Nondipping heart rate and associated factors in patients with chronic kidney disease

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dc.contributor.authorBıyık, Zeynep
dc.contributor.authorYavuz, Yasemin Coşkun
dc.contributor.authorAltıntepe, Lütfullah
dc.contributor.authorÇelik, Gülperi
dc.contributor.authorGüney, İbrahim
dc.contributor.authorOktar, Sevil Fişekci
dc.date.accessioned2020-03-26T20:15:30Z
dc.date.available2020-03-26T20:15:30Z
dc.date.issued2019
dc.departmentSelçuk Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground Nondipping heart rate (NHR) is a condition reported to be associated with cardiovascular events and cardiovascular mortality recently. We aimed to search whether there is difference among hypertensive patients with and without chronic kidney disease (CKD) in terms of NHR pattern and the factors associated with NHR in patients with CKD. Methods The study included 133 hypertensive patients with normal kidney functions, 97 hypertensive patients with predialysis CKD, and 31 hypertensive hemodialysis patients. Heart rate, blood pressure and pulse wave velocity (PWV) were measured by 24-h ambulatory blood pressure monitorization. NHR was defined as a decrease of less than 10% at night mean heart rate when compared with daytime values. Results NHR pattern was established as 26.3% in non-CKD hypertensive group, 43.3% in predialysis group and 77.4% in dialysis group. Among patients with CKD, when NHR group was compared with dipper heart rate group, it was seen that they were at older age, there were higher prevalence of diabetes mellitus and more female sex, and while the value of urea, creatinine, phosphorus, intact parathyroid hormone, and PWV were significantly higher, the value of hemoglobin, albumin and calcium were significantly lower. By multivariate analysis, hemoglobin [odds ratio (OR) 0.661; 95% CI 0.541-0.806; p < 0.001] and PWV (OR 1.433; 95% CI 1.107-1.853; p = 0.006) were established as independent determinants of NHR pattern. Conclusions NHR pattern is significantly more frequently seen in hypertensive CKD patients than in hypertensive patients with non-CKD. Anemia and increased arterial stiffness are seen independently associated with NHR in CKD patients.en_US
dc.identifier.citationBiyik, Z., Yavuz, Y. C., Altintepe, L., Celik, G., Guney, I., Oktar, S. F. (2019). Nondipping Heart Rate And Associated Factors İn Patients With Chronic Kidney Disease. Clinical And Experimental Nephrology, 23,(11), 1298-1305.
dc.identifier.doi10.1007/s10157-019-01782-xen_US
dc.identifier.endpage1305en_US
dc.identifier.issn1342-1751en_US
dc.identifier.issn1437-7799en_US
dc.identifier.issue11en_US
dc.identifier.pmid31482253en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage1298en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s10157-019-01782-x
dc.identifier.urihttps://hdl.handle.net/20.500.12395/38041
dc.identifier.volume23en_US
dc.identifier.wosWOS:000490948500005en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorBiyik, Zeynep
dc.institutionauthorYavuz, Yasemin Coskun
dc.institutionauthorAltintepe, Lutfullah
dc.institutionauthorCelik, Gulperi
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofCLINICAL AND EXPERIMENTAL NEPHROLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectChronic kidney diseaseen_US
dc.subjectNondipping heart rateen_US
dc.subjectHypertensionen_US
dc.titleNondipping heart rate and associated factors in patients with chronic kidney diseaseen_US
dc.typeArticleen_US

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