The effect of overt and subclinical hypothyroidism on the development of non-dipper blood pressure.

作者: Salih Inal , Mehmet A Karakoç , Erdal Kan , Fatma A Ebinç , Füsun B Törüner

DOI:

关键词: DiastoleEndocrinologyEuthyroidDipperMedicineInternal medicineSubclinical infectionCardiologyAmbulatory blood pressureMasked HypertensionMean blood pressureBlood pressure

摘要: Introduction: ′Non-dippers′ are individuals without the anticipated nocturnal decrease in blood pressure. An increased incidence of target organ damage and a worse outcome terms cardiovascular events have been reported this group people. The pathogenesis of non-dipper hypertension is not clear at present. We aimed to investigate effects overt subclinical hypothyroidism on the development pressure pattern via 24-hour ambulatory monitoring. Material methods: 109 normotensive patients with were evaluated, 95 these patients without reverse dipping masked included study. control consisted 75 gender- age-matched, normotensive, euthyroid healthy individuals. Results: Median serum TSH levels 7.61 1.59 mUmL patient groups, respectively. number non-dippers according to systolic, diastolic mean was significantly higher compared control group. In linear regression analysis, had negative effect night/day ratio pressures. Conclusion: Despite fact that known, present study has revealed elevated likely increase risk non-dipping either or subclinical hypothyroidism. (Pol J Endocrinol 2012; 63 (2): 97–103)

参考文章(24)
B. U. ALTHAUS, J.-J. STAUB, A. RYFF-DE LÈCHE, A. OBERHÄNSLI, H. B. STÄHELIN, LDL/HDL‐CHANGES IN SUBCLINICAL HYPOTHYROIDISM: POSSIBLE RISK FACTORS FOR CORONARY HEART DISEASE Clinical Endocrinology. ,vol. 28, pp. 157- 163 ,(1988) , 10.1111/J.1365-2265.1988.TB03651.X
T HANSEN, J JEPPESEN, S RASMUSSEN, H IBSEN, C TORPPEDERSEN, Ambulatory Blood Pressure Monitoring and Risk of Cardiovascular Disease: A Population Based Study* American Journal of Hypertension. ,vol. 19, pp. 243- 250 ,(2006) , 10.1016/J.AMJHYPER.2005.09.018
D Liu, F Jiang, Z Shan, B Wang, J Wang, Y Lai, Y Chen, M Li, H Liu, C Li, H Xue, N Li, J Yu, L Shi, X Bai, X Hou, L Zhu, L Lu, S Wang, Q Xing, W Teng, None, A cross-sectional survey of relationship between serum TSH level and blood pressure Journal of Human Hypertension. ,vol. 24, pp. 134- 138 ,(2010) , 10.1038/JHH.2009.44
John P. Walsh, Alexandra P. Bremner, Max K. Bulsara, Peter O'Leary, Peter J. Leedman, Peter Feddema, Valdo Michelangeli, Subclinical thyroid dysfunction and blood pressure: a community-based study. Clinical Endocrinology. ,vol. 65, pp. 486- 491 ,(2006) , 10.1111/J.1365-2265.2006.02619.X
Vasilios Kotsis, Maria Alevizaki, Stella Stabouli, Vassiliki Pitiriga, Zoe Rizos, Michael Sion, Nikos Zakopoulos, Hypertension and hypothyroidism: results from an ambulatory blood pressure monitoring study. Journal of Hypertension. ,vol. 25, pp. 993- 999 ,(2007) , 10.1097/HJH.0B013E328082E2FF
JOHN LEKAKIS, CHRISTOS PAPAMICHAEL, MARIA ALEVIZAKI, GREGORIOS PIPERINGOS, PANAYIOTA MARAFELIA, JOHN MANTZOS, STAMATIOS STAMATELOPOULOS, DEMETRIOS A. KOUTRAS, Flow-Mediated, Endothelium-Dependent Vasodilatation Is Impaired in Subjects with Hypothyroidism, Borderline Hypothyroidism, and High-Normal Serum Thyrotropin (TSH) Values Thyroid. ,vol. 7, pp. 411- 414 ,(1997) , 10.1089/THY.1997.7.411
ROGER BERNSTEIN, CARL MÜLLER, KJELL MIDTB, GUNNAR SMITH, EGIL HAUG, LEIF HERTZENBERG, Silent myocardial ischemia in hypothyroidism. Thyroid. ,vol. 5, pp. 443- 447 ,(1995) , 10.1089/THY.1995.5.443
Anna G. Dagre, John P. Lekakis, Theodore G. Papaioannou, Christos M. Papamichael, Demetrios A. Koutras, Stamatios F. Stamatelopoulos, Maria Alevizaki, Arterial stiffness is increased in subjects with hypothyroidism International Journal of Cardiology. ,vol. 103, pp. 1- 6 ,(2005) , 10.1016/J.IJCARD.2004.05.068
Mehmet Kanbay, Faruk Turgut, Feridun Karakurt, Bunyamin Isik, Rabia Alkan, Ali Akcay, Ramazan Yigitoglu, Adrian Covic, None, Relation between serum thyroid hormone and 'nondipper' circadian blood pressure variability. Kidney & Blood Pressure Research. ,vol. 30, pp. 416- 420 ,(2007) , 10.1159/000110082
Mariusz Lapiski, Jacek Lewandowski, Andrzej Januszewicz, Agnieszka Kuch-Wocial, Bartosz Symonides, Bozenna Wocial, Wlodzimierz Januszewicz, Hormonal profile of dipper and non-dipper patients with essential hypertension. Journal of Hypertension. ,vol. 11, ,(1993) , 10.1097/00004872-199312050-00126