COMPARATIVE INDICATORS OF 24-HOUR BLOOD PRESSURE MONITORING AND CHARACTERISTICS OF NIGHTTIME SLEEP IN PATIENTS WITH LACUNAR STROKES
Abstract
The aim of the present study was to assess the characteristics of the 24-hour blood pressure (BP) profile and nighttime sleep in patients with lacunar infarction (LI) and hemorrhagic stroke (HS). The study included 120 patients who underwent 24-hour BP monitoring (ABPM) and clinical evaluation during the acute period of stroke. We analyzed average 24-hour, daytime, and nighttime systolic (SBP) and diastolic (DBP) values, the 24-hour index, as well as BP circadian rhythm types: dipper, non-dipper, over-dipper, and night-peaker. It was found that the over-dipper type was more frequently observed in patients with LI, whereas in HS patients the night-peaker and non-dipper profiles predominated. The obtained data confirm the pathogenetic role of a disrupted circadian BP rhythm in the development of stroke, particularly during the nighttime period, and highlight the need for an individualized approach to antihypertensive therapy, taking into account circadian features of BP and sleep.
Keywords
24-hour blood pressure monitoring, lacunar infarction, hemorrhagic stroke.How to Cite
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