Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology

KABAKÇI, Giray; OKUTUCU, Sercan; KARAKULAK, Uğur Nadir

Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology

Sercan OKUTUCU, (Hacettepe Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Ankara, Türkiye)

Uğur Nadir KARAKULAK, (Hacettepe Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Ankara, Türkiye)

Giray KABAKÇI (Hacettepe Üniversitesi, Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Ankara, Türkiye)

Anadolu Kardiyoloji Dergisi

1 1

Yıl: 2011 Cilt: 11 Sayı: 2 Sayfa Aralığı: 168 - 173 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology

Öz:

rteriyel kan basıncı sabahın erken saatlerinde zirveye, gece saatlerinde en düşük değerlere ulaşan sirkadiyen bir ritim paterni izlemektedir. Geceleri arteriyel kan basıncındaki düşüş normal sirkadiyen paternin bir parçasıdır. Bu düşüşün görülmediği “non-dipping” olarak adlandırılan sirkadiyen kan basıncı paterni, özellikle hipertansif hastalarda, daha şiddetli hedef organ hasarı ve artmış kardiyovasküler olaylarla birliktedir. Her ne kadar altta yatan mekanizmalar tam olarak bilinmese de “non-dipping” paterni olan kişilerde anormal parasempatik ve sempatik aktiviteleri içeren otonom sistem bozukluğunun olduğu öne sürülmüştür. “Non-dipping” fenomeninde otonom sinir sisteminin rolü birçok çalışmada incelenmiştir. Bu yazıda, sirkadiyen arteriyel kan basıncı paterni ile kardiyak otonomik işlevlerin göstergeleri arasındaki ilişkiyi değerlendiren çalışmaları derlemeyi amaçladık.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

Sirkadiyen kan basıncı paterni ve kardiyak otonomik işlevler: Aynı patofizyolojinin farklı yönleri

Öz:

Arterial blood pressure fluctuates with a pattern that follows a circadian rhythm, with a peak in the early morning hours and a trough during nighttime. Nocturnal dipping of arterial blood pressure is part of this normal circadian pattern, and its absence, which is called non-dipping is associated with more severe end-organ damage and increased risk of cardiovascular events, especially in hypertensive patients. Although pathologic mechanisms are still unclear, it has been suggested that non-dippers show impairment in the autonomic system functions that include abnormal parasympathetic and sympathetic activities. Several studies have examined the role of the autonomic nervous system in the non-dipping phenomenon. In this paper, we aimed to review the studies evaluating the relationship between circadian arterial blood pressure pattern and indices of cardiac autonomic functions.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

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APA	OKUTUCU S, KARAKULAK U, KABAKÇI G (2011). Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology. , 168 - 173.
Chicago	OKUTUCU Sercan,KARAKULAK Uğur Nadir,KABAKÇI Giray Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology. (2011): 168 - 173.
MLA	OKUTUCU Sercan,KARAKULAK Uğur Nadir,KABAKÇI Giray Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology. , 2011, ss.168 - 173.
AMA	OKUTUCU S,KARAKULAK U,KABAKÇI G Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology. . 2011; 168 - 173.
Vancouver	OKUTUCU S,KARAKULAK U,KABAKÇI G Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology. . 2011; 168 - 173.
IEEE	OKUTUCU S,KARAKULAK U,KABAKÇI G "Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology." , ss.168 - 173, 2011.
ISNAD	OKUTUCU, Sercan vd. "Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology". (2011), 168-173.

APA	OKUTUCU S, KARAKULAK U, KABAKÇI G (2011). Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology. Anadolu Kardiyoloji Dergisi, 11(2), 168 - 173.
Chicago	OKUTUCU Sercan,KARAKULAK Uğur Nadir,KABAKÇI Giray Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology. Anadolu Kardiyoloji Dergisi 11, no.2 (2011): 168 - 173.
MLA	OKUTUCU Sercan,KARAKULAK Uğur Nadir,KABAKÇI Giray Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology. Anadolu Kardiyoloji Dergisi, vol.11, no.2, 2011, ss.168 - 173.
AMA	OKUTUCU S,KARAKULAK U,KABAKÇI G Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology. Anadolu Kardiyoloji Dergisi. 2011; 11(2): 168 - 173.
Vancouver	OKUTUCU S,KARAKULAK U,KABAKÇI G Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology. Anadolu Kardiyoloji Dergisi. 2011; 11(2): 168 - 173.
IEEE	OKUTUCU S,KARAKULAK U,KABAKÇI G "Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology." Anadolu Kardiyoloji Dergisi, 11, ss.168 - 173, 2011.
ISNAD	OKUTUCU, Sercan vd. "Circadian blood pressure pattern and cardiac autonomic functions: different aspects of same pathophysiology". Anadolu Kardiyoloji Dergisi 11/2 (2011), 168-173.