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Serum copeptin levels in predicting nondippers in newly diagnosed hypertension

机译:血清肽素水平在新诊断的高血压中预测非北斗七星的发生

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ObjectivesThe nondipper pattern in hypertension is associated with worse cardiovascular outcomes. In this study, we hypothesized that high copeptin levels could predict nondippers among hypertensive patients and investigated the associations between copeptin levels and nondipper pattern in newly diagnosed hypertensive patients.MethodsAmbulatory blood pressure measurements were obtained and the patients were divided into two groups according to ambulatory blood pressure measurement as nondippers and dippers. Serum copeptin levels were measured in addition to routine laboratory investigations. A total of 76 patients were included in the study.ResultsThe clinical and laboratory characteristics of the two groups were similar. The mean copeptin values were found to be significantly higher in the nondipper hypertensive group [1.66 (1.19-4.01) and 1.35 (1.12-2.09)IU/ml, respectively, P=0.026]. In the correlation analysis, no correlation was found between copeptin levels and daytime diastolic blood pressure, but there were weak positive correlations with daytime systolic, 24h systolic, and diastolic blood pressure values (r=0.335, P=0.034, r=0.350, P=0.027, r=0.372, P=0.018, respectively). However, there were significant positive correlations between serum copeptin levels and nocturnal systolic and diastolic blood pressure values (r=0.593, P<0.001, r=0.523, P=0.001, respectively).ConclusionThis study showed that high serum copeptin levels could predict the nondipper pattern in newly diagnosed hypertension.
机译:目的高血压的非ipper型与心血管疾病恶化相关。在这项研究中,我们假设高肽素水平可以预测高血压患者的非北斗七星,并调查新诊断的高血压患者中肽素水平与非七星谱之间的关系。压力测量为非浸入式和浸入式。除常规实验室检查外,还测量血清中的肽素水平。研究共纳入76例患者。结果两组的临床和实验室特征相似。在非北斗星高血压组中,平均copeptin值明显更高[分别为1.66(1.19-4.01)和1.35(1.12-2.09)IU / ml,P = 0.026]。在相关分析中,未发现肽素水平与白天舒张压之间存在相关性,但与白天收缩压,24h收缩压和舒张压值之间存在弱正相关(r = 0.335,P = 0.034,r = 0.350,P = 0.027,r = 0.372,P = 0.018)。然而,血清中肽素水平与夜间收缩压和舒张压值之间存在显着的正相关(r = 0.593,P <0.001,r = 0.523,P = 0.001)。初诊高血压的非ipper型。

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