Blood Pressure Variability and Heart Rate Variability as New Risk Factors of Cardiovascular Disease among Apparently Healthy People

Kód výsledku v IS VaVaI

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DOI - Digital Object Identifier

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Jazyk výsledku

angličtina

Název v původním jazyce

Blood Pressure Variability and Heart Rate Variability as New Risk Factors of Cardiovascular Disease among Apparently Healthy People

Popis výsledku v původním jazyce

Using ambulatory blood pressure monitoring (ABPM), Franz Halberg and Germaine Cornelissen showed the need to account for day-to-day changes of blood pressure (BP) and heart rate (HR) and the necessity for circadian assessment of the hour-to-hour variability in cardiovascular parameters. Together with the Halberg Chronobiology Center at the University of Minnesota, we participate in the international project on the BIOsphere and the COSmos (BIOCOS). This presentation adds new results to the BIOCOS project [1, 2]. In the guidelines for diagnoses of hypertension, fixed limits of 140/90 mmHg (systolic/diastolic BP) were used to diagnose hypertension in all adults 18 years and older. The circadian rhythm in BP was thought to primarily reflect the rest-activity schedule rather than being partly endogenous [2]. While this is no longer the case, ABPM is still restricted to “special cases”, often limited to 24 hours. Evidence is presented herein for the need to routinely screen for BP and HR variability, and for continued monitoring in patients in need of treatment. According to a consensus meeting held at St. Anna Hospital, Masaryk Univesity, Brno, Czech Republic in 2008, Franz Halberg with Germaine Cornelissen, Thomas Kenner, Bohumil Fiser, Jarmila Siegelova and others proclaimed Vascular Variability Disorders. Vascular Variability Disorders (VVDs) – MESOR hypertension, circadian hyper-amplitude-tension (CHAT), excessive pulse pressure, deficient heart rate variability and deviation of the circadian period or phase from norms – are best determined based on 7-day/24-hour ABPM [3-9]. The 24-hour BP profile tends to weaken with advancing age. This paper aims to assess 24-hour profiles of BP and HR, and their variation as a function of age, based on 7-day/24-hour ABPM.

Název v anglickém jazyce

Blood Pressure Variability and Heart Rate Variability as New Risk Factors of Cardiovascular Disease among Apparently Healthy People

Popis výsledku anglicky

Using ambulatory blood pressure monitoring (ABPM), Franz Halberg and Germaine Cornelissen showed the need to account for day-to-day changes of blood pressure (BP) and heart rate (HR) and the necessity for circadian assessment of the hour-to-hour variability in cardiovascular parameters. Together with the Halberg Chronobiology Center at the University of Minnesota, we participate in the international project on the BIOsphere and the COSmos (BIOCOS). This presentation adds new results to the BIOCOS project [1, 2]. In the guidelines for diagnoses of hypertension, fixed limits of 140/90 mmHg (systolic/diastolic BP) were used to diagnose hypertension in all adults 18 years and older. The circadian rhythm in BP was thought to primarily reflect the rest-activity schedule rather than being partly endogenous [2]. While this is no longer the case, ABPM is still restricted to “special cases”, often limited to 24 hours. Evidence is presented herein for the need to routinely screen for BP and HR variability, and for continued monitoring in patients in need of treatment. According to a consensus meeting held at St. Anna Hospital, Masaryk Univesity, Brno, Czech Republic in 2008, Franz Halberg with Germaine Cornelissen, Thomas Kenner, Bohumil Fiser, Jarmila Siegelova and others proclaimed Vascular Variability Disorders. Vascular Variability Disorders (VVDs) – MESOR hypertension, circadian hyper-amplitude-tension (CHAT), excessive pulse pressure, deficient heart rate variability and deviation of the circadian period or phase from norms – are best determined based on 7-day/24-hour ABPM [3-9]. The 24-hour BP profile tends to weaken with advancing age. This paper aims to assess 24-hour profiles of BP and HR, and their variation as a function of age, based on 7-day/24-hour ABPM.

Druh

J_ost - Ostatní články v recenzovaných periodicích

CEP obor

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OECD FORD obor

30201 - Cardiac and Cardiovascular systems

Projekt

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Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2023

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

World Heart Journal

ISSN

1556-4002

e-ISSN

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Svazek periodika

15

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

6

Strana od-do

177-182

Kód UT WoS článku

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EID výsledku v databázi Scopus

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