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2024, Number 4

Cardiovasc Metab Sci 2024; 35 (4)

Circadian variation of blood pressure obtained by ambulatory blood pressure monitoring in hypertensive individuals in Mexico City

Rodríguez-Cruz, René; Sánchez-Hernández, Marco Antonio; Ortega-Garibay, Liliana Isabel; Romero-Badillo, Mónica Lizbeth; Velásquez-Cueto, María Guadalupe; García-Ramírez, Jessica Elizabeth

ABSTRACT

Introduction: the circadian rhythm of blood pressure has been associated with various vascular and metabolic effects contributing to increased mortality among individuals with hypertension. Thus, elucidating relevant variables could enhance understanding and potentially decrease mortality rates in this population. Objective: this retrospective study aimed to determine the circadian pattern of blood pressure in hypertensive individuals using Ambulatory Blood Pressure Monitoring (ABPM) in Mexico City. Material and methods: an observational, descriptive, cross-sectional study was conducted by reviewing PDF files of ABPM reports from a cardiology outpatient clinic. The study encompassed all individuals undergoing follow-up at a specialized clinic in Mexico City. Results: among the 648 patients included in the study, the physiological dipper pattern, considered normal, was present in 72.6% of hypertensive individuals. Additionally, 19% exhibited a non-dipper pattern, 22.5% displayed an inverse dipper pattern, and 12% showed an extreme dipper pattern. No significant differences were observed between genders. Conclusions: the circadian rhythm of blood pressure, characterized by the physiological dipper pattern, was observed in only 72.6% of hypertensive individuals, even among those with normal average blood pressure. The inverse dipper pattern represented the second most prevalent group at 22.5%. Minor differences were noted between men and women regarding the timing of peak hypertension.
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Keywords

circadian rhythm blood pressure hypertension Ambulatory Blood Pressure Monitoring




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Cardiovascular and Metabolic Science Vol. 35, Num. 4, Octubre-Diciembre 2024. Es una publicación trimestral editada por la Asociación Nacional de Cardiólogos de México. Magdalena 135. Col. Del Valle. Del. Benito Juárez. Ciudad de México, México. C.P. 03103. Tel. 5556368002 http://www.medigraphic.com/cms ancam@ancam.org.mx https://www.medigraphic.com/cms/ E-mail: revmexcardiol@gmail.com Editor responsable. Dr. Eduardo Meaney Mendiolea. Reserva de Derechos al Uso Exclusivo Nº 04-2019-022717130200-102. ISSN impreso: 2683-2828, ISSN electrónico: 2954-3835. Otorgados por el Instituto Nacional del Derecho de Autor. Responsable de la última actualización de este número, Departamento de Internet, Graphimedic, S.A. de C.V., Ing. Luis Rosales Jiménez, Coquimbo 936, Col. Lindavista, Delegación Gustavo A. Madero, C.P. 07300, Ciudad de México, México. Fecha de última modificación, 14 de abril de 2025.

 

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