Abstract
Nocturnal blood-pressure (BP) decline or dipping is a physiological response in healthy BP-regulation; the lack of this adaptation is frequently observed in patients with essential hypertension (EH) [Chesebro,2020]. Involvement of autonomic dysregulation in EH may result in adrenergic overdrive [Mancia and Grassi,2014; Carthy, 2014]. Heart morphology [Henein, 2011] and systolic to diastolic pressure ratio (SDPR) were previously related to the harmony of the so-called golden ratio (GR = 1.618) [Yetkin, 2015]. We aimed here to identify patterns of circadian dysfunction in newly diagnosed patients with EH compared to individuals with normotensive individuals (NIs) by monitoring them with a non-invasive ambulatory blood pressure monitoring (ABPM) system and evaluating their SDPR.
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