Comparison of pulse wave analysis parameters by oscillometry in hypertensive diabetic and nondiabetic patients in a Brazilian outpatient care

Abstract

Introduction: Pulse wave analysis is an emerging approach that analyzes parameters comprising strong predictors of cardiovascular (CV) events and all-cause mortality, especially in patients with high CV risk based on established risk factors. This study used the oscillometric method, provided by the Mobil-o-Graph (PWA-EMI GmbH, Stolberg, Germany) device, to compare data regarding the pulse wave analysis parameters in hypertensive nondiabetic and diabetic patients. Material and methods: In this cross-sectional study, 276 individuals were examined in the academic hypertension outpatient care unit of the Federal University of the Triângulo, in Mineiro, Brazil, from January to December 2016. The pulse wave analysis was performed by oscillometry, and its parameters were acquired from all patients. Results: Of the 276 patients, 99 were diabetic and 177 nondiabetic. The mean systolic and pulse central blood pressure were significantly higher in diabetic patients than in nondiabetic patients (P = .008 and.0003, respectively). The mean peripheral systolic blood pressure and pulse pressure were also significantly higher in the diabetic group (P = .001 and P < .0001, respectively). The average pulse wave velocity (PWV, m/s) was 9.4 ± 1.6 and 8.8 ± 1.6 in the diabetic and nondiabetic groups, respectively (P = .003). Conclusion: The group of hypertensive diabetic patients had significantly higher central blood pressure, peripheral blood pressure, and PWV than the hypertensive nondiabetic patients. The patients with overlapping established CV risk factors presented values of the pulse wave analysis parameters consistent with higher central pressure and greater arterial stiffness.

Blood pressure variability in individuals with diabetes mellitus: a scoping review

“…As for the measurement method, the oscillometric has stood out for allowing a new approach to determine arterial stiffness, of which hypertension is an important cause and usually in association with diabetes. In those cases, the impact is even more extensive since it is a morbid condition due to its effects on the arteries ( 48 ) . Thus, individuals with diabetes have a more increased cardiovascular risk than the general population, so the importance of employing validated oscillometric devices for BP monitoring in this population has been emphasized.…”

Correlation between short-term blood pressure variability parameters with mobil-O-graph pulse wave velocity

“…Soon in a BP measurement sequence, the individual waits 10 min at rest in a supine position in a quiet room with stable room temperature. Using a Mobil-O-Graph (I.E.M., Stolberg, Germany), the technician performed pulse wave analyses [ 15 , 16 ]. The individuals performed during the time of pulse wave analysis four BP measurements.…”

Different Trajectories for Diabetes Mellitus Onset and Recovery According to the Centralized Aerobic–Anaerobic Energy Balance Compensation Theory

“…Since its acceptance by WHO as a major index for DM, its usefulness is regularly questioned [46,47]. A similar situation is with the parameters to characterize AHT [48][49][50]. The same is true with the understanding of the parameters that could be offered instead of HbA1c for better characterization of DM [45].…”