Ambulatory blood pressure profile in hypertensive patients with beta-thalassemia minor

作者：Vyssoulis Gregory; Karpanou Eva; Kyvelou Stella Maria^*; Tzamou Vanessa; Triantafyllou Andreas; Theodosiadis George; Stefanadis Christodoulos

来源：Hypertension Research, 2011, 34(2): 253-256.

DOI：10.1038/hr.2010.226

• ambulatory blood pressure
• dipping pattern
• essential hypertension
• beta-thalassemia trait

beta-thalassemia trait (beta-TT) is a common genetic disorder in Mediterranean countries, including Greece. Previous studies have shown the protective effect of beta-TT against myocardial infarction. However, the ambulatory blood pressure (BP) profile of such patients has not yet been investigated. Thus, the purpose of the present study was to investigate the ambulatory BP monitoring (ABPM) profile of hypertensives with beta-TT, in comparison with all-cause anemic and non-anemic essential hypertensive patients. The study ultimately comprised of 8861 essential hypertensive, nondiabetic patients who were divided into three groups: group I (n=191, with beta-TT), group II (n=655, anemic) and group III (n=8015, nonanemic). All patients underwent full clinical, laboratory and echocardiographic evaluations, whereas all were subjected to ABPM. Anemia was defined as Hb < 12 g per 100 ml for women and < 13 g per 100 ml for men, whereas patients with beta-TT were self-referred. The distribution of dipping patterns among the three groups was 61.3 vs. 41.2 vs. 45.8% (P < 0.001), whereas for nondippers it was 20.4 vs. 31.5 vs. 27.7% (P < 0.001), for extreme-dippers it was 15.7 vs. 15.0 vs. 17.5% (P < 0.001) and for reverse dippers it was 2.6 vs. 12.4 vs. 9.0% (P < 0.001). Furthermore, mean daytime systolic BP (SBP) among the three groups was 140.13 +/- 7.79 vs. 142.02 +/- 11.61 vs. 141.99 +/- 9.87mm Hg (P=0.03), and mean nighttime SBP was 125.87 +/- 10.4 vs. 131.13 +/- 15.7 vs. 129.62 +/- 13.31mm Hg (P < 0.001). In the multiple regression analysis, after adjustments for age, body mass index and lipid levels, the differences among daytime and nighttime SBP remained significant at 140.18 +/- 9.84 vs. 142.02 +/- 9.85 vs. 141.99 +/- 9.85mm Hg (P=0.04) and 125.99 +/- 13.07 vs. 131.19 +/- 13.08 vs. 129.61 +/- 13.07mm Hg (P < 0.001), respectively. Hypertensive patients with beta-TT present with a better 24-h BP profile in comparison with anemic and nonanemic hypertensives. Thus, beta-TT may function protectively in their total cardiovascular risk profile. Hypertension Research (2011) 34, 253-256; doi: 10.1038/hr.2010.226; published online 2 December 2010

• 出版日期2011-2