TY - JOUR
T1 - Riser Pattern
T2 - Another Determinant of Heart Failure With Preserved Ejection Fraction
AU - Komori, Takahiro
AU - Eguchi, Kazuo
AU - Saito, Toshinobu
AU - Hoshide, Satoshi
AU - Kario, Kazuomi
N1 - Publisher Copyright:
©2016 Wiley Periodicals, Inc.
PY - 2016/10/1
Y1 - 2016/10/1
N2 - Paradoxical increase in blood pressure (BP) during sleep, exceeding those of awake BP, is called the “riser” BP pattern, and known as an abnormal circadian BP rhythm, has been reported to be associated with adverse cardiovascular prognoses. However, the significance of ambulatory BP in heart failure patients with preserved ejection fraction (HFpEF) has never been reported. Here, we tested our hypothesis that abnormal circadian BP rhythm is associated with HFpEF. The authors enrolled 508 patients with hospitalized HF (age 68±13 years; 315 men, 193 women). There were 232 cases of HFpEF and 276 cases of heart failure with reduced ejection fraction (HFrEF). The riser BP pattern was significantly more frequent in the HFpEF (28.9%) group compared with the HFrEF group (19.9%). In a multivariable logistic regression analysis, the riser BP pattern was associated with HFpEF (odds ratio, 1.73; 95% confidence interval, 1.02–2.91; P=.041) independent of the other covariates. In conclusion, the riser BP pattern was associated with HFpEF.
AB - Paradoxical increase in blood pressure (BP) during sleep, exceeding those of awake BP, is called the “riser” BP pattern, and known as an abnormal circadian BP rhythm, has been reported to be associated with adverse cardiovascular prognoses. However, the significance of ambulatory BP in heart failure patients with preserved ejection fraction (HFpEF) has never been reported. Here, we tested our hypothesis that abnormal circadian BP rhythm is associated with HFpEF. The authors enrolled 508 patients with hospitalized HF (age 68±13 years; 315 men, 193 women). There were 232 cases of HFpEF and 276 cases of heart failure with reduced ejection fraction (HFrEF). The riser BP pattern was significantly more frequent in the HFpEF (28.9%) group compared with the HFrEF group (19.9%). In a multivariable logistic regression analysis, the riser BP pattern was associated with HFpEF (odds ratio, 1.73; 95% confidence interval, 1.02–2.91; P=.041) independent of the other covariates. In conclusion, the riser BP pattern was associated with HFpEF.
UR - http://www.scopus.com/inward/record.url?scp=84963930429&partnerID=8YFLogxK
U2 - 10.1111/jch.12818
DO - 10.1111/jch.12818
M3 - Article
C2 - 27040465
AN - SCOPUS:84963930429
SN - 1524-6175
VL - 18
SP - 994
EP - 999
JO - Journal of Clinical Hypertension
JF - Journal of Clinical Hypertension
IS - 10
ER -