Is blood pressure during the night more predictive of cardiovascular outcome than during the day?

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Standard

Is blood pressure during the night more predictive of cardiovascular outcome than during the day? / Li, Yan; Boggia, Jose; Thijs, Lutgarde; Hansen, Tine Willum; Kikuya, M.; Bjorklund-Bodegard, K.; Richart, Tom; Ohkubo, T.; Kuznetsova, T.; Torp-Pedersen, C.; Lind, L.; Ibsen, H.; Imai, Y.; Wang, J.; Sandoya, E.; O'Brien, E.; Staessen, J.A.

I: Blood Pressure Monitoring, Bind 13, Nr. 3, 2008, s. 145-147.

Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt

Harvard

Li, Y, Boggia, J, Thijs, L, Hansen, TW, Kikuya, M, Bjorklund-Bodegard, K, Richart, T, Ohkubo, T, Kuznetsova, T, Torp-Pedersen, C, Lind, L, Ibsen, H, Imai, Y, Wang, J, Sandoya, E, O'Brien, E & Staessen, JA 2008, 'Is blood pressure during the night more predictive of cardiovascular outcome than during the day?', Blood Pressure Monitoring, bind 13, nr. 3, s. 145-147. https://doi.org/10.1097/MBP.0b013e3282fd16cc

APA

Li, Y., Boggia, J., Thijs, L., Hansen, T. W., Kikuya, M., Bjorklund-Bodegard, K., Richart, T., Ohkubo, T., Kuznetsova, T., Torp-Pedersen, C., Lind, L., Ibsen, H., Imai, Y., Wang, J., Sandoya, E., O'Brien, E., & Staessen, J. A. (2008). Is blood pressure during the night more predictive of cardiovascular outcome than during the day? Blood Pressure Monitoring, 13(3), 145-147. https://doi.org/10.1097/MBP.0b013e3282fd16cc

Vancouver

Li Y, Boggia J, Thijs L, Hansen TW, Kikuya M, Bjorklund-Bodegard K o.a. Is blood pressure during the night more predictive of cardiovascular outcome than during the day? Blood Pressure Monitoring. 2008;13(3):145-147. https://doi.org/10.1097/MBP.0b013e3282fd16cc

Author

Li, Yan ; Boggia, Jose ; Thijs, Lutgarde ; Hansen, Tine Willum ; Kikuya, M. ; Bjorklund-Bodegard, K. ; Richart, Tom ; Ohkubo, T. ; Kuznetsova, T. ; Torp-Pedersen, C. ; Lind, L. ; Ibsen, H. ; Imai, Y. ; Wang, J. ; Sandoya, E. ; O'Brien, E. ; Staessen, J.A. / Is blood pressure during the night more predictive of cardiovascular outcome than during the day?. I: Blood Pressure Monitoring. 2008 ; Bind 13, Nr. 3. s. 145-147.

Bibtex

@article{d9f9b1e0064a11deb05e000ea68e967b,
title = "Is blood pressure during the night more predictive of cardiovascular outcome than during the day?",
abstract = "The objective of this study was to investigate the prognostic significance of the ambulatory blood pressure (BP) during night and day and of the night-to-day BP ratio (NDR). We studied 7458 participants (mean age 56.8 years; 45.8% women) enrolled in the International Database on Ambulatory BP in relation to Cardiovascular Outcome. Using Cox models, we calculated hazard ratios (HR) adjusted for cohort and cardiovascular risk factors. Over 9.6 years (median), 983 deaths and 943 cardiovascular events occurred. Nighttime BP predicted mortality outcomes (HR, 1.18-1.24; P<0.01) independent of daytime BP. Conversely, daytime systolic (HR, 0.84; P<0.01) and diastolic BP (HR, 0.88; P<0.05) predicted only noncardiovascular mortality after adjustment for nighttime BP. Both daytime BP and nighttime BP consistently predicted all cardiovascular events (HR, 1.11-1.33; P<0.05) and stroke (HR, 1.21-1.47; P<0.01). Daytime BP lost its prognostic significance for cardiovascular events in patients on antihypertensive treatment. Adjusted for the 24-h BP, NDR predicted mortality (P<0.05), but not fatal combined with nonfatal events. Participants with systolic NDR of at least 1 compared with participants with normal NDR (> or = 0.80 to <0.90) were older, at higher risk of death, but died at higher age. The predictive accuracy of the daytime and nighttime BP and the NDR depended on the disease outcome under study. The increased mortality in patients with higher NDR probably indicates reverse causality. Our findings support recording the ambulatory BP during the whole day.",
author = "Yan Li and Jose Boggia and Lutgarde Thijs and Hansen, {Tine Willum} and M. Kikuya and K. Bjorklund-Bodegard and Tom Richart and T. Ohkubo and T. Kuznetsova and C. Torp-Pedersen and L. Lind and H. Ibsen and Y. Imai and J. Wang and E. Sandoya and E. O'Brien and J.A. Staessen",
year = "2008",
doi = "10.1097/MBP.0b013e3282fd16cc",
language = "English",
volume = "13",
pages = "145--147",
journal = "Blood Pressure Monitoring",
issn = "1359-5237",
publisher = "Lippincott Williams & Wilkins",
number = "3",

}

RIS

TY - JOUR

T1 - Is blood pressure during the night more predictive of cardiovascular outcome than during the day?

AU - Li, Yan

AU - Boggia, Jose

AU - Thijs, Lutgarde

AU - Hansen, Tine Willum

AU - Kikuya, M.

AU - Bjorklund-Bodegard, K.

AU - Richart, Tom

AU - Ohkubo, T.

AU - Kuznetsova, T.

AU - Torp-Pedersen, C.

AU - Lind, L.

AU - Ibsen, H.

AU - Imai, Y.

AU - Wang, J.

AU - Sandoya, E.

AU - O'Brien, E.

AU - Staessen, J.A.

PY - 2008

Y1 - 2008

N2 - The objective of this study was to investigate the prognostic significance of the ambulatory blood pressure (BP) during night and day and of the night-to-day BP ratio (NDR). We studied 7458 participants (mean age 56.8 years; 45.8% women) enrolled in the International Database on Ambulatory BP in relation to Cardiovascular Outcome. Using Cox models, we calculated hazard ratios (HR) adjusted for cohort and cardiovascular risk factors. Over 9.6 years (median), 983 deaths and 943 cardiovascular events occurred. Nighttime BP predicted mortality outcomes (HR, 1.18-1.24; P<0.01) independent of daytime BP. Conversely, daytime systolic (HR, 0.84; P<0.01) and diastolic BP (HR, 0.88; P<0.05) predicted only noncardiovascular mortality after adjustment for nighttime BP. Both daytime BP and nighttime BP consistently predicted all cardiovascular events (HR, 1.11-1.33; P<0.05) and stroke (HR, 1.21-1.47; P<0.01). Daytime BP lost its prognostic significance for cardiovascular events in patients on antihypertensive treatment. Adjusted for the 24-h BP, NDR predicted mortality (P<0.05), but not fatal combined with nonfatal events. Participants with systolic NDR of at least 1 compared with participants with normal NDR (> or = 0.80 to <0.90) were older, at higher risk of death, but died at higher age. The predictive accuracy of the daytime and nighttime BP and the NDR depended on the disease outcome under study. The increased mortality in patients with higher NDR probably indicates reverse causality. Our findings support recording the ambulatory BP during the whole day.

AB - The objective of this study was to investigate the prognostic significance of the ambulatory blood pressure (BP) during night and day and of the night-to-day BP ratio (NDR). We studied 7458 participants (mean age 56.8 years; 45.8% women) enrolled in the International Database on Ambulatory BP in relation to Cardiovascular Outcome. Using Cox models, we calculated hazard ratios (HR) adjusted for cohort and cardiovascular risk factors. Over 9.6 years (median), 983 deaths and 943 cardiovascular events occurred. Nighttime BP predicted mortality outcomes (HR, 1.18-1.24; P<0.01) independent of daytime BP. Conversely, daytime systolic (HR, 0.84; P<0.01) and diastolic BP (HR, 0.88; P<0.05) predicted only noncardiovascular mortality after adjustment for nighttime BP. Both daytime BP and nighttime BP consistently predicted all cardiovascular events (HR, 1.11-1.33; P<0.05) and stroke (HR, 1.21-1.47; P<0.01). Daytime BP lost its prognostic significance for cardiovascular events in patients on antihypertensive treatment. Adjusted for the 24-h BP, NDR predicted mortality (P<0.05), but not fatal combined with nonfatal events. Participants with systolic NDR of at least 1 compared with participants with normal NDR (> or = 0.80 to <0.90) were older, at higher risk of death, but died at higher age. The predictive accuracy of the daytime and nighttime BP and the NDR depended on the disease outcome under study. The increased mortality in patients with higher NDR probably indicates reverse causality. Our findings support recording the ambulatory BP during the whole day.

U2 - 10.1097/MBP.0b013e3282fd16cc

DO - 10.1097/MBP.0b013e3282fd16cc

M3 - Journal article

C2 - 18496289

VL - 13

SP - 145

EP - 147

JO - Blood Pressure Monitoring

JF - Blood Pressure Monitoring

SN - 1359-5237

IS - 3

ER -

ID: 10949609