Evidence map›Paper›PMID 15762039›Full record

ArticleJournal of endocrinological investigation2004

Circadian blood pressure profile in patients with Cushing's syndrome before and after treatment.

S Zacharieva, M Orbetzova, A Stoynev, R Shigarminova, M Yaneva, K Kalinov, E Nachev, A Elenkova

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of endocrinological investigation, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. European survey on metabolic and cardiovascular risk in Cushing syndrome.Journal of endocrinological investigation · 2025
    Article
  4. Hypertension and Cushing's syndrome: hunt for the red flag.Journal of endocrinological investigation · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Cushing's syndrome: all variants, detection, and treatment.Endocrinology and metabolism clinics of North America · 2011
    Article
  11. A critical role for vascular smooth muscle in acute glucocorticoid-induced hypertension.Journal of the American Society of Nephrology : JASN · 2008
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

S ZacharievaClinical Centre of Endocrinology and Gerontology, Sofia, Bulgaria. zacharieva@uheg.medicalnet-bg.org
M Orbetzova
A Stoynev
R Shigarminova
M Yaneva
K Kalinov
E Nachev
A Elenkova
Medical University of Sofia · BGNew Bulgarian University · BG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the study was to evaluate the circadian blood pressure (BP) profiles in patients with two forms of Cushing's syndrome, and to compare them to those in patients with essential hypertension. The study included 100 patients with Cushing's syndrome (80 with pituitary adenomas and 20 with adrenal adenomas) and 40 with essential hypertension. Twenty-four-h ambulatory BP monitoring was performed before and after therapy. All 3 groups had similar office-, 24-h-, awake-, and sleep BP mean values. The awake-sleep differences between the patients with two forms of Cushing's syndrome were similar. The night-time BP decline in the patients with Cushing's disease, as well as in those with adrenal adenomas, was significantly lower than that in the patients with essential hypertension. In the patients with both forms of Cushing's syndrome, there was a highly significant decline in the office and ambulatory BP levels after the treatment, and the awake-sleep systolic BP difference became significantly higher. The night-time diastolic BP decline was significantly higher after treatment in patients with adrenal adenomas and not-significantly higher in patients with Cushing's disease. In the patients with Cushing's disease, the duration of hypertension was greater, and lower percentage of normalized BP after treatment was observed in comparison with the patients with adrenal adenomas. The significant negative correlation between duration of the disease and extent of the night-time BP decline suggests that the 'non-dipping' profile is related not only to hypercortisolism itself but also to the severity of hypertension and duration of the disease.

Indexed as

Circadian RhythmAdenomaAdrenal Gland NeoplasmsAdultBlood PressureCushing SyndromeFemaleHumansHydrocortisoneHypertensionMaleMiddle AgedPituitary ACTH HypersecretionSeverity of Illness IndexHydrocortisone

Identifiers

PMID15762039
OpenAlexW2064056259

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.