Blood pressure variability in patients with diabetes mellitus

Reduced arterial compliance in patients with diabetes mellitus has been shown in several studies, but it has not been significantly associated with either atherosclerosis or vessel wall thickness. Blood pressure variability is still poorly explored in diabetic patients. The aim of this study was to...

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Main Authors: Mokhtar, Rafidah Hanim, Ayob, Azizi, Mohd Noor, Noriah
Format: Article
Language:English
Published: SAGE Publications 2010
Subjects:
Online Access:http://irep.iium.edu.my/19015/
http://irep.iium.edu.my/19015/1/blood_pressure_variability_in_patients.pdf
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author Mokhtar, Rafidah Hanim
Ayob, Azizi
Mohd Noor, Noriah
author_facet Mokhtar, Rafidah Hanim
Ayob, Azizi
Mohd Noor, Noriah
author_sort Mokhtar, Rafidah Hanim
building IIUM Repository
collection Online Access
description Reduced arterial compliance in patients with diabetes mellitus has been shown in several studies, but it has not been significantly associated with either atherosclerosis or vessel wall thickness. Blood pressure variability is still poorly explored in diabetic patients. The aim of this study was to compare blood pressure variability and arterial compliance in patients with type 2 diabetes mellitus and controls matched for sex, age, and weight. Arterial compliance was measured and noninvasive 24-h ambulatory blood pressure monitoring was performed in 18 diabetic patients and 18 controls. There was significantly higher 24-h systolic blood pressure variability (17.7 ± 6.8 vs. 14.6 ± 2.6 mm Hg), diastolic blood pressure variability (15.6 ± 7.1 vs. 11.4 ± 3.1 mm Hg), and mean arterial blood pressure variability (14.8 ± 7.0 vs. 11.1 ± 2.9) in diabetic patients. Systolic, diastolic, and mean arterial blood pressure variability was significantly higher during daytime but not night time in diabetic patients compared to controls. Diabetic patients also had significantly reduced small artery compliance, but no differences in large artery compliance, cardiac output, or systemic vascular resistance. The findings suggest that hyperglycemia may affect the compliance of the vascular system, resulting in high blood pressure fluctuations.
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spelling iium-190152016-11-12T04:03:37Z http://irep.iium.edu.my/19015/ Blood pressure variability in patients with diabetes mellitus Mokhtar, Rafidah Hanim Ayob, Azizi Mohd Noor, Noriah RC Internal medicine Reduced arterial compliance in patients with diabetes mellitus has been shown in several studies, but it has not been significantly associated with either atherosclerosis or vessel wall thickness. Blood pressure variability is still poorly explored in diabetic patients. The aim of this study was to compare blood pressure variability and arterial compliance in patients with type 2 diabetes mellitus and controls matched for sex, age, and weight. Arterial compliance was measured and noninvasive 24-h ambulatory blood pressure monitoring was performed in 18 diabetic patients and 18 controls. There was significantly higher 24-h systolic blood pressure variability (17.7 ± 6.8 vs. 14.6 ± 2.6 mm Hg), diastolic blood pressure variability (15.6 ± 7.1 vs. 11.4 ± 3.1 mm Hg), and mean arterial blood pressure variability (14.8 ± 7.0 vs. 11.1 ± 2.9) in diabetic patients. Systolic, diastolic, and mean arterial blood pressure variability was significantly higher during daytime but not night time in diabetic patients compared to controls. Diabetic patients also had significantly reduced small artery compliance, but no differences in large artery compliance, cardiac output, or systemic vascular resistance. The findings suggest that hyperglycemia may affect the compliance of the vascular system, resulting in high blood pressure fluctuations. SAGE Publications 2010-08 Article PeerReviewed application/pdf en http://irep.iium.edu.my/19015/1/blood_pressure_variability_in_patients.pdf Mokhtar, Rafidah Hanim and Ayob, Azizi and Mohd Noor, Noriah (2010) Blood pressure variability in patients with diabetes mellitus. Asian Cardiovascular and Thoracic Annals , 18 (4). pp. 344-348. ISSN 0218-4923 http://asianannals.ctsnetjournals.org/cgi/content/abstract/18/4/344
spellingShingle RC Internal medicine
Mokhtar, Rafidah Hanim
Ayob, Azizi
Mohd Noor, Noriah
Blood pressure variability in patients with diabetes mellitus
title Blood pressure variability in patients with diabetes mellitus
title_full Blood pressure variability in patients with diabetes mellitus
title_fullStr Blood pressure variability in patients with diabetes mellitus
title_full_unstemmed Blood pressure variability in patients with diabetes mellitus
title_short Blood pressure variability in patients with diabetes mellitus
title_sort blood pressure variability in patients with diabetes mellitus
topic RC Internal medicine
url http://irep.iium.edu.my/19015/
http://irep.iium.edu.my/19015/
http://irep.iium.edu.my/19015/1/blood_pressure_variability_in_patients.pdf