Association of nocturnal subconjunctival hemorrhage and non-dipper blood pressure pattern: A benign clue for serious diseases

Karanfil F., Karanfil M., TOKLU Y.

EUROPEAN JOURNAL OF OPHTHALMOLOGY, cilt.32, sa.5, ss.3043-3049, 2022 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 5
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1177/11206721211070939
  • Dergi Adı: EUROPEAN JOURNAL OF OPHTHALMOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.3043-3049
  • Anahtar Kelimeler: subconjunctival hemorrhage, non-dipper hypertension, ambulatory blood pressure measurement, office blood pressure measurement, stroke, coronary artery disease, TARGET ORGAN DAMAGE, HEMOSTATIC ALTERATIONS, HYPERTENSION, RISK, STROKE, PREVALENCE, MANAGEMENT
  • Ankara Üniversitesi Adresli: Evet

Özet

Purpose To evaluate the association between non-dipper blood pressure pattern and subconjunctival hemorrhage (SCH). Methods Twenty-seven consecutive patients with nocturnal SCH and 27 age, sex-matched controls were enrolled. Demographic, blood parameters, office blood pressure measurements, 24-h ambulatory blood pressure monitoring (ABPM) were evaluated. Results Mean diastolic blood pressure (DBP) for nighttime (65.03 +/- 7.1 vs. 70.78 +/- 10.5, p: 0.22), mean heart rate for nighttime (64.54 +/- 8.26 vs. 69.93 +/- 9.85, p: 0.034), Minimum Systolic Blood pressure(SBP) and DBP values for nighttime (92.44 +/- 9.72 vs. 99.44 +/- 10.66, p:0.015 and 51.15 +/- 8.31 vs. 57.7 +/- 11.2, p: 0.018) were higher, nocturnal fall ratio of SBP and DBP were significantly lower in the SCH ( + ) group compared to SCH (-) group (5.38 +/- 8.39 vs. 10.34 +/- 6.08, p: 0.016 and 4.26 +/- 8.92 vs. 13.78 +/- 6.97, p < 0001 respectively). Ten patients (37%) in the SCH (-) group and 18 patients (66.7%) in the SCH ( + ) group were non-dippers (p: 0.029). Mean daytime SBP and DBP were higher compared to office measurements of 4 patients (14.8%) in the SCH (-) group and 11 patients (40.7%) in the SCH ( + ) group (p: 0.033) Conclusion SCH had a strong association with non-dipper blood pressure pattern, higher nocturnal heart rate and masked hypertension which are precursors of myocardial infarction, stroke and renal failure. So, SCH should be considered as a clue for serious diseases such as coronary artery disease, myocardial infarction, stroke and patients should be evaluated for ABPM.