[Computer-assisted assessment of the 24-hour blood pressure profile in essential and secondary hypertensive patients].
In 17 essential hypertensives, 13 secondary hypertensives and 9 normotensives, noninvasive 24 h blood pressure monitoring was performed. By a computer-aided evaluation according to the Cosinor method, circadian periodicity was quantified and expressed as a coefficient of periodicity in %. This coefficient for systolic pressure was higher in essential hypertensives and normotensives than in secondary hypertensives (42.9 +/- 18.0 et 43.0 +/- 16.7 versus 28.2 +/- 17.7; p less than 0.05). The circadian periodicity of diastolic pressure showed no significant differences. Despite the large overlap, coefficients of periodicity below 20% for systolic pressure may suggest secondary hypertension.
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Schiffahrtmedizinisches Institut der Marine, Kiel-Kronshagen.
Spieker
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Zidek
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Vetter
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D000328:Adult; D000368:Aged; D001795:Blood Pressure Determination / Q000379:methods*; D002940:Circadian Rhythm; D003936:Diagnosis, Computer-Assisted; D005260:Female; D006801:Humans; D006973:Hypertension / Q000503:physiopathology*; D006977:Hypertension, Renal / Q000503:physiopathology; D006978:Hypertension, Renovascular / Q000503:physiopathology; D008297:Male; D008875:Middle Aged
Computergestützte Auswertung von 24-Stunden-Blutdruckprofilen bei essentiellen und sekundären Hypertonikern.