Relationship Between 24-Hour Ambulatory Central Systolic Blood Pressure and Left Ventricular Mass

Weber, Thomas; Wassertheurer, Siegfried; Schmidt‐Trucksäss, Arno; Rodilla, Enrique; Ablasser, Cornelia; Jankowski, Piotr; Muiesan, María Lorenza; Giannattasio, Cristina; Mang, Claudia; Wilkinson, Ian B.; Kellermair, Joerg; Hametner, Bernhard; Pascual, J.M.; Zweiker, Robert; Czarnecka, Danuta; Paini, Anna; Salvetti, Massimo; Maloberti, Alessandro; McEniery, Carmel M.

doi:10.1161/hypertensionaha.117.09917

Cited by 53 publications

(40 citation statements)

References 40 publications

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“…They founded that in younger participants, central ambulatory systolic pressure was superior to both other measurements. Central ambulatory systolic pressure, measured with an oscillometric cuff, shows a strong trend toward a closer association with left ventricular mass and hypertrophy than brachial office/ambulatory systolic pressure [17]. In the present study, PWV and Aix values were higher in the CVI group compared to the control group, but however no significant differences were observed between the groups in terms of central systolic and diastolic blood pressures.…”

Section: Discussioncontrasting

confidence: 51%

Evaluation of Arterial Stiffness Using Pulse Wave Velocity and Augmentation Index in Patients with Chronic Venous Insufficiency

Doğduş¹,

Akhan

Özyaşar³

et al. 2018

International Journal of Vascular Medicine

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Background and Objectives Chronic venous insufficiency (CVI) is a common pathology of the circulatory system and is associated with a high morbidity for the patients and causes high costs for the healthcare systems. Arterial stiffness has been shown to be a predictor of cardiovascular events and mortality. The relationship between CVI and arterial stiffness using pulse wave velocity (PWV) and augmentation index (Aix) was evaluated in this study. Methods Sixty-two patients with the stage of C3-C5 chronic venous disease (CVD) and 48 healthy subjects were enrolled in the study. To assess arterial stiffness, all cases were evaluated with I.E.M. Mobil-O-Graph brand ambulatory blood pressure monitor device. PWV and Aix were used to assess arterial stiffness in this study. Results The mean age was 61.9±11.05 years and 54 % of the patient population was females. PWV and Aix were significantly higher in CVI patients than controls (8.92±1.65 vs. 8.03±1.43, p=0.001; 25.51±8.14 vs. 20.15±9.49, p=0.003, respectively) and also positive linear correlation was observed between CVI and all measured arterial stiffness parameters (r=0.675 for CVI and PWV, r=0.659 for CVI and Aix, respectively). A PWV value of > 9.2 has 88.9 % sensitivity and 71.4 % specificity to predict the presence of CVI. Conclusions PWV and Aix are the most commonly used, easy, reproducible, reliable methods in the clinic to assess arterial stiffness. Logistic regression analysis showed that PWV and Aix were the independent predictors of CVI. PWV has the sensitivity of 88.9 % and specificity of 71.4 % to detect the presence of CVI.

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Section: Discussioncontrasting

confidence: 51%

Evaluation of Arterial Stiffness Using Pulse Wave Velocity and Augmentation Index in Patients with Chronic Venous Insufficiency

Doğduş¹,

Akhan

Özyaşar³

et al. 2018

International Journal of Vascular Medicine

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“…Nevertheless, C2 method should not be used for evaluation of BP amplification, neither in pediatric nor in adult populations, because it leads to erroneous assessments (usually negative BP amplification which is biologically improbable). However, it has been suggested that ceBP obtained with C2 method is superior to C1 in terms of association with target‐organ damage and outcomes 21‐25 …”

Section: Discussionmentioning

confidence: 99%

Insight into the 24‐hour ambulatory central blood pressure in adolescents and young adults

Ntineri

Zeniodi

Vazeou

et al. 2020

J of Clinical Hypertension

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Peripheral blood pressure (BP) is known to exhibit a typical diurnal variation with a 10%-20% fall during nighttime sleep compared to daytime values. 1 Alterations in the diurnal rhythm, such as the absence of nocturnal fall, namely the "non-dipping" status, or even a rising status, have been linked with increased cardiovascular risk in adults. 1-3 Relevant data in children and adolescents are scarce with most studies conducted in individuals with important underlying medical conditions like diabetes. 4,5 Several conditions and factors interfere and disrupt circadian BP variation, including increased sympathetic nervous system activity during the night, abnormal neurohormonal regulation, poor sleep quality, physical inactivity, obesity, smoking, chronic kidney disease, salt sensitivity, obstructive sleep apnea, and diabetes. 2,6,7 Although there is considerable evidence on the circadian variation of peripheral BP, 1-3,7,8 the diurnal variation of central BP (ceBP) remains largely unexplored. Moreover, there are still no reference

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“…In recent years, cuff‐based aortic 24‐hour ABPM is also available for routine clinical practice, but its clinical significance in hypertension diagnosis and treatment needs to be confirmed. Previous studies showed that 24‐hour aortic mean BP was better associated with left ventricular diastolic dysfunction and left ventricular hypertrophy than brachial 24‐hour or office BP. In the present study, we indicated that 24‐hour aortic BPV showed a slightly stronger association with carotid damage than 24‐hour brachial BPV.…”

Section: Discussionmentioning

confidence: 99%

24‐hour aortic blood pressure variability showed a stronger association with carotid damage than 24‐hour brachial blood pressure variability: The SAFAR study

Chen

Protogerou

et al. 2018

J of Clinical Hypertension

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We aim to compare 24-hour aortic blood pressure variability (BPV) with brachial BPV in relation to carotid damage as estimated by carotid intima-media thickness (CIMT) and cross-sectional area (CCSA). Four hundred and forty five individuals received brachial and aortic 24-hour ambulatory BP monitoring with a validated device (Mobil-O-Graph). Systolic BPV was estimated by average real variability (ARV) and time-weighted standard deviation (wSD). In multiple logistic regression analysis, CIMT > 900 μm was significantly and independently associated with aortic ARV (OR = 1.38; 95% CI: 1.04-1.84), aortic wSD (OR = 1.65; 95% CI: 1.19-2.29) and brachial ARV (OR = 1.53; 95% CI: 1.07-2.18), but not with brachial wSD. CCSA > 90th percentile was significantly and independently associated with aortic ARV (OR = 1.50; 95% CI: 1.07-2.10) and wSD (OR = 1.70; 95% CI: 1.12-2.56), but not with brachial BPVs. In receiver operator characteristics curve analysis, aortic wSD identified CCSA > 90th percentile better than brachial wSD (AUC: 0.73 vs 0.68, P < .01). In conclusion, aortic 24-hour systolic BPV showed a slightly stronger association with carotid damage than brachial BPV.

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Relationship Between 24-Hour Ambulatory Central Systolic Blood Pressure and Left Ventricular Mass

Abstract: URL: https://www.clinicaltrials.gov. Unique identifier: NCT01278732.

Cited by 53 publications

References 40 publications

Evaluation of Arterial Stiffness Using Pulse Wave Velocity and Augmentation Index in Patients with Chronic Venous Insufficiency

Evaluation of Arterial Stiffness Using Pulse Wave Velocity and Augmentation Index in Patients with Chronic Venous Insufficiency

Insight into the 24‐hour ambulatory central blood pressure in adolescents and young adults

24‐hour aortic blood pressure variability showed a stronger association with carotid damage than 24‐hour brachial blood pressure variability: The SAFAR study

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