What does this research mean for the field?

The nocturnal non-dipping blood pressure pattern is significantly more reproducible in type 2 diabetic hypertensive patients compared to non-diabetic hypertensive patients, and this reproducible pattern is associated with more severe cardiac and extracardiac target organ damage. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

March 9, 2006Journal of Hypertension

Short-term reproducibility of a non-dipping pattern in type 2 diabetic hypertensive patients

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Why the study?

Is the nocturnal non-dipping blood pressure pattern more reproducible in type 2 diabetic hypertensive patients compared to non-diabetic hypertensive patients?

Structured PICO

Is the nocturnal non-dipping blood pressure pattern more reproducible in type 2 diabetic hypertensive patients compared to non-diabetic hypertensive patients?

Population

97 adults including 36 treated hypertensive patients with long-lasting type 2 diabetes (>10 years duration, mean age 65 +/- 9 years) and 61 untreated non-diabetic subjects with grade 1 and grade 2 uncomplicated essential hypertension (mean age 65 +/- 5 years).

Intervention

Two 24-h periods of ambulatory blood pressure monitoring (ABPM) within a 4-week period

Comparator

Non-diabetic hypertensive subjects

Outcome

Intrasubject short-term reproducibility of a nocturnal non-dipping blood pressure patternsurrogate

Diabetic hypertensive patients have a highly reproducible non-dipping blood pressure pattern, which is strongly associated with cardiac and extracardiac target organ damage, suggesting a single ABPM recording is more reliable in this population.

Discussion

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Implication

May support single ABPM for non-dipping assessment in diabetics; leaves open outcome impact and therapy guidance.

Cite This Study

Cuspidi et al. (2006) studied this question.

synapsesocial.com/papers/6a1981f45d70402e70d964b6 https://doi.org/10.1097/01.hjh.0000217846.65089.19

Topics

Hypertension management Echocardiography

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Short-term reproducibility of a non-dipping pattern in type 2 diabetic hypertensive patients

Structured PICO

Discussion

Implication

Cite This Study

Topics

Short-term reproducibility of a non-dipping pattern in type 2 diabetic hypertensive patients

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider