Cystatin C Levels in Patients With Dipper and Nondipper Hypertension

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Date

2012

Journal Title

Journal ISSN

Volume Title

Publisher

Lippincott Williams & Wilkins

Access Rights

info:eu-repo/semantics/closedAccess

Abstract

Objective: Subjects with nondipper hypertension carry a higher risk of cardiovascular events than their normotensive counterparts. The present study was designed to investigate cystatin C levels in patients with dipper and nondipper hypertension. Methods: Eighty-eight consecutive patients who had been treated with antihypertensive drugs for at least 6 months were included in the study. Dipping and nondipping patterns were detected with ambulatory blood pressure monitoring. Clinical, laboratory, and ambulatory blood pressure monitoring data of patient groups with nondipper and dipper hypertension were compared. Results: Patients in the nondipper group were older than those in the dipper group. Serum cystatin C level was higher in the patients in the nondipper group. Cystatin C was negatively correlated with the rate of systolic blood pressure fall at night (r = -0.41; P < 0.001). Linear regression analyses revealed that only cystatin C level was a significant correlate of nocturnal systolic blood pressure decrease. Logistic regression analyses also showed that cystatin C was an independent predictor of nondipping pattern (odds ratio, 3.586; 95% confidence interval, 1.432-8.98; P = 0.006]). Conclusion: The present study showed that cystatin C is higher in patients with nondipper hypertension patients.

Description

WOS: 000301976100011
PubMed: 22373662

Keywords

cystatin C, hypertension, dipping

Journal or Series

Journal Of Investigative Medicine

WoS Q Value

Q2

Scopus Q Value

Q2

Volume

60

Issue

4

Citation