Факторы, которые необходимо учитывать при постановке задачи адекватного контроля артериального давления

Автор: Губин Денис, Корнелиссен Жермен

Журнал: Тюменский медицинский журнал @tmjournal

Статья в выпуске: 1 т.21, 2019 года.

Бесплатный доступ

Многие врачи до сих пор считают, что однократное измерение артериального давления дает достоверную информацию для принятия диагностического решения и, соответственно, назначения лечения. Однако уже 40 лет назад, задолго до того, как амбулаторный мониторинг артериального давления стал рутинной практикой, было признано, что такая стратегия по сути эквивалента подбрасыванию монеты и приводит к более чем 40% ложных диагностических заключений (Management Committee, Australian National Blood Pressure Study, 1980). Сегодня мы знаем гораздо больше о природе вариабельности АД и о множестве факторов, которые существенно влияют на то, какие значения АД высвечиваются на экране (независимо от того, какое устройство врач или пациент будут использовать для измерения АД). Значительную роль играет как время суток (фаза суточного ритма), так и циклы ряда других частот, в частности 12-часовой и недельный. Кроме того, временной фактор сказывается не только на величине АД, но и на производных параметрах его вариабельности. Целью настоящего мини-обзора является схематичное, но емкое представление, почему единичные измерения АД не только мало-информативны, но и нередко обманчивы. Представленная информация должна быть использована прежде всего клиницистами широкого профиля, кардиологами, а также специалистами, вовлеченными в развитие технологий телемедицины и концепции персонализированной медицины.

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Франц халберг, артериальное давление, вариабельность, гипертензия, циркадианный ритм, диагностика, терапия, персонализированная медицина, телемедицина

Короткий адрес: https://sciup.org/140244775

IDR: 140244775 | DOI: 10.36361/2307-4698-2019-21-1-14-20

Список литературы Факторы, которые необходимо учитывать при постановке задачи адекватного контроля артериального давления

Ahuja KD, Robertson IK, Ball MJ. Acute effects of food on postprandial blood pressure and measures of arterial stiffness in healthy humans. Am J Clin Nutr. 2009; 90 (2):298-303. DOI: 10.3945/ajcn.2009.27771
Al Khodor S, Reichert B, Shatat IF. The Microbiome and Blood Pressure: Can Microbes Regulate Our Blood Pressure? Front Pediatr. 2017; 5:138. Published 2017 Jun 19. DOI: 10.3389/fped.2017.00138
Altorf-van der Kuil W, Engberink MF, Brink EJ, et al. Dietary protein and blood pressure: a systematic review. PLoS One. 2010; 5 (8): e12102. DOI: 10.1371/journal.pone.0012102
Ayada C, Toru Ü, Korkut Y. The relationship of stress and blood pressure effectors. Hippokratia. 2015; 19 (2): 99-108.
Basinou V, Park JS, Cederroth CR, Canlon B. Circadian regulation of auditory function. Hear Res. 2017; 347: 47-55. DOI: 10.1016/j.heares.2016.08.018
Braune S, Wrocklage C, Raczek J, Gailus T, Lücking CH. Resting blood pressure increase during exposure to a radio-frequency electromagnetic field. Lancet. 1998 Jun 20;351 (9119):1857-8.
Brown MJ. Hypertension and ethnic group [published correction appears in BMJ. 2006; 332 (7550):1138]. BMJ. 2006; 332 (7545): 833-836.
DOI: 10.1136/bmj.332.7545.833
Cagnacci A., Cannoletta M., Renzi A., et al. Prolonged melatonin administration decreases nocturnal blood pressure in women. Am J Hypertens. 2005; 18 (12 Pt1): 1614-1618.
Cappuccio FP, Stranges S, Kandala NB, et al. Gender-specific associations of short sleep duration with prevalent and incident hypertension: the Whitehall II Study. hypertension. 2007; 50 (4): 693-700.
DOI: 10.1161/HYPERTENSIONAHA.107.095471
Cengiz M, Karatas OF, Koparir E, et al. Differential expression of hypertension-associated microRNAs in the plasma of patients with white coat hypertension. Medicine (Baltimore). 2015; 94 (13): e693.
DOI: 10.1097/MD.0000000000000693
Choi HY, Park HC, Ha SK. Salt Sensitivity and Hypertension: A Paradigm Shift from Kidney Malfunction to Vascular Endothelial Dysfunction. Electrolyte Blood Press. 2015;13 (1):7-16.
DOI: 10.5049/EBP.2015.13.1.7
Cifkova R, Pitha J, Lejskova M, et al. Blood pressure around the menopause: a population study. J Hypertens. 2008; 26 (10): 1976-1982.
DOI: 10.1097/HJH.0b013e32830b895c
Cornélissen G, Haus E, Halberg F. Chronobiologic blood pressure assessment from womb to tomb. In: Touitou Y, Haus E, eds. Biological Rhythms in Clinical and Laboratory Medicine. Berlin: Springer-Verlag; 1992. pp. 428-45.
Cornélissen G, Otsuka K, Halberg F. Blood pressure and heart rate chronome mapping: a complement to the human genome initiative. In: Otsuka K, Cornélissen G, Halberg F, eds. Chronocardiology and Chronomedicine: Humans in Time and Cosmos. Tokyo: Life Science Publishing; 1993. pp. 16-48
Cornélissen G, Delcourt A, Toussaint G, et al. Opportunity of detecting pre-hypertension: worldwide data on blood pressure overswinging. Biomed Pharmacother. 2005; 59 (Suppl 1): S152-S157.
Cornélissen G, Halberg F, Otsuka K, Singh RB, Chen CH. Chronobiology predicts actual and proxy outcomes when dipping fails. Hypertension. 2007; 49 (1):237-239.
DOI: 10.1161/01.HYP.0000250392.51418.64
Cornélissen G, Halberg F, Otsuka K, Singh RB. Separate cardiovascular disease risks: circadian hyper-amplitude-tension (CHAT) and an elevated pulse pressure. World Heart J 2008; 1 (3): 223-232.
Cornélissen G, Brandes V, Halberg F. Circadian stage-dependent effect of listening to music on systolic blood pressure. In: Proceedings, Natural Cataclysms and Global Problems of the Modern Civilization, Istanbul, 19-21 September 2011. London: SWB International Publishing House; 2012. pp. 246-250.
Cornélissen G, Otsuka K, Uezono K, Siegelova J. Salt, blood pressure, and cardiovascular disease risk. In: Kenner T, Cornélissen G, Siegelova J, Dobsak P. (Eds.) Noninvasive Methods of Cardiology. Masaryk University, Brno, Czech Republic 2014; 125-132.
Cornelissen G., Watanabe Y., Siegelova J., et al. Chronobiologically interpreted ambulatory blood pressure monitoring: past, present, and future. Biol Rhythm Res. 2019; 50 (1): 46-62
DOI: 10.1080/09291016.2018.1491193
do Amaral MA, Neto MG, de Queiroz JG, Martins-Filho PR, Saquetto MB, Oliveira Carvalho V. Effect of music therapy on blood pressure of individuals with hypertension: A systematic review and Meta-analysis. Int J Cardiol. 2016 Jul 1; 214:461-4.
DOI: 10.1016/j.ijcard.2016.03.197
Elijovich F, Weinberger MH, Anderson CA, Appel LJ, Bursztyn M, Cook NR, Dart RA, Newton-Cheh CH, Sacks FM, Laffer CL; American Heart Association Professional and Public Education Committee of the Council on Hypertension; Council on Functional Genomics and Translational Biology; and Stroke Council. Salt Sensitivity of Blood Pressure: A Scientific Statement From the American Heart Association. Hypertension. 2016; 68 (3): e7-e46. Epub 2016 Jul 21.
DOI: 10.1161/HYP.0000000000000047
Evans JM, Wang S, Greb C, et al. Body Size Predicts Cardiac and Vascular Resistance Effects on Men's and Women's Blood Pressure. Front Physiol. 2017; 8:561.
DOI: 10.3389/fphys.2017.00561
Fekete ÁA, Giromini C, Chatzidiakou Y, Givens DI, Lovegrove JA. Whey protein lowers systolic blood pressure and Ca-caseinate reduces serum TAG after a high-fat meal in mildly hypertensive adults. Sci Rep. 2018; 8 (1): 5026.
DOI: 10.1038/s41598-018-23333-2
Garrison SR, Kolber MR, Korownyk CS, et al. Blood pressure targets for hypertension in older adults. Cochrane Database Syst Rev. 2017 Aug 8;8: CD011575.
DOI: 10.1002/14651858.CD011575.pub2
Grandner M, Mullington JM, Hashmi SD, et al. Sleep Duration and Hypertension: Analysis of > 700,000 Adults by Age and Sex. J Clin Sleep Med. 2018;14 (6): 1031-1039.
DOI: 10.5664/jcsm.7176
Graudal N, Jürgens G, Baslund B, Alderman MH. Compared with usual sodium intake, low- and excessive-sodium diets are associated with increased mortality: a meta-analysis. Am J Hypertens. 2014; 27 (9): 1129-37.
DOI: 10.1093/ajh/hpu028
Gubin D., Gubin G., Cornélissen G., et al. The human blood pressure chronome: a biological gauge of aging. In Vivo. 1997; 11 (6): 485-494.
Gubin D. G., Cornelissen G., Halberg F. et al. Half-weekly and weekly blood pressure patterns in late human ontogeny. Scripta Medica Facultatis Medicae Universitatis Brunensis Masarykianae. 1997; 70: 207-216.
Gubin D., Gubin G. Some general effects of aging upon circadian parameters of cardiovascular variables assessed longitudinally by ambulatory monitoring. Chronobiol. Int. 2001; 18: 1106-1107.
Gubin D., Cornelissen G., Weinert D. et al. Circadian disruption and Vascular Variability Disorders (VVD) - mechanisms linking aging, disease state and Arctic shift-work: applications for chronotherapy. World Heart Journal. 2013. 5 (4): 285-306.
Gubin D. G., Gubin G. D., Gapon L. I., Weinert D. Daily Melatonin Administration Attenuates Age-Dependent Disturbances of Cardiovascular Rhythms. Curr. Aging Sci. 2016; 9 (1): 5-13.
Gubin D. G., Weinert D., Rybina S. V., et al. Activity, Sleep and Ambient Light Have a Different Impact on Circadian Blood Pressure, Heart Rate and Body Temperature Rhythms. Chronobiology Int. 2017. 34 (5): 632-649.
DOI: 10.1080/07420528.2017.1288632
Gubin D. G., Weinert D., Solovieva S. V., et al. Melatonin attenuates effects of light-at-night on systolic blood pressure and body temperature but does not affect diastolic blood pressure and heart rate circadian rhythms. Biological Rhythm Research, 2019. Online.
DOI: 10.1080/09291016.2018.1564586
Hachiya T, Narita A, Ohmomo H, et al. Genome-wide analysis of polymorphism × sodium interaction effect on blood pressure identifies a novel 3'-BCL11B gene desert locus. Sci Rep. 2018; 8 (1): 14162.
DOI: 10.1038/s41598-018-32074-1
Halberg F, Cornélissen G, Katinas G, et al. Transdisciplinary unifying implications of circadian findings in the 1950s. J Circadian Rhythms. 2003; 1 (1):2.
DOI: 10.1186/1740-3391-1-2
Halberg F, Cornélissen G, Regal P, et al. Chronoastrobiology: proposal, nine conferences, heliogeomagnetics, transyears, near-weeks, near-decades, phylogenetic and ontogenetic memories. Biomed Pharmacother. 2004; 58 Suppl 1: S150-87.
Halberg F, Cornelissen F, Halberg Francine, Kessler T, Otsuka K. Measuring mental strain by duration of blood pressure overswing (CHAT): case report. World Heart J 2010; 2 (2): 141-167.
Halberg F, Mult H, Cornélissen G, et al. Chronobiologically Interpreted Ambulatory Blood Pressure Monitoring in Health and Disease. Glob Adv Health Med. 2012; 1 (2): 66-123.
DOI: 10.7453/gahmj.2012.1.2.012
Halberg F, Powell D, Otsuka K, et al. Diagnosing vascular variability anomalies, not only MESOR-hypertension. Am J Physiol Heart Circ Physiol. 2013; 305 (3): H279-H294.
DOI: 10.1152/ajpheart.00212.2013
Herrmann-Lingen C, Meyer T, Bosbach A, et al. Cross-Sectional and Longitudinal Associations of Systolic Blood Pressure With Quality of Life and Depressive Mood in Older Adults With Cardiovascular Risk Factors: Results From the Observational DIAST-CHF Study. Psychosom Med. 2018; 80 (5): 468-474.
DOI: 10.1097/PSY.0000000000000591
Hermida RC, Ayala DE, Mojón A, Fernández JR. Blunted sleep-time relative blood pressure decline increases cardiovascular risk independent of blood pressure level - the "normotensive non-dipper" paradox. Chronobiol Int. 2013; 30 (1-2): 87-98.
DOI: 10.3109/07420528.2012.701127
Hermida R. C., Ayala D. E., Smolensky M. H., et al. Sleep-time blood pressure: Unique sensitive prognostic marker of vascular risk and therapeutic target for prevention // Sleep Med Rev. 2017. 33: 17-27.
DOI: 10.1016/j.smrv.2016.04.001
Hermida RC, Ayala DE, Fernández JR, Mojón A, Smolensky MH. Hypertension: New perspective on its definition and clinical management by bedtime therapy substantially reduces cardiovascular disease risk. Eur J Clin Invest. 2018; 48 (5): e12909. Epub 2018 Feb 25.
DOI: 10.1111/eci.12909
Hosseini M, Baikpour M, Yousefifard M, et al. Blood pressure percentiles by age and body mass index for adults. EXCLI J. 2015; 14: 465-477.
DOI: 10.17179/excli2014-635
Hristova K., Singh R. B., Cornelissen G., et al. For the International College of Cardiology. The Challenges of new guidelines for management of hypertension: a viewpoint of the International College of Cardiology. World Heart J. 2015; 7: 103-8.
Huang CC, Chen YH, Hung CS, et al. Assessment of the Relationship Between Ambient Temperature and Home Blood Pressure in Patients From a Web-Based Synchronous Telehealth Care Program: Retrospective Study. J Med Internet Res. 2019; 21 (3): e12369. Published 2019 Mar 4.
DOI: 10.2196/12369
James GD, Yee LS, Harshfield GA, Blank SG, Pickering TG. The influence of happiness, anger, and anxiety on the blood pressure of borderline hypertensives. Psychosom Med. 1986; 48 (7): 502-8.
Johnson RS, Titze J, Weller R. Cutaneous control of blood pressure. Curr Opin Nephrol Hypertens. 2016; 25 (1): 11-15.
DOI: 10.1097/MNH.0000000000000188
Kim S, Park GH, Yang JH, et al. Eating frequency is inversely associated with blood pressure and hypertension in Korean adults: analysis of the Third Korean National Health and Nutrition Examination Survey. Eur J Clin Nutr. 2014; 68 (4): 481-9. Epub 2014 Feb 12.
DOI: 10.1038/ejcn.2014.9
Knutson KL, Van Cauter E, Rathouz PJ, et al. Association between sleep and blood pressure in midlife: the CARDIA sleep study. Arch Intern Med. 2009; 169 (11): 1055-1061.
DOI: 10.1001/archinternmed.2009.119
Lackland DT. Racial differences in hypertension: implications for high blood pressure management. Am J Med Sci. 2014; 348 (2): 135-138.
DOI: 10.1097/MAJ.0000000000000308
Li N, Ma R, Wang S, et al. The potential role of testosterone in hypertension and target organ damage in hypertensive postmenopausal women. Clin Interv Aging. 2019; 14:743-752.
DOI: 10.2147/CIA.S195498
Makarem N, Shechter A, Carnethon MR, et al. Sleep Duration and Blood Pressure: Recent Advances and Future Directions. Curr Hypertens Rep. 2019; 21 (5):33.
DOI: 10.1007/s11906-019-0938-7
Management Committee, Australian National Blood Pressure Study. The Australian Therapeutic Trial in Mild Hypertension. Lancet. 1980; i (8181):1261-7.
Murai S, Takase H, Sugiura T, et al. Evaluation of the reduction in central and peripheral arterial blood pressure following an oral glucose load. Medicine (Baltimore). 2017; 96 (42): e8318.
DOI: 10.1097/MD.0000000000008318
Ndanuko RN, Tapsell LC, Charlton KE, Neale EP, Batterham MJ. Dietary Patterns and Blood Pressure in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Adv Nutr. 2016; 7 (1): 76-89.
DOI: 10.3945/an.115.009753
Otsuka K, Cornélissen G, Watanabe H, Halberg F. Reproducibility of circadian patterns in blood pressure and heart rate of group-synchronized healthy women and circannual effects. In: Halberg F, Watanabe H, eds. Proc. Workshop on Computer Methods on Chronobiology and Chronomedicine, Tokyo, Sept. 13, 1990. Tokyo: Medical Review; 1992. pp. 185-201.
Otsuka K, Cornélissen G, Halberg F, Oehlert G. Excessive circadian amplitude of blood pressure increases risk of ischemic stroke and nephropathy. J Medical Engineering & Technology. 1997; 21: 23-30.
Rizk SA, Sharaf NE, Mahdy-Abdallah H, ElGelil KS. Some health effects of aircraft noise with special reference to shift work. Toxicol Ind Health. 2016; 32 (6): 961-7. Epub 2014 Jan 23.
DOI: 10.1177/0748233713518602
Rostand SG, McClure LA, Kent ST, Judd SE, Gutiérrez OM. Associations of blood pressure, sunlight, and vitamin D in community-dwelling adults. J Hypertens. 2016; 34 (9): 1704-1710.
DOI: 10.1097/HJH.0000000000001018
Sanada H, Jones JE, Jose PA. Genetics of salt-sensitive hypertension. Curr Hypertens Rep. 2011; 13 (1): 55-66.
DOI: 10.1007/s11906-010-0167-6
Scheer FA, Van Montfrans GA, van Someren EJ, et al. (2004). Daily nighttime melatonin reduces blood pressure in male patients with essential hypertension. hypertension. 43 (2): 192-7.
Shea S. A., Hilton M. F., Hu K., Scheer F. A. Existence of an endogenous circadian blood pressure rhythm in humans that peaks in the evening. Circ Res. 2011. 108: 980-984.
Singh RB, Halberg F, Cornélissen G, et al. Personalized circadian timing of exercise. World Heart J 2013; 5 (2): 79-90.
Smolensky MH, Hermida RC, Castriotta RJ, Portaluppi F. Role of sleep-wake cycle on blood pressure circadian rhythms and hypertension. Sleep Med. 2007; 8 (6):668-80.
Stern M, Broja M, Sansone R, et al. Blue light exposure decreases systolic blood pressure, arterial stiffness, and improves endothelial function in humans. Eur J Prev Cardiol. 2018; 25 (17): 1875-1883.
DOI: 10.1177/2047487318800072
Stewart KC, Subramanian D, Neal UJ, Hanson AJ. APOE Genotype Influences Postprandial Blood Pressure after High Fat Feeding in Older Adults. J Nutr Health Aging. 2019; 23 (5): 408-413.
DOI: 10.1007/s12603-019-1167-0
Sutton EF, Beyl R, Early KS, et al. Early Time-Restricted Feeding Improves Insulin Sensitivity, Blood Pressure, and Oxidative Stress Even without Weight Loss in Men with Prediabetes. Cell Metab. 2018; 27 (6): 1212-1221.e3.
DOI: 10.1016/j.cmet.2018.04.010
Vloet LC, Smits R, Jansen RW. The effect of meals at different mealtimes on blood pressure and symptoms in geriatric patients with postprandial hypotension. J Gerontol A Biol Sci Med Sci. 2003; 58 (11): 1031-5.
Wang Q, Li C, Guo Y, et al. Environmental ambient temperature and blood pressure in adults: A systematic review and meta-analysis. Sci Total Environ. 2017; 575: 276-286.
DOI: 10.1016/j.scitotenv.2016.10.019
Watanabe Y, Beaty L, Otsuka K, Siegelova J, Cornélissen G. Lessons learned from longitudinal blood pressure monitoring. In: Cornélissen G, Siegelova J, Dobsak P (Eds.) Noninvasive Methods in Cardiology 2017. Masaryk University, Brno, Czech Republic 2017; 149-156.
Westenend M, Lenders JW, Thien T. The course of blood pressure after a meal: a difference between young and elderly subjects. J Hypertens Suppl. 1985; 3 (3): S417-9.
Yan Q, Gu Y, Li X, et al. Alterations of the Gut Microbiome in Hypertension. Front Cell Infect Microbiol. 2017; 7: 381.
Yiallouris A, Tsioutis C, Agapidaki E, et al. Adrenal Aging and Its Implications on Stress Responsiveness in Humans. Front Endocrinol (Lausanne). 2019; 10: 54. Published 2019 Feb 7.
DOI: 10.3389/fendo.2019.00054
Агаджанян Н. А., Губин Д. Г. Десинхроноз: механизмы развития от молекулярно-генетического до организменного уровня. Успехи физиологических наук. 2004. Т. 35. № 2. С. 57-72.
Губин Д. Г., Губин Г. Д., Гапон Л. И. Преимущества использования хронобиологических нормативов при анализе данных амбулаторного мониторинга артериального давления. Вестник аритмологии. 2000. 16: 84-94.
Губин Д. Г. Общие закономерности динамики хроноинфраструктуры физиологических показателей в онтогенезе человека. Дисс… д. м.н., Москва, РУДН, 2002, 368 с.
Губин Д. Г. Экстрациркадианная диссеминация как общее проявление десинхроноза на различных уровнях организации. Вестник РУДН. Серия "Медицина". 2012. № 7. С. 83-84.
Губин Д. Г. Молекулярные механизмы циркадианных ритмов и принципы развития десинхроноза. Успехи физиологических наук. 2013. Т. 44, № 4. С. 65-87.
Губин Д. Г., Вайнерт Д., Соловьева С. В., Дуров А. М. Роль активности, сна и внешней освещенности в суточной динамике артериального давления // Медицинский алфавит. 2018. № 3, том № 1. Артериальная гипертензия. С. 20-23.
Губин Д. Г., Вайнерт Д., Соловьева С. В., Рыбина С. В., Данилова Л. А., Гапон Л. И., Шуркевич Н. П., Ветошкин А. С., Дьячков С. М. Эндогенный суточный ритм артериального давления в норме. как он выглядит и его отличия от результатов амбулаторного мониторинга. Тюменский медицинский журнал. 2018. Т. 20. № 1. С. 3-6.

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