Patients with Parkinson disease present high ambulatory blood pressure variability

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorKANEGUSUKU, Helcio
dc.contributor.authorSILVA-BATISTA, Carla
dc.contributor.authorPECANHA, Tiago
dc.contributor.authorSILVA-JUNIOR, Natan
dc.contributor.authorQUEIROZ, Andreia
dc.contributor.authorCOSTA, Luiz
dc.contributor.authorMELLO, Marco
dc.contributor.authorPIEMONTE, Maria
dc.contributor.authorUGRINOWITSCH, Carlos
dc.contributor.authorFORJAZ, Claudia
dc.date.accessioned2017-10-24T13:17:43Z
dc.date.available2017-10-24T13:17:43Z
dc.date.issued2017
dc.description.abstractPatients with Parkinson disease (PD) present blunted nocturnal blood pressure fall and similar ambulatory blood pressure variability (ABPV) measured by standard deviation (SD) and coefficient of variation (CV) compared with healthy subjects. However, these classical indices of ABPV have limited validity in individuals with circadian blood pressure alterations. New indices, such as the average of daytime and night-time standard deviation weighted by the duration of the daytime and night-time intervals (SDdn) and the average real variability (ARV), remove the influence of the daytime and the night-time periods on ABPV. This study assessed ABPV by SDdn and ARV in PD. Twenty-one patients with PD (11 men, 66 +/- 2years, stages 2-3 of modified Hoehn & Yahr) and 21 matched controls without Parkinson disease (9 men, 64 +/- 1years old) underwent blood pressure monitoring for 24h. ABPV was analysed by 24h, daytime and night-time SD and CV, and by the SDdn and ARV. Systolic/diastolic 24-h and night-time SD and CV were similar between the patients with PD and the controls. The patients with PD presented higher daytime systolic/diastolic CV and SD than the controls (10<bold></bold>4 +/- 0<bold></bold>9/12<bold></bold>3 +/- 0<bold></bold>8 versus 7<bold></bold>0 +/- 0<bold></bold>3/9<bold></bold>9 +/- 0<bold></bold>5%, P<0<bold></bold>05; 12<bold></bold>6 +/- 1<bold></bold>0/9<bold></bold>1 +/- 0<bold></bold>5 versus 8<bold></bold>6 +/- 0<bold></bold>4/7<bold></bold>5 +/- 0<bold></bold>3mmHg, P<0<bold></bold>05, respectively) as well as higher systolic/diastolic SDdn (10<bold></bold>9 +/- 0<bold></bold>8/8<bold></bold>2 +/- 0<bold></bold>5 versus 8<bold></bold>2 +/- 0<bold></bold>3/7<bold></bold>1 +/- 0<bold></bold>2mmHg, P<0<bold></bold>05, respectively) and ARV (8<bold></bold>8 +/- 0<bold></bold>6/6<bold></bold>9 +/- 0<bold></bold>3 versus 7<bold></bold>2 +/- 0<bold></bold>2/6<bold></bold>0 +/- 0<bold></bold>2mmHg, P<0<bold></bold>05, respectively). In conclusion, patients with PD have higher ABPV than control subjects as assessed by SDd, CVd, SDdn and AVR.
dc.description.indexMEDLINE
dc.description.sponsorshipCNPQ
dc.description.sponsorshipCAPES
dc.identifier.citationCLINICAL PHYSIOLOGY AND FUNCTIONAL IMAGING, v.37, n.5, p.530-535, 2017
dc.identifier.doi10.1111/cpf.12338
dc.identifier.eissn1475-097X
dc.identifier.issn1475-0961
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/21886
dc.language.isoeng
dc.publisherWILEY
dc.relation.ispartofClinical Physiology and Functional Imaging
dc.rightsrestrictedAccess
dc.rights.holderCopyright WILEY
dc.subjectambulatory blood pressure
dc.subjectcircadian blood pressure
dc.subjectcircadian variability
dc.subjectnocturnal blood pressure fall
dc.subjectParkinsonism
dc.subject.otherhypertensive patients
dc.subject.otherprognostic value
dc.subject.otherfall
dc.subject.otherassociation
dc.subject.otherpopulation
dc.subject.othermortality
dc.subject.otherdiagnosis
dc.subject.otherscale
dc.subject.wosPhysiology
dc.titlePatients with Parkinson disease present high ambulatory blood pressure variability
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalKANEGUSUKU, Helcio:Univ Sao Paulo, Sch Phys Educ & Sport, Sao Paulo, Brazil
hcfmusp.author.externalSILVA-BATISTA, Carla:Univ Sao Paulo, Sch Phys Educ & Sport, Sao Paulo, Brazil
hcfmusp.author.externalPECANHA, Tiago:Univ Sao Paulo, Sch Phys Educ & Sport, Sao Paulo, Brazil
hcfmusp.author.externalSILVA-JUNIOR, Natan:Univ Sao Paulo, Sch Phys Educ & Sport, Sao Paulo, Brazil
hcfmusp.author.externalQUEIROZ, Andreia:Univ Sao Paulo, Sch Phys Educ & Sport, Sao Paulo, Brazil
hcfmusp.author.externalCOSTA, Luiz:Univ Sao Paulo, Sch Phys Educ & Sport, Sao Paulo, Brazil
hcfmusp.author.externalMELLO, Marco:Univ Fed Minas Gerais, Sch Phys Educ, Sao Paulo, Brazil
hcfmusp.author.externalUGRINOWITSCH, Carlos:Univ Sao Paulo, Sch Phys Educ & Sport, Sao Paulo, Brazil
hcfmusp.author.externalFORJAZ, Claudia:Univ Sao Paulo, Sch Phys Educ & Sport, Sao Paulo, Brazil
hcfmusp.citation.scopus20
hcfmusp.contributor.author-fmusphcMARIA ELISA PIMENTEL PIEMONTE
hcfmusp.description.beginpage530
hcfmusp.description.endpage535
hcfmusp.description.issue5
hcfmusp.description.volume37
hcfmusp.origemWOS
hcfmusp.origem.pubmed28776928
hcfmusp.origem.scopus2-s2.0-84954150527
hcfmusp.origem.wosWOS:000407261100010
hcfmusp.publisher.cityHOBOKEN
hcfmusp.publisher.countryUSA
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