Evidence map›Paper›PMID 41127044›Full record

ArticleInternational journal of general medicine2025

Establishment and Evaluation of a Risk Prediction Model for Abnormal Circadian Rhythm of Blood Pressure in Young Hypertensive Patients.

Qinhao Chen, Lei Shi, Xiang Li, Jing Wen, Guangan Geng, Jinliang Jiang, Haiyang Yu, Mingzhu Quan

Abstract read
In one paragraph

Article in International journal of general medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Qinhao ChenDepartment of Electrocardiogram, 901st Hospital of the Chinese People's Liberation Army Joint Logistics Support Force, Hefei, Anhui Province, People's Republic of China.ORCID 0000-0003-4686-2821
Lei ShiThe First Affiliated Clinical Medical College of Anhui University of Chinese Medicine, Hefei, Anhui Province, People's Republic of China.
Xiang LiDepartment of Electrocardiogram, 901st Hospital of the Chinese People's Liberation Army Joint Logistics Support Force, Hefei, Anhui Province, People's Republic of China.
Jing WenDepartment of Electrocardiogram, 901st Hospital of the Chinese People's Liberation Army Joint Logistics Support Force, Hefei, Anhui Province, People's Republic of China.
Guangan GengDepartment of Electrocardiogram, 901st Hospital of the Chinese People's Liberation Army Joint Logistics Support Force, Hefei, Anhui Province, People's Republic of China.
Jinliang JiangDepartment of Electrocardiogram, 901st Hospital of the Chinese People's Liberation Army Joint Logistics Support Force, Hefei, Anhui Province, People's Republic of China.
Haiyang YuDepartment of Clinical Oncology, The First Affiliated Hospital of USTC, Hefei, Anhui Province, People's Republic of China.
Mingzhu QuanDepartment of Electrocardiogram, 901st Hospital of the Chinese People's Liberation Army Joint Logistics Support Force, Hefei, Anhui Province, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to develop and validate a simple and clinically applicable nomogram to predict abnormal circadian blood pressure rhythm in young hypertensive patients, enabling early detection and intervention. Methods: A total of 211 young hypertensive patients were enrolled between January 2023 and June 2024, with an additional 203 patients from other hospitals included for external validation. Patients were categorized into dipper and non-dipper groups based on 24-hour ambulatory blood pressure monitoring. Independent risk factors for abnormal circadian blood pressure rhythms were identified using multivariate logistic regression analysis, which was subsequently used to construct and externally validate a nomogram model. Results: Univariate analysis revealed significant differences (P<0.05) in the lymphocyte-to-monocyte ratio (LMR), systemic inflammatory response index (SIRI), systemic immune-inflammatory index (SII), triglycerides (TG), high-density lipoprotein (HDL), low-density lipoprotein (LDL), and uric acid (UA) between the dipper and non-dipper groups. Multivariate analysis identified decreased LMR, increased SIRI, elevated TG, and elevated UA as independent risk factors for abnormal circadian blood pressure rhythms in young hypertensive patients. The risk nomogram model was established based on the variables filtered by the multi-factor Logistic regression model. The evaluation results showed that the area under the curve (AUC) was 0.883. External validation showed an AUC of 0.844, with calibration confirming excellent predictive performance. Conclusion: LMR, SIRI, TG, and UA are independent predictors of abnormal circadian blood pressure rhythms in young hypertensive patients. The developed nomogram model is straightforward, rapid, and exhibits clinically relevant accuracy, providing valuable insights for clinical application.

Indexed as

circadian rhythm of blood pressurehypertensionlymphocyte-to-monocyte rationomogramsystemic immune response index

Identifiers

PMID41127044
PMCPMC12539354

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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.