J Korean Ophthalmol Soc > Volume 54(9); 2013 > Article
Journal of the Korean Ophthalmological Society 2013;54(9):1371-1378.
DOI: https://doi.org/10.3341/jkos.2013.54.9.1371    Published online September 15, 2013.
Diurnal Blood Pressure Variation in the Retinal Vein Occlusion.
Sung Jin Park, Sang Woo Moon, Sung Hyup Lim, Il Han Yoon, Kyu Nam Choi, Ho Young Lee
1Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. happytriad@gmail.com
2Therapeutics Center for Ocular Neovascular Disease, Busan, Korea.
3Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
망막정맥폐쇄에서 혈압의 일중 변동 양상 분석
박성진1⋅문상우1⋅임성협1,2⋅윤일한1⋅최규남3⋅이호영1,2
Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine1, Busan, Korea Therapeutics Center for Ocular Neovascular Disease2, Busan, Korea Department of Internal Medicine, Busan Paik Hospital, Inje University College of Medicine3, Busan, Korea
Abstract
PURPOSE
The purpose of this study was to determine the diurnal blood pressure variation with retinal vein occlusion (RVO) using 24-hour ambulatory blood pressure monitoring (24-hour ABPM). METHODS: The subjects in this study visited the department of ophthalmology from May 2012 to December 2012 and were diagnosed with RVO but had no history of hypertension (HTN). Non-dipper was defined as a nocturnal systolic blood pressure (SBP) decrease less than 10%. These values were used to compare the 24-hour ABPM values of the RVO and the control groups. RESULTS: The 24-hour ABPM values, with the exception of the mean nightly SBP, were statistically different whne the RVO group was compared with the control group. The odds of an RVO patient being a non-dipper compared to dipper were 1.81 times greater than in the control. Additionally, the clinical SBP and DBP in the RVO group were not significantly different when the HTN group and the non-HTN group were compared. In contrast, the mean 24-hour SBP and the mean DBP were significantly different in regard to HTN. CONCLUSIONS: Patients with RVO have a tendency to maintain high BP throughout the day and also during the night. A patient with non-dipper status can be at risk for RVO, even if the patient does not have HTN. Therefore, 24-hour ABPM is an effective management approach for HTN in addition to strict BP control in patients with RVO.
Key Words: Non-dipper;Retinal vein occlusion;Target organ damage;24-hour ambulatory blood pressure monitoring


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