TY - JOUR
T1 - Associations Between Body Mass Index, Ambulatory Blood Pressure Findings, and Changes in Cardiac Structure
T2 - Relevance of Pulse and Nighttime Pressures
AU - Fedecostante, Massimiliano
AU - Spannella, Francesco
AU - Giulietti, Federico
AU - Espinosa, Emma
AU - Dessì-Fulgheri, Paolo
AU - Sarzani, Riccardo
PY - 2015/2/1
Y1 - 2015/2/1
N2 - Ambulatory blood pressure monitoring (ABPM) is central in the management of hypertension. Factors related to BP, such as body mass index (BMI), may differently affect particular aspects of 24-hour ABPM profiles. However, the relevance of BMI, the most used index of adiposity, has been underappreciated in the determination of specific aspects of 24-hour ABPM profiles in hypertension. The authors evaluated the association between BMI and aspects of ABPM together with their associations with cardiac remodeling in 1841 patients. A positive association of BMI with 24-hour, daytime, and nighttime pulse pressure in untreated normal weight and overweight/obese hypertensive patients and a positive association of BMI with nocturnal BP parameters in treated overweight/obese hypertensive patients was observed. The clinical relevance of these findings was supported by the positive significant correlations of BMI-related BPs with left ventricular mass and atrial diameter.
AB - Ambulatory blood pressure monitoring (ABPM) is central in the management of hypertension. Factors related to BP, such as body mass index (BMI), may differently affect particular aspects of 24-hour ABPM profiles. However, the relevance of BMI, the most used index of adiposity, has been underappreciated in the determination of specific aspects of 24-hour ABPM profiles in hypertension. The authors evaluated the association between BMI and aspects of ABPM together with their associations with cardiac remodeling in 1841 patients. A positive association of BMI with 24-hour, daytime, and nighttime pulse pressure in untreated normal weight and overweight/obese hypertensive patients and a positive association of BMI with nocturnal BP parameters in treated overweight/obese hypertensive patients was observed. The clinical relevance of these findings was supported by the positive significant correlations of BMI-related BPs with left ventricular mass and atrial diameter.
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U2 - 10.1111/jch.12463
DO - 10.1111/jch.12463
M3 - Article
C2 - 25556923
AN - SCOPUS:84922980013
VL - 17
SP - 147
EP - 153
JO - Journal of the CardioMetabolic Syndrome
JF - Journal of the CardioMetabolic Syndrome
SN - 1524-6175
IS - 2
ER -