| Abstract: | The aim of the study was to evaluate the 24-hour Blood Pressure (BP) profile in essential hypertensives without end-organ damage using a two-step method proposed by Staessen and his group: the existence of a circadian rhythm is first tested using Siegel’s Runs-Test, then a Fourier multiple harmonic analysis allows an adequate parametrical representation of the 24-hour BP profile. Sixty-five newly diagnosed, untreated mild-to-moderate essential hypertensives without end-organ damage (HYP) were compared to 29 normal control subjects (NORM). No significant differences have been found between the two groups when considering the existence of a BP circadian rhythm and acrophase parameters, as distinct from amplitudes (p<0.01). Furthermore, as expected, BP mean values were found higher in the HYP group as compared with the NORM group. In conclusion, according to our results, essential hypertensives without end-organ damage present a preserved BP profile, showing a circadian rhythm, but, as compared to normal subjects, increased BP variability (BPV) as expressed by amplitude values. The present study is consistent with the hypothesis that BPV, even though related, is not a consequence of end-organ damage. |
