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1 Institute of Obstetrics and
Gynecology,
The effect of a
2-mo treatment with transdermal estradiol (50 µg/day) versus placebo
on 24 h of blood pressure rhythm was investigated in 18 normotensive
healthy postmenopausal women. Whereas daytime blood
pressure was not modified, nighttime blood pressure was reduced by
estradiol. Estradiol magnified the nocturnal decrement of systolic
(14.3 ± 7.2 vs. 9.8 ± 6.7 mmHg,
P = 0.0033), diastolic (11.6 ± 5.0 vs. 7.5 ± 7.3 mmHg, P = 0.028),
and mean (10.8 ± 5.6 vs. 7.2 ± 4.5 mmHg,
P = 0.011) blood pressure. As a
consequence, the 24-h rhythm of mean blood pressure was restored in
50% of the subjects (P = 0.045) in
whom it was absent and was amplified in the remaining 50% of the
subjects. Body mass index was an independent determinant of blood
pressure values being directly related to the amplitude of the 24-h
mean blood pressure rhythm
(r2 = 0.38; P = 0.0067). In normotensive
postmenopausal women, physiological doses of estradiol amplify the
nocturnal decline of blood pressure.
circadian; menopause; cardiovascular risk; hypertension
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