Novel insights into the association between seasonal variations, blood pressure, and blood pressure variability in patients with new-onset essential hypertension. 2022

Long Tang, and Jingshui Zhang, and Yanan Xu, and Tingting Xu, and Yi Yang, and Jun Wang
Department of Cardiology, The People's Hospital of Xuancheng City, Anhui, 242000, China.

Blood pressure (BP) exhibits seasonal variations, with peaks reported in winter. However, the association between seasonal variations and blood pressure variability in patients with new-onset essential hypertension is not fully understood. This study evaluated the potential association of seasonal variations with new-onset essential hypertension. This retrospective observational study recruited a total of 440 consecutive patients with new-onset essential hypertension who underwent 24-h ambulatory electrocardiograph (ECG) and BP measurement at our department between January 2019 and December 2019. Demographic and baseline clinical data including BP variability, heart rate variability, and blood tests were retrieved. Multivariate linear regression analysis was performed to identify factors independently associated with mean BP and BP variability. Among the 440 patients recruited, 93 cases were admitted in spring, 72 in summer, 151 in autumn, and 124 in winter. Univariate analysis revealed that systolic BP (SBP), diastolic BP (DBP), high-sensitivity C-reactive protein, SBP drop rate, DBP drop rate, 24-h standard deviation of SBP, 24-h standard deviation of DBP, 24-h SBP coefficient of variation, and 24-h DBP coefficient of variation were associated with patients admitted in winter (P < 0.05 for all). Multivariate linear regression analysis showed that winter was the influencing factor of 24-h standard deviation of SBP (B = 1.851, t = 3.719, P < 0.001), 24-h standard deviation of DBP (B = 1.176, t = 2.917, P = 0.004), 24-h SBP coefficient of variation (B = 0.015, t = 3.670, P < 0.001), and 24-h DBP coefficient of variation (B = 0.016, t = 2.849, P = 0.005) in hypertensive patients. Seasonal variations are closely associated with BP variability in patients with new-onset essential hypertension. Our study provides insight into the underlying pathogenesis of new-onset essential hypertension.

UI MeSH Term Description Entries
D006973 Hypertension Persistently high systemic arterial BLOOD PRESSURE. Based on multiple readings (BLOOD PRESSURE DETERMINATION), hypertension is currently defined as when SYSTOLIC PRESSURE is consistently greater than 140 mm Hg or when DIASTOLIC PRESSURE is consistently 90 mm Hg or more. Blood Pressure, High,Blood Pressures, High,High Blood Pressure,High Blood Pressures
D001794 Blood Pressure PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS. Systolic Pressure,Diastolic Pressure,Pulse Pressure,Pressure, Blood,Pressure, Diastolic,Pressure, Pulse,Pressure, Systolic,Pressures, Systolic
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000075222 Essential Hypertension Hypertension that occurs without known cause, or preexisting renal disease. Associated polymorphisms for a number of genes have been identified, including AGT, GNB3, and ECE1. OMIM: 145500 Primary Hypertension,Hypertension, Essential,Hypertension, Primary,Hypertensions, Primary,Primary Hypertensions
D012621 Seasons Divisions of the year according to some regularly recurrent phenomena usually astronomical or climatic. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Seasonal Variation,Season,Seasonal Variations,Variation, Seasonal,Variations, Seasonal
D018660 Blood Pressure Monitoring, Ambulatory Method in which repeated blood pressure readings are made while the patient undergoes normal daily activities. It allows quantitative analysis of the high blood pressure load over time, can help distinguish between types of HYPERTENSION, and can assess the effectiveness of antihypertensive therapy. Ambulatory Blood Pressure Monitoring,Monitoring, Ambulatory Blood Pressure,Blood Pressure Monitoring, Home,Blood Pressure Monitoring, Self,Home Blood Pressure Monitoring,Self Blood Pressure Monitoring

Related Publications

Long Tang, and Jingshui Zhang, and Yanan Xu, and Tingting Xu, and Yi Yang, and Jun Wang
December 1996, Journal of hypertension,
Long Tang, and Jingshui Zhang, and Yanan Xu, and Tingting Xu, and Yi Yang, and Jun Wang
January 1982, Clinical and experimental hypertension. Part A, Theory and practice,
Long Tang, and Jingshui Zhang, and Yanan Xu, and Tingting Xu, and Yi Yang, and Jun Wang
May 1998, American journal of hypertension,
Long Tang, and Jingshui Zhang, and Yanan Xu, and Tingting Xu, and Yi Yang, and Jun Wang
November 2004, Medicina clinica,
Long Tang, and Jingshui Zhang, and Yanan Xu, and Tingting Xu, and Yi Yang, and Jun Wang
December 2023, Chronic diseases and translational medicine,
Long Tang, and Jingshui Zhang, and Yanan Xu, and Tingting Xu, and Yi Yang, and Jun Wang
January 2023, Cardiovascular journal of Africa,
Long Tang, and Jingshui Zhang, and Yanan Xu, and Tingting Xu, and Yi Yang, and Jun Wang
January 2018, Computers in biology and medicine,
Long Tang, and Jingshui Zhang, and Yanan Xu, and Tingting Xu, and Yi Yang, and Jun Wang
June 2007, Journal of human hypertension,
Long Tang, and Jingshui Zhang, and Yanan Xu, and Tingting Xu, and Yi Yang, and Jun Wang
September 2020, Journal of human hypertension,
Long Tang, and Jingshui Zhang, and Yanan Xu, and Tingting Xu, and Yi Yang, and Jun Wang
May 2020, Chinese medical journal,
Copied contents to your clipboard!