Document Detail


Ambulatory blood pressure in patients with mesangial proliferative glomerulonephritis.
MedLine Citation:
PMID:  11688762     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twenty-four-hour ambulatory blood pressure was measured in seven normotensive and 10 hypertensive patients with biopsy proven mesangial proliferative glomerulonephritis (MPG). In normotensive patients, the nocturnal blood pressure variation was seen with a nightly drop in blood pressure while in hypertensive patients with MPG, 24-h blood pressure level was increased both at day- and night-time, but a nocturnal change in blood pressure was also observed in these patients. The pattern of blood pressure variation was not, however, different from the normotensive patients. None of the hypertensive patients with MPG was a so-called non-dipper, showing the same level of blood pressure both at day- and night-time. The hypertensive patients had a rapid increase in blood pressure in the early morning hours from 06.00 to 09.00 h, followed by a relatively abrupt decrease in blood pressure in the evening hours. The patients with high blood pressure were treated with antihypertensive drugs; all patients started with captopril 25 mg once a day, later increasing to twice daily. If the correction of the high blood pressure was not achieved with this drug, amlodipine 5 or 10 mg was added with or without furosemide. Most of the patients needed more than one drug. In all patients, a normal 24-h ambulatory blood pressure could be obtained. The lack of nightly non-dippers in the present hypertensive patients may be explained by a relatively short history of renal disease and the presence of normal or moderately reduced glomerular filtration rate. The abrupt rise in blood pressure during the early morning hours may be due to activation of the renin-angiotensin or sympathetic nervous system in the hypertensive patients with MPG.
Authors:
A Dale; B M Iversen
Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Blood pressure     Volume:  10     ISSN:  0803-7051     ISO Abbreviation:  Blood Press.     Publication Date:  2001  
Date Detail:
Created Date:  2001-11-01     Completed Date:  2002-09-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9301454     Medline TA:  Blood Press     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  150-5     Citation Subset:  IM    
Affiliation:
Renal Research Group, Institute of Medicine, University of Bergen, Norway.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Antihypertensive Agents / administration & dosage,  pharmacology
Blood Pressure / drug effects
Blood Pressure Monitoring, Ambulatory*
Case-Control Studies
Circadian Rhythm
Female
Glomerulonephritis, Membranoproliferative / physiopathology*
Humans
Hypertension / drug therapy,  physiopathology
Male
Middle Aged
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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