THE RELATIONSHIP OF MORNING SURGE in BLOOD PRESSURE and ATHEROGENIC INDEX

Authors : Oğuz Kiliç, Ipek Büber

Pages : 237-243

View : 52 | Download : 89

Publication Date : 2023-10-16

Article Type : Research Paper

Abstract :Introduction: The Morning Surge Blood Pressure (MSBP) phenomenon is described as a marker an increase in morning blood pressure (BP). MSBP causes an increased risk of cardiovascular disease (CVD) and death from all causes. The atherogenic index of plasma (AIP) is used to predict the risk of coronary atherosclerosis and cardiovascular (CV) disease. In this study, we aimed to investigate the relationship between MSBP and AIP. Methods: Our study included 296 consecutive participants with ambulatory BP monitoring. Patient data were obtained by retrospective scanning from the hospital database. The patients were divided into 3 groups according to the obtained AIP score. The relationship between MBPS and AIP risk groups was examined. Results: After calculating the AIP value, risk classification was made. According to the risk classification; <0.11 low risk, 0.11-0.21 medium risk, and >0.21 high risk. AIP risk groups and MBPS values were compared. In the multiple regression analysis to determine the parameters associated with MSBP; age (p= 0.011), body mass index (BMI) (p= 0.001), lymphocyte level (p= 0.002), smoking (p= 0.024), male gender (p= 0.002), atrial fibrillation (AF) (p= 0.018) in the high- risk group. Conclusion: Our retrospective study showed that increased AIP and MSBP are independently associated. A high AIP score indicates increased MSBP. However, prospective studies with large participation are needed to determine whether MSBP will be a treatment target in patients at high risk for CVD.
Keywords : morning surge blood pressure, plasma atherogenicity index, cardiovascular diseases