Postoperative Dipping Patterns of Mean Arterial Pressure and Mortality After Coronary Artery Bypass Grafting

被引：1

作者：

Jian, Bohao ^{[1
]}

Liu, Haoliang ^{[1
]}

Zhang, Yi ^{[1
]}

Li, Gang ^{[1
]}

Yang, Song ^{[2
]}

Fu, Guangguo ^{[1
]}

Huang, Suiqing ^{[1
]}

Huang, Yang ^{[1
]}

Zhou, Zhuoming ^{[1
]}

Wu, Zhongkai ^{[1
]}

Liang, Mengya ^{[1
]}

机构：

[1] Sun Yat Sen Univ, Affiliated Hosp 1, Dept Cardiac Surg, Guangzhou, Peoples R China

[2] Sun Yat Sen Univ, Affiliated Hosp 1, Dept Cardiothorac Surg ICU, Guangzhou, Peoples R China

来源：

JOURNAL OF CARDIOVASCULAR TRANSLATIONAL RESEARCH | 2024年 / 17卷 / 02期

关键词：

Coronary artery bypass grafting; Mean arterial pressure; Dipping patterns; Mortality; Coronary perfusion; BLOOD-PRESSURE; CARDIOVASCULAR EVENTS; MYOCARDIAL-PERFUSION; ORGAN DAMAGE; REVERSE; GUIDELINES; IMPROVEMENT; OUTCOMES;

D O I：

10.1007/s12265-023-10475-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Blood pressure dipping patterns have long been considered to be associated with adverse events. We aimed to investigate whether dipping patterns of postoperative MAP were related to 90-day and hospital mortality in patients undergoing CABG. Four thousand three hundred ninety-one patients were classified into extreme dippers (night-to-day ratio of MAP <= 0.8), dippers (0.8 < night-to-day ratio of MAP <= 0.9), non-dippers (0.9 < night-to-day ratio of MAP <= 1), and reverse dippers (> 1). Compared with non-dippers, reverse dippers were at a higher risk of 90-day mortality (aHR = 1.58; 95% CI, 1.10-2.27) and hospital mortality (aOR = 1.97; 95% CI, 1.12-3.47). A significant interaction was observed between hypertension and dipping patterns (P for interaction = 0.02), with a significant increased risk of 90-day mortality in non-hypertensive reverse dippers (aHR = 1.90; 95% CI, 1.17-3.07) but not in hypertensive reverse dippers (aHR = 1.26; 95% CI, 0.73-2.19).

引用

页码：287 / 297

页数：11

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