[Relationship between Circadian Rhythm Disorder of Blood Pressure and Ischemic Stroke]

Jian Ge1, Ming Li He1, Yi Tang1

  • 1Department of Neurology,Lianyungang Hospital Affiliated to Xuzhou Medical University,Lianyungang,Jiangsu 222002,China.

Insights

Hypertension is linked to stroke, but the role of blood pressure

Area of Science:

  • Cardiovascular Science
  • Neurology
  • Sleep Medicine

Background:

  • Hypertension is a known risk factor for stroke.
  • The link between hypertension and stroke is primarily understood at the overall blood pressure level.
  • Disruptions in the body's natural daily blood pressure patterns (circadian rhythm) are increasingly recognized as significant.

Purpose of the Study:

  • To review the concept of blood pressure circadian rhythm.
  • To classify different types of blood pressure circadian rhythm disorders.
  • To examine the association between these disorders and ischemic stroke.

Main Methods:

  • Literature review of existing research on blood pressure circadian rhythms and stroke.
  • Analysis of studies classifying circadian rhythm disorders.
  • Synthesis of evidence linking rhythm abnormalities to ischemic stroke pathogenesis.

Main Results:

  • The review defines blood pressure circadian rhythm and its normal patterns.
  • It categorizes common circadian rhythm disorders, such as non-dipping and reverse-dipping.
  • Evidence suggests a correlation between disrupted blood pressure rhythms and increased risk of ischemic stroke.

Conclusions:

  • Circadian rhythm of blood pressure is crucial in stroke development.
  • Blood pressure circadian rhythm disorders represent a significant, underappreciated factor in ischemic stroke.
  • Further research into managing these rhythm disturbances may offer new stroke prevention strategies.

Related Concept Videos

Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response01:15

Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response

Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
218
Circadian Rhythms and Gene Regulation02:19

Circadian Rhythms and Gene Regulation

The biological clock is involved in many aspects of regulating complex physiology in all animals. It was in 1935 when German zoologists, Hans Kalmus and Erwin Bünning, discovered the existence of circadian rhythm in Drosophila melanogaster. However, the internal molecular mechanisms behind the circadian clock remained a mystery until 1984, when Jeffrey C. Hall, Michael Rosbash, and Michael W. Young discovered the expression of the Per gene oscillating over a 24-hour cycle. In subsequent...
4.3K
Measurement of Blood Pressure01:17

Measurement of Blood Pressure

Assessing blood pressure is a standard procedure executed in virtually all medical environments. The method utilized today was established over a hundred years ago by an innovative Russian doctor, Dr. Nikolai Korotkoff. The soft ticking noise, known as Korotkoff sounds, heard while taking blood pressure readings results from turbulent blood flow within the vessels. The apparatus required for this procedure includes a sphygmomanometer, a blood pressure cuff attached to a gauge, and a...
2.2K
Factors affecting Blood pressure01:28

Factors affecting Blood pressure

Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
5.8K
Blood Pressure Imbalances and Circulatory Shock01:24

Blood Pressure Imbalances and Circulatory Shock

Disorders affecting blood volume, vascular tone, or vascular function can disrupt vascular homeostasis, including conditions like hypertension, hemorrhage, and shock.
Blood Pressure: Hypertension and Hypotension
Normal blood pressure is 120/80 mm Hg. Elevated blood pressure is 120-129/under 80 mm Hg. Hypertension, warranting treatment at 130/80 mm Hg, is often asymptomatic and can lead to severe cardiovascular events, aneurysms, peripheral arterial disease, chronic renal disease, or cardiac...
1.2K
Disorders of the Autonomic Nervous System01:18

Disorders of the Autonomic Nervous System

The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's...
1.1K