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Serum Uric Acid, Inflammation, and Nondipping Circadian Pattern in Essential Hypertension     
Yazarlar
Osman Turak
Fırat Özcan
Derya Tok
Ahmet İşleyen
Doç. Dr. Erdoğan SÖKMEN Doç. Dr. Erdoğan SÖKMEN
Kırşehir Ahi Evran Üniversitesi, Türkiye
İrfan Taşoğlu
Sağlık Bilimleri Üniversitesi, Türkiye
Sinan Aydoğdu
Sağlık Bilimleri Üniversitesi, Türkiye
Nihat Şen
Kım Mcfann
Rıchard J Johnson
Mehmet Kanbay
Koç Üniversitesi, Türkiye
Özet
Uric acid (UA) is independently associated with the emergence of hypertension. Nocturnal nondipping pattern of hypertension is associated with a greater risk of cardiovascular, renal, and cerebrovascular complications than dippers. The aim of the present study was to evaluate the relationship between the circadian blood pressure rhythm and UA level in patients with newly diagnosed essential hypertension. The study included 112 essential hypertensive patients and 50 healthy controls. The hypertensive patients were divided into two groups according to the results of 24-hour ambulatory blood pressure monitoring, including 60 dippers (35 men, 25 women; mean age, 52.6 +/- 15.8 years) and 52 nondippers (29 men, 23 women; mean age, 55.9 +/- 13.2 years). Nondippers had significantly higher serum UA levels than the dippers and controls (5.8 +/- 0.8, 5.1 +/- 0.9 and 4.2 +/- 0.9 mg/dL, respectively; P<.001). Serum high-sensitivity C-reactive protein levels were also significantly higher in the nondipper group than the other groups (P<.001) and significantly correlated with serum UA (r=0.358, P<.001). Multivariate logistic regression analysis revealed an independent positive association between serum UA levels and nondipper pattern (odds ratio, 2.28; 95% confidence interval, 1.333.94; P=.003). Serum UA is strongly and independently associated with the nondipper circadian pattern in essential hypertension.
Anahtar Kelimeler
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı JOURNAL OF CLINICAL HYPERTENSION
Dergi ISSN 1524-6175
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 01-2013
Cilt No 15
Sayı 1
Sayfalar 7 / 13
Doi Numarası 10.1111/jch.12026
Makale Linki http://doi.wiley.com/10.1111/jch.12026