ASSOCIATION BETWEEN PARAMETERS OF CENTRAL AORTIC PRESSURE, OFFICE AND AMBULATORY BLOOD PRESSURE AND INDICATORS OF TARGET ORGANS DAMAGE
a:2:{s:4:"TEXT";s:98:"Ekaterina Evgen’evna TSVETKOVA, Lyudmila Dmitrievna LATYNTSEVA, Aleksandr Aleksandrovich KUZNETSOV";s:4:"TYPE";s:4:"text";}
Research Institute of
Internal and Preventive Medicine - Branch of Federal Research Center
Institute of Cytology and Genetics of SB RAS
Keywords: центральное аортальное давление, поражение органов-мишеней, central aortic pressure, target organ damage
Abstract
Aim of the study was to
investigate in a comparative manner associations between the parameters
of central aortic pressure, office and ambulatory blood pressure with
indicators of target organ damage. Material and methods. 47 consecutive
outpatients and hospital patients (22 men and 25 women) aged 19-70 years
were included in the open one-stage follow-up of a series of cases. The
study program included anthropometry, measurement of office and
ambulatory blood pressure, applanation tonometry of the radial artery,
recording of resting ECG, echocardiography, biochemical blood analysis.
In analyzing the data, the methods of descriptive statistics and the
general linear model (GLM) were used. Results. Central aortic pressure
is comparable to office blood pressure and, more than ambulatory blood
pressure, was associated with indicators of left ventricular
hypertrophy. Systolic central aortic pressure was associated with all
electrocardiographic and echocardiographic indices used in the study. Of
the central aortic pressure parameters characterizing the amplification
and augmentation of the pulse wave, only non-augmented amplification of
systolic pressure was associated with signs of left ventricular
hypertrophy, but the amplification and augmentation of the pulse wave
showed a sufficiently high degree of association with estimated
glomerular filtration rate. Conclusion. The results of this study
substantiate the relevance of using aortic pressure parameters in
addition to traditional methods for determining blood pressure.
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