Ambulatory blood pressure monitoring in heart failure and serum sodium levels

Aims: To determine whether there are differences in blood pressure profile on dynamic assessment by ambulatory blood pressure monitoring (ABPM) according to serum sodium levels in stable heart failure patients.Methods: Data were collected from the Spanish National Registry on Ambulatory Blood Pressu...

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Autores: Arévalo-Lorido, José Carlos, Carretero-Gomez, Juana, Manzano Espinosa, Luis, Sobrino, Javier, Arias Jimenez, Jose Luis, Formiga Pérez, Francesc, Castro-Salomo, Antoni, Camafort Babkowski, Miguel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/189723
Acceso en línea:https://hdl.handle.net/2445/189723
Access Level:acceso abierto
Palabra clave:Insuficiència cardíaca
Sodi
Pressió sanguínia
Heart failure
Sodium
Blood pressure
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spelling Ambulatory blood pressure monitoring in heart failure and serum sodium levelsArévalo-Lorido, José CarlosCarretero-Gomez, JuanaManzano Espinosa, LuisSobrino, JavierArias Jimenez, Jose LuisFormiga Pérez, FrancescCastro-Salomo, AntoniCamafort Babkowski, MiguelInsuficiència cardíacaSodiPressió sanguíniaHeart failureSodiumBlood pressureAims: To determine whether there are differences in blood pressure profile on dynamic assessment by ambulatory blood pressure monitoring (ABPM) according to serum sodium levels in stable heart failure patients.Methods: Data were collected from the Spanish National Registry on Ambulatory Blood Pressure Monitoring in Heart Failure (DICUMAP). Patients underwent ABPM by the oscillometric principle using a Spacelabs 90121 monitor. The sample was divided into three groups according to sodium levels and their clinical and laboratory data and echocardiographic findings were analyzed. Robust statistical methods were used to compare the groups in univariate and multivariate models.Results: A total of 175 patients (44.57% male) were analyzed. We found a predominance of anomalous circadian blood pressure profiles in all three groups, with a significantly higher percentage of risers in the lowest serum sodium group (p=0.05). In addition, in this group there were significant differences in mean 24-hour systolic blood pressure (SBP) (24-h SBP, p=0.05) and in mean daytime SBP (dSBP, p=0.008), with significant differences in nocturnal fall in SBP (p=0.05) and in diastolic blood pressure (p=0.005). In multivariate analysis a significant relationship was found between sodium levels and 24-h SBP (OR 0.97, 95% CI 0.95-0.99, p=0.01) and dSBP (OR 0.96, 95% CI 0.94-0.99, p=0.004).Conclusion: A relationship was found between lower sodium levels and lower systolic blood pressure, especially during waking hours, with a lower decline between daytime and night-timeblood pressure.Elsevier España2022202220172022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion8 p.application/pdfhttps://hdl.handle.net/2445/189723Articles publicats en revistes (Ciències Clíniques)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1016/j.repc.2016.11.011Revista Portuguesa de Cardiologia, 2017, vol. 36, num. 7-8, p. 513-520https://doi.org/10.1016/j.repc.2016.11.011cc-by-nc-nd (c) Sociedade Portuguesa de Cardiologia , 2017https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1897232026-05-29T05:05:01Z
dc.title.none.fl_str_mv Ambulatory blood pressure monitoring in heart failure and serum sodium levels
title Ambulatory blood pressure monitoring in heart failure and serum sodium levels
spellingShingle Ambulatory blood pressure monitoring in heart failure and serum sodium levels
Arévalo-Lorido, José Carlos
Insuficiència cardíaca
Sodi
Pressió sanguínia
Heart failure
Sodium
Blood pressure
title_short Ambulatory blood pressure monitoring in heart failure and serum sodium levels
title_full Ambulatory blood pressure monitoring in heart failure and serum sodium levels
title_fullStr Ambulatory blood pressure monitoring in heart failure and serum sodium levels
title_full_unstemmed Ambulatory blood pressure monitoring in heart failure and serum sodium levels
title_sort Ambulatory blood pressure monitoring in heart failure and serum sodium levels
dc.creator.none.fl_str_mv Arévalo-Lorido, José Carlos
Carretero-Gomez, Juana
Manzano Espinosa, Luis
Sobrino, Javier
Arias Jimenez, Jose Luis
Formiga Pérez, Francesc
Castro-Salomo, Antoni
Camafort Babkowski, Miguel
author Arévalo-Lorido, José Carlos
author_facet Arévalo-Lorido, José Carlos
Carretero-Gomez, Juana
Manzano Espinosa, Luis
Sobrino, Javier
Arias Jimenez, Jose Luis
Formiga Pérez, Francesc
Castro-Salomo, Antoni
Camafort Babkowski, Miguel
author_role author
author2 Carretero-Gomez, Juana
Manzano Espinosa, Luis
Sobrino, Javier
Arias Jimenez, Jose Luis
Formiga Pérez, Francesc
Castro-Salomo, Antoni
Camafort Babkowski, Miguel
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Insuficiència cardíaca
Sodi
Pressió sanguínia
Heart failure
Sodium
Blood pressure
topic Insuficiència cardíaca
Sodi
Pressió sanguínia
Heart failure
Sodium
Blood pressure
description Aims: To determine whether there are differences in blood pressure profile on dynamic assessment by ambulatory blood pressure monitoring (ABPM) according to serum sodium levels in stable heart failure patients.Methods: Data were collected from the Spanish National Registry on Ambulatory Blood Pressure Monitoring in Heart Failure (DICUMAP). Patients underwent ABPM by the oscillometric principle using a Spacelabs 90121 monitor. The sample was divided into three groups according to sodium levels and their clinical and laboratory data and echocardiographic findings were analyzed. Robust statistical methods were used to compare the groups in univariate and multivariate models.Results: A total of 175 patients (44.57% male) were analyzed. We found a predominance of anomalous circadian blood pressure profiles in all three groups, with a significantly higher percentage of risers in the lowest serum sodium group (p=0.05). In addition, in this group there were significant differences in mean 24-hour systolic blood pressure (SBP) (24-h SBP, p=0.05) and in mean daytime SBP (dSBP, p=0.008), with significant differences in nocturnal fall in SBP (p=0.05) and in diastolic blood pressure (p=0.005). In multivariate analysis a significant relationship was found between sodium levels and 24-h SBP (OR 0.97, 95% CI 0.95-0.99, p=0.01) and dSBP (OR 0.96, 95% CI 0.94-0.99, p=0.004).Conclusion: A relationship was found between lower sodium levels and lower systolic blood pressure, especially during waking hours, with a lower decline between daytime and night-timeblood pressure.
publishDate 2017
dc.date.none.fl_str_mv 2017
2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/189723
url https://hdl.handle.net/2445/189723
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1016/j.repc.2016.11.011
Revista Portuguesa de Cardiologia, 2017, vol. 36, num. 7-8, p. 513-520
https://doi.org/10.1016/j.repc.2016.11.011
dc.rights.none.fl_str_mv cc-by-nc-nd (c) Sociedade Portuguesa de Cardiologia , 2017
https://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by-nc-nd (c) Sociedade Portuguesa de Cardiologia , 2017
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 8 p.
application/pdf
dc.publisher.none.fl_str_mv Elsevier España
publisher.none.fl_str_mv Elsevier España
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,811543

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