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Dia-Präsentation von Merck Gesellschaft mbH.
Micardis(R) - MicardisPlus(R) - Hypertonie (38 Abbildungen)
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Zum ersten Bild Abb. 8: Blutdruckmessung Abb. 9: Morgendlicher Blutdruckanstieg Abb. 10: Morgendlicher Blutdruckanstieg Aktuelles Bild - Abb. 11: Morgendlicher Blutdruckanstieg Abb. 12: Morgendlicher Blutdruckanstieg Abb. 13: Morgendlicher Blutdruckanstieg Abb. 14: Morgendlicher Blutdruckanstieg Zum letzten Bild
Abbildung 11: Morgendlicher Blutdruckanstieg
The early morning blood pressure surge has been shown to coincide with the peak incidence of a multitude of cardiovascular events. One study revealed that most (68 %) ischaemic episodes occurred between 07:30 and 19:30, with a peak in the morning and a lesser peak in the evening, a rhythm that resembles the occurrence of myocardial infarction and sudden death.1 The circadian rhythm of angina likewise follows a similar pattern to that of myocardial infarction.2 The incidence of stroke rises by around 60% in the early morning period.3 The circadian rhythm of variant angina peaks in the morning, coupled with a peak in plasma levels of fibrinopeptide A.4 The morning rise in blood pressure is also accompanied by a rise in platelet aggregability.5 1. Mulcahy D, et al. Circadian variation of total ischaemic burden and its alteration with anti-anginal agents. Lancet 1988;2:755–759. 2. Taylor CR, et al. Circadian rhythm of angina: similarity to circadian rhythms of myocardial infarction, ischemic ST segment depression, and sudden cardiac death. Am Heart J 1989;118:1098–1099. 3. Marler JR, et al. Morning increase in onset of ischemic stroke. Stroke 1989;20:473–476. 4. Ogawa H, et al. Circadian variation of plasma fibrinopeptide A level in patients with variant angina. Circulation 1989;80:1617–1626. 5. Oshchepkova EV, et al. [Morning rise of systolic blood pressure (by 24-hour ambulatory monitoring) and platelet aggregability in essential hypertension patients]. Ter Arkh 2000;72:47–51.
 
Morgendlicher Blutdruckanstieg
Vorheriges Bild Nächstes Bild   


Abbildung 11: Morgendlicher Blutdruckanstieg
The early morning blood pressure surge has been shown to coincide with the peak incidence of a multitude of cardiovascular events. One study revealed that most (68 %) ischaemic episodes occurred between 07:30 and 19:30, with a peak in the morning and a lesser peak in the evening, a rhythm that resembles the occurrence of myocardial infarction and sudden death.1 The circadian rhythm of angina likewise follows a similar pattern to that of myocardial infarction.2 The incidence of stroke rises by around 60% in the early morning period.3 The circadian rhythm of variant angina peaks in the morning, coupled with a peak in plasma levels of fibrinopeptide A.4 The morning rise in blood pressure is also accompanied by a rise in platelet aggregability.5 1. Mulcahy D, et al. Circadian variation of total ischaemic burden and its alteration with anti-anginal agents. Lancet 1988;2:755–759. 2. Taylor CR, et al. Circadian rhythm of angina: similarity to circadian rhythms of myocardial infarction, ischemic ST segment depression, and sudden cardiac death. Am Heart J 1989;118:1098–1099. 3. Marler JR, et al. Morning increase in onset of ischemic stroke. Stroke 1989;20:473–476. 4. Ogawa H, et al. Circadian variation of plasma fibrinopeptide A level in patients with variant angina. Circulation 1989;80:1617–1626. 5. Oshchepkova EV, et al. [Morning rise of systolic blood pressure (by 24-hour ambulatory monitoring) and platelet aggregability in essential hypertension patients]. Ter Arkh 2000;72:47–51.
 
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