Document Detail


QT dispersion in dipper- and nondipper-type hypertension.
MedLine Citation:
PMID:  9544867     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to identify the relationship of QT dispersion on 12-lead electrocardiograms and left ventricular mass index on echocardiograms associated with the circadian rhythm of blood pressure (BP). Heart rate and BP were monitored every 30 min for 48 h in 62 patients with essential hypertension using an ambulatory BP monitoring device. The patients were divided into four groups according to gender and circadian BP pattern (nocturnal BP dipper or nondipper). The patients were classified as dippers if their daytime BP decreased by at least 10% during the night and all the other subjects were classified as nondippers. Age, body mass index, and 48-h mean BP were similar among the four groups. During the night-rest period, the systolic and diastolic BP were significantly decreased in dipper-type hypertensives. The maximum QTc interval and QTc dispersion were longer in nondippers than in dippers. Left ventricular mass index (LVMI) had a tendency to increase in nondippers. The nocturnal reduction of BP significantly correlated with QTc dispersion and LVMI. The QTc dispersion significantly correlated with LVMI and interventricular septum thickness.
Authors:
I Kohno; M Takusagawa; D Yin; M Okutani; Y Mochizuki; S Sano; T Ishihara; H Ishii; H Ijiri; S Komori; K Tamura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of hypertension     Volume:  11     ISSN:  0895-7061     ISO Abbreviation:  Am. J. Hypertens.     Publication Date:  1998 Mar 
Date Detail:
Created Date:  1998-05-01     Completed Date:  1998-05-01     Revised Date:  2009-02-24    
Medline Journal Info:
Nlm Unique ID:  8803676     Medline TA:  Am J Hypertens     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  280-5     Citation Subset:  IM    
Affiliation:
Second Department of Internal Medicine, Yamanashi Medical University, Tamaho, Nakakoma, Japan. ikohno@res.yamanashi-med.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Blood Pressure / physiology
Circadian Rhythm / physiology
Echocardiography
Electrocardiography*
Female
Heart Septum / ultrasonography
Heart Ventricles
Humans
Hypertension / physiopathology*,  ultrasonography
Male
Middle Aged

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


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