CIRCADIAN BLOOD PRESSURE PROFILE IN PATIENTS WITH CHRONIC CARDIORENAL SYNDROME
https://doi.org/10.18705/1607-419X-2014-20-6-538-545
Abstract
Objective. To determine the features of circadian blood pressure (BP) profile depending on renal function in patients with chronic heart failure (CHF).
Design and methods. We examined 211 patients with CHF (126 men and 85 women), including 125 (59,2 %) patients with cardiorenal syndrome and 86 (40,8 %) patients without chronic kidney disease (CKD). Mean age was 58,1 ± 10,8 years. CKD was diagnosed according to the Scientific Society of Russian Nephrologists guidelines 2012.
Results. An increase in time and area indices of arterial hypotension in patients with CHF, associated with CKD 3B stage was detected. Also, the nocturnal BP fall reduction was associated with increasing severity of CKD.
Conclusions. 1. The increase in nocturnal BP fall is associated with increasing in daytime area and time indices of arterial hypotension in patients with cardiorenal syndrome. 2. Twenty-four-hour ambulatory BP monitoring allows to obtain additional information on hemodynamic parameters in patients with CHF and should be recommended for this group of patients.
About the Authors
V. A. Serov
Ulyanovsk State University, Ulyanovsk
Russian Federation
Russian Federation
Corresponding author: Valeriy A. Serov, MD, PhD, Professor, Ulyanovsk State University, L. Tolstoy street, Ulyanovsk, 432027 Russia. Phone: + 7 (8422)55–27–08. E-mail: Valery_serov@mail.ru
A. M. Shutov
Ulyanovsk State University, Ulyanovsk
Russian Federation
MD, PhD, DSc, Professor, Head, Department of Internal and Professional Diseases, Medical Faculty
Russian Federation
MD, PhD, DSc, Professor, Head, Department of Internal and Professional Diseases, Medical Faculty
D. V. Serova
Ulyanovsk State University, Ulyanovsk
Russian Federation
MD, PhD student, Department of Internal and Professional Diseases, Medical Faculty
Russian Federation
MD, PhD student, Department of Internal and Professional Diseases, Medical Faculty
S. V. Shevchenko
Ulyanovsk Central City Hospital, Ulyanovsk
Russian Federation
MD, Head, Cardiology Department
Russian Federation
MD, Head, Cardiology Department
E. U. Shmelkova
Ulyanovsk Central City Hospital, Ulyanovsk
Russian Federation
MD, Deputy Chief Physician
Russian Federation
MD, Deputy Chief Physician
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Review
For citations:
Serov V.A., Shutov A.M., Serova D.V., Shevchenko S.V., Shmelkova E.U. CIRCADIAN BLOOD PRESSURE PROFILE IN PATIENTS WITH CHRONIC CARDIORENAL SYNDROME. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2014;20(6):538-545. https://doi.org/10.18705/1607-419X-2014-20-6-538-545
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