论文标题
对高血压受试者血压昼夜节律的吸烟作用
Smoking effect on the circadian rhythm of blood pressure in hypertensive subjects
论文作者
论文摘要
在夜间或24小时内,血压(BP)的办公测量以及平均值的使用并不能准确描述BP昼夜节律的变化。此外,几个危险因素会影响这种节奏,但直到现在,由于尚未研究这种危险因素的存在,尚未研究。吸烟是增加心血管发病率和死亡率的最相关风险因素之一。这项研究的目的是进行定量评估,并提供适当的时间细节,吸烟如何影响BP昼夜节律的正常性和高血压受试者,不包括那些提出其他风险因素(例如肥胖,血脂异常和糖尿病)的人。使用了来自618名受试者的Holter BP监测,并在吸烟者或非吸烟者中分别检查了24H的行为。在BP节奏中发现了四个具有替代特征的间隔,并且回归线近似于它们,以评估每个时期BP的变化速率。结果表明,高血压吸烟者比非吸烟者高的值更高,并且在10:00到19:00之间的非吸烟者与非吸烟者之间的显着差异。非吸烟者的10:00到14:30之间的变化比吸烟者的正常性和高血压受试者高于吸烟者,而在其他三个时期则相反。在24小时内,BP变化的速度不同,可能与心血管疾病的风险不同有关。
The use of office measurement of Blood Pressure (BP) as well as of the mean on day-time, on night-time or on 24h does not accurately describe the changes of the BP circadian rhythm. Moreover, several risk factors affect this rhythm but until now possible alterations, due to the presence of such risk factors considered separately, were not been yet studied. Cigarette smoking is one of the most relevant risk factors increasing cardiovascular morbidity and mortality. The aim of this study is to evaluate quantitatively and with a suitable temporal detail how the smoking influences the BP circadian rhythm in normotensive and hypertensive subjects excluding those who presented other risk factors like obesity, dyslipidemia and diabetes mellitus. Holter BP monitoring coming from 618 subjects was used and the behaviour on 24h was examined separately in normotensive and hypertensive subjects either smokers or non-smokers. Four intervals with alternate different characteristics were found in the BP rhythm and regression lines approximated them in order to evaluate the changing rate of BP in each period. Results showed higher values from 10:00 to 02:00 in hypertensive smokers than non-smokers and significant differences between normotensive smokers and non-smokers between 10:00 and 19:00. The changing rate between 10:00 and 14:30 was higher in non-smokers than in smokers for both normotensive and hypertensive subjects while the opposite was found in the other three periods. The different velocity rates of BP changes during 24h, could be associated with different risk levels of cardiovascular disease.