Journals / The Anatolian Journal of Cardiology / 2017 / Cilt: 18 - Sayı: 1

Diurnal blood pressure parameters in normal tension glaucoma, primary open angle glaucoma, and healthy subjects

Pages
62–67
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

These differences were statistically significant and the corresponding p values were 0.040, 0.040, 0.037, 0.033, and 0.038.Conclusion: NTG patients have low diurnal BP parameters, which may reduce their optic nerve perfusion and may be responsible for their glaucomatous visual field damage

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The pathophysiology of glaucoma is still undisclosed.
📊
Key Findings & Data:This study aimed to determine the differences in the diurnal blood pressure (BP) of patients with normal tension glaucoma (NTG), primary open angle glaucoma (POAG), and controls without glaucoma.Methods: A total of 129 patients were included in this study.
💡
Conclusion & Impact:These differences were statistically significant and the corresponding p values were 0.040, 0.040, 0.037, 0.033, and 0.038.Conclusion: NTG patients have low diurnal BP parameters, which may reduce their optic nerve perfusion and may be responsible for their glaucomatous visual field damage
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The pathophysiology of glaucoma is still undisclosed. Cardiovascular hemodynamic changes are hypothesized to contribute to glaucoma. This study aimed to determine the differences in the diurnal blood pressure (BP) of patients with normal tension glaucoma (NTG), primary open angle glaucoma (POAG), and controls without glaucoma.Methods: A total of 129 patients were included in this study. The day–night average systolic and diastolic BPs, the day–night average pulse pressures (PPs), the day–night average heart rates, and the percentage of BP decline at night were obtained from the Holter devices and compared. Study design: Prospective, randomized, case-control study.Results: This study included 43 NTG patients (Group 1), 44 POAG patients (Group 2), and 42 healthy subjects without glaucoma (Group 3). The age (p=0.138) and sex (p=0.216) distributions between the groups were similar. The average day–night PP values of Group 1 were 49.17±9.90 and 46.07±10.84 mm Hg, respectively, while their total average PP was 48.48±9.60, their total average systolic BP was 120.02±12.65, and their night average systolic BP was 111.93±15.87 mm Hg. In Group 2, the average day and night PP values were 54.83±10.35 and 51.73±9.10 mm Hg, respectively, their total average PP was 54.00±9.87, their total average systolic BP was 126.75±11.50, and their night average systolic BP was 119.21±12.38 mm Hg. These differences were statistically significant and the corresponding p values were 0.040, 0.040, 0.037, 0.033, and 0.038.Conclusion: NTG patients have low diurnal BP parameters, which may reduce their optic nerve perfusion and may be responsible for their glaucomatous visual field damage

🔖

Cite This Article

KOCATÜRK, T., AKGÜLLÜ, Ç., EVLİÇOĞLU, G. E., ÖMÜRLÜ, İ. K., ÇAKMAK, H., ERYILMAZ, U., DAYANIR, V. (2017). Diurnal blood pressure parameters in normal tension glaucoma, primary open angle glaucoma, and healthy subjects. The Anatolian Journal of Cardiology, Cilt: 18 - Sayı: 1, 62–67. https://ajindex.com/articles/365840

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (10)

  1. Martinez A, Sanchez M. Predictive value of color Doppler imaging in a prospective study of visual field progression in primary open- angle glaucoma. Acta Ophthalmol Scand 2005; 83: 716-23.
  2. Werne A, Harris A, Moore D, BenZion I, Siesky B. The circadian variations in systemic blood pressure, ocular perfusion pressure, and ocular blood flow: risk factors for glaucoma? Surv Ophthalmol 2008; 53: 559-67.
  3. Weinreb RN, Harris A (eds). Ocular Blood Flow in Glaucoma: The 6th Consensus Report of the World Glaucoma Association. Section II: Clinical Measurement of Ocular Blood Flow. Kugler Publications: Amsterdam, The Netherlands, 2009. p. 59 Perloff D, Sokolow M. Ambulatory blood pressure: the San Fran- cisco experience. J Hypertens 1990; 8: 1O5-11. Leske MC, Heijl A, Hyman L, Bengtsson B, Dong L, Yang Z, et al. Predictors of long-term progression in the early manifest glaucoma trial. Ophthalmology 2007; 114: 1965-72. The European Glaucoma Society. EGS Terminology and Guidelines for Glaucoma 3rd ed.,Savona, Italy,. Dogma, Srl; 2008; 1.2: 67-73. Shields MB. Normal-tension glaucoma: is it different from primary open-angle glaucoma? Curr Opin Ophthalmol 2008; 19: 85-8.
  4. Flammer J, Orgul S, Costa VP, Orzalesi N, Krieglstein GK, Serra LM, et al. The impact of ocular blood flow in glaucoma. Prog Retin Eye Res 2002; 21: 359-93.
  5. Tokunaga T, Kashiwagi K, Tsumura T, Taguchi K, Tsukahara S. As- sociation between nocturnal blood pressure reduction and progres- sion of visual field defect in patients with primary open-angle glau- coma or normal-tension glaucoma. Jpn J Ophthalmol 2004; 48: 380-5.
  6. Liu JH, Zhang X, Kripke DF, Weinreb RN. Twenty-four-hour intraocu- lar pressure pattern associated with early glaucomatous changes. Invest Ophthalmol Vis Sci 2003; 44: 1586-90.
  7. Kashiwagi K, Hosaka O, Kashiwagi F, Taguchi K, Mochizuki J, Ishii H, et al. Systemic circulatory parameters. comparison be- tween patients with normal tension glaucoma and normal sub- jects using ambulatory monitoring. Jpn J Ophthalmol 2001; 45: 388-96.
  8. Harris A, Evans D, Martin B, Zalish M, Kagemann L, McCranor L, et al. Nocturnal blood pressure reduction: effect on retrobulbar he- modynamics in glaucoma. Graefes Arch Clin Exp Ophthalmol 2002; 240: 372-8.
  9. Bonomi L, Marchini G, Marraffa M, Bernardi P, Morbio R, Varotto A. Vascular risk factors for primary open angle glaucoma: the Egna- Neumarkt Study. Ophthalmology 2000; 107: 1287-93.
  10. Dielemans I, Vingerling JR, Algra D, Hofman A, Grobbee DE, de Jong PT. Primary open-