension (34.2%).
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