Evidence map›Paper›PMID 27440966›Full record

ArticleEthnicity & disease2016

Nocturnal Non-dipping Blood Pressure Profile in Black Normotensives Is Associated with Cardiac Target Organ Damage.

Kenechukwu Mezue, Godsent Isiguzo, Chichi Madu, Geoffrey Nwuruku, Janani Rangaswami, Dainia Baugh, Ernest Madu

Open access · bronzeAbstract read
In one paragraph

Article in Ethnicity & disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

13 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Elevated Ambulatory Blood Pressure Measurements are Associated with a Progressive Form of Fabry Disease.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2021
    Article
  7. Article
  8. Normotensive non-dipping blood pressure profile does not predict the risk of chronic kidney disease progression.Hypertension research : official journal of the Japanese Society of Hypertension · 2019
    Article
  9. Article
  10. Circadian clock-mediated regulation of blood pressure.Free radical biology & medicine · 2018
    Review
  11. Article
  12. Review
  13. 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

7 authors at 4 institutions in 2 countries.

Kenechukwu MezueDepartment of Medicine, Einstein Medical Center, Philadelphia, Pennsylvania, USA.
Godsent IsiguzoDOCS Heart Center, Enugu, Nigeria.
Chichi MaduUniversity of Virginia School of Medicine, Charlottesville, Virginia, USA.
Geoffrey NwurukuDOCS Heart Center, Enugu, Nigeria.
Janani RangaswamiDelaware Valley Nephrology and Hypertension Associates, Philadelphia; Sidney Kimmel College of Thomas Jefferson University, Philadelphia.
Dainia BaughDOCS Heart Center, Enugu, Nigeria; Heart Institute of the Caribbean (HIC), Kingston, Jamaica.
Ernest MaduDOCS Heart Center, Enugu, Nigeria; Heart Institute of the Caribbean (HIC), Kingston, Jamaica.
University of the Commonwealth Caribbean · JMEinstein Medical Center Philadelphia · USThomas Jefferson University · USUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA non-dipping pattern of nocturnal blood pressure in hypertensive patients is an established predictor of cardiovascular risk, especially in Blacks. However, data on non-dipping normotensives and cardiovascular risk in this population is sparse. In this study, we aim to determine if a non-dipping profile in a cohort of Black normotensives is associated with cardiac target organ damage.

methodsWe studied ambulatory blood pressure patterns in 43 normotensive Black patients of Caribbean origin and classified their profiles as dippers (DP) and non-dippers (NDP) based on their nocturnal blood pressure profiles. Cardiac target organ damage was estimated from 2-D echocardiogram.

resultsThe mean age of the cohort was 52 years. Both groups were similar with respect to baseline age, sex, weight, height, body mass index and daytime ambulatory BP. There was a statistically significant difference in nocturnal blood pressure between DP and NDP groups (112 ± 7/64 ± 2 mm Hg vs 117 ± 3/69 ± 2 mm Hg, P=.004). The NDP cohort showed evidence of cardiovascular target damage on echocardiography with a significantly increased relative wall thickness (.35 ± .07 cm vs .42 ± .05 cm, P=.001), left ventricular mass index (95 ± 14 vs 105 ± 14 g/m(2), P=.018) and left atrial volume index (26 ± 3.5 vs. 30 ± 3.4, P=.001). Left ventricular geometry in the non-dippers also showed increased concentric remodeling, concentric and eccentric hypertrophy.

conclusionsOur study demonstrates that nocturnal non-dipping of blood pressure in normotensive Blacks of Caribbean origin may be associated with cardiovascular end organ damage thereby providing new surveillance and therapeutic targets.

Indexed as

Black or African AmericanCircadian RhythmAgedBlood PressureBlood Pressure Monitoring, AmbulatoryCardiovascular SystemCaribbean RegionEchocardiographyFemaleHumansHypertensionMaleMiddle AgedBlack PopulationCardiac RemodelingCaribbean PopulationNocturnal HypertensionNon-dipping Blood Pressure

Identifiers

PMID27440966
PMCPMC4948793
OpenAlexW2496072779

What OpenQuestion holds

Textmetadata
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Registered trials

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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.