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Evaluación del patrón de presión arterial durante el ciclo vigilia/sueño en individuos con síndrome metabólico.;
Blood Pressure Pattern during Sleep-Wake Cycle in Subjects with High Prevalence of Metabolic Syndrome

Creators:Leal, Ulises, Espinosa, Milagros, Ruiz, Nelida, Padilla, Dalis, Ochoa, Jotshari, Nicita, Graciela
2012-01-20

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Descripción

La atenuación del descenso fisiológico de la presión arterial durante la noche se asocia con complicaciones cardiovasculares. Asimismo, el sindrome metabólico (SM) eleva considerablemente el riesgo cardiovascular. El presente estudio, de carácter descriptivo-transversal, se llevó a cabo con el objetivo de evaluar el patrón de descenso de la presión arterial durante el sueño nocturno y otros parámetros que proporciona el monitoreo ambulatorio de la presión arterial (MAPA), como los promedios diurnos y nocturnos de las presiones sistólica, diastólica y del pulso, en individuos con SM y determinar su relación con los componentes que definen a este síndrome. Se incluyeron 125 pacientes adultos con patrón reproducible del MAPA. Se determinaron glucemia, colesterol HDL y triglicéridos en suero, la presión arterial de consultorio y la circunferencia abdominal. Para establecer la presencia de SM se aplicaron los criterios del ATP III. La prevalencia global de hipertensión, de SM y de patrón de descenso de presión arterial non-dipper fue del 43%, 56% y 44%, respectivamente. Se observó un aumento progresivo de todas las presiones arteriales y del porcentaje de pacientes con patrón non-dipper al elevarse el número de componentes del SM presentes en los pacientes evaluados. Sólo la circunferencia abdominal predijo el patrón non-dipper . Se demostró una elevación significativa de los diferentes parámetros de la presión arterial evaluados a través del MAPA, así como una prevalencia incrementada de patrón non-dipper entre los individuos con SM.

The reduction of nocturnal drop in blood pressure correlateswith a higher risk of cardiovascular complications.In addition, the metabolic syndrome (MS) significantlyincreases cardiovascular risk. We conducted a descriptive,cross-sectional study to evaluate the pattern of nocturnaldrop in blood pressure and other parameters provided by24-hour ambulatory blood pressure monitoring (ABPM),such as mean daytime and nighttime systolic, diastolic andpulse pressures in subjects with MS, and to determine therelation with the components of this syndrome. A total of125 patients were included, with ABPM reproducibilitypattern. Glycemia, HDL-cholesterol, triglycerides, officeblood pressure and abdominal circumference were determined.The presence of MS was defined using the ATP IIIcriteria. The global prevalence of hypertension, MS andnon-dipper pattern was 43%, 56% and 44%, respectively.Blood pressure values and the percentage of patients withnon-dipper pattern were higher in patients with morecomponents of the metabolic syndrome. The abdominalcircumference was the only parameter that predicted thenon-dipper pattern. Subjects with MS showed a significantincrease in the different blood pressure parameters evaluatedby ABPM and a higher prevalence of the non-dipperpattern.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 80, No 1 (2012), Argentine Journal of Cardiology; Vol 80, No 1 (2012)

Citación

Leal, Ulises et al., “Evaluación del patrón de presión arterial durante el ciclo vigilia/sueño en individuos con síndrome metabólico.,” Archivo PPCT, consulta 2 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8043.

Dublin Core

Materia

Autor

Leal, Ulises
Espinosa, Milagros
Ruiz, Nelida
Padilla, Dalis
Ochoa, Jotshari
Nicita, Graciela

Fuente

Revista Argentina de Cardiología; Vol 80, No 1 (2012)
Argentine Journal of Cardiology; Vol 80, No 1 (2012)

Editor

Sociedad Argentina de Cardiología

Fecha

2012-01-20

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

Formato

Idioma

eng
spa

Tipo

info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion