scholarly journals Association of renal function with the ambulatory arterial stiffness index and pulse pressure in hypertensive patients

2011 ◽  
Vol 35 (2) ◽  
pp. 201-206 ◽  
Author(s):  
Yaqiong Wang ◽  
Yarong Hu ◽  
Yan Li ◽  
Hua Li ◽  
Shaoli Chu ◽  
...  
Keyword(s):  
Renal Function ◽  
Arterial Stiffness ◽  
Pulse Pressure ◽  
Stiffness Index ◽  
Hypertensive Patients ◽  
Arterial Stiffness Index

scholarly journals Parameters of arterial stiffness in hypertensive patients with and without subclinical carotid atherosclerosis

2021 ◽  
Vol 27 (4) ◽  
pp. 427-435
Author(s):  
V. E. Gumerova ◽  
S. A. Sayganov ◽  
V. V. Gomonova
Keyword(s):  
Arterial Stiffness ◽  
Pulse Pressure ◽  
Augmentation Index ◽  
Subclinical Atherosclerosis ◽  
Stiffness Index ◽  
Control Group ◽  
Hypertensive Patients ◽  
Significant Difference ◽  
Arterial Stiffness Index ◽  
Plaque Detection

Objective. To assess the relationship between arterial stiffness parameters in hypertensive patients with and without atherosclerotic lesions.Design and methods. We included 127 subjects who were divided into 3 groups: patients with hypertension (HTN) without atherosclerosis (n = 42); patients with HTN and subclinical atherosclerosis (SА) (n = 52) and control group which consisted of individuals without HTN, SA, or coronary artery disease (n = 33). All groups matched by age and gender. All subjects underwent following examinations: ultrasonography of extracranial segments of carotid arteries, 24-hour blood pressure monitoring with the assessment of arterial stiffness parameters.Results. In subjects with HTN compared to controls, pulse wave velocity in aorta (PWVao) was significantly higher (11,3 ± 1,5; 12,3 ± 1,8 vs 10,4 ± 1,3 m/s; p < 0,05), as well as pulse pressure (PP) (46,4 ± 9,8; 45,6 ± 10,6 vs 39,9 ± 6,5 mmHg; p < 0,05), central pulse pressure (PPао) (35,5 ± 8,5; 34,9 ± 8,5 vs 30,9 ± 5,4 mmHg; p < 0,05), and arterial stiffness index (ASI) (141 (127, 159); 139 (128,5, 160,5) vs 126 (118, 138) mmHg; p < 0,05). In subjects with HTN and SA, PWVao was significantly higher compared to other groups (p < 0,05). No significant difference in augmentation index was found (–32,5 (–45, –12); –22 (–36, –12); –37 (–50, –17); p = 0,25). Аmbulatory arterial stiffness index was higher in controls (0,5 ± 0,2) compared to HTN group (0,4 ± 0,2; p = 0,05), while HTN and SA group did not differ significantly (0,5 ± 0,2; p = 0,3). PWVao above 11,15 m/s is associated with 4,3 (2,3–8,2) times higher rate of atherosclerosis plaque detection.Conclusions. In HTN patients, arterial stiffness is changed compared to healthy individuals. PWVao above 11,15 m/s is associated with 4,3 (2,3–8,2) times higher rate of atherosclerosis plaque detection. In patients with HTN and SA arterial stiffness is higher, which might have additional predictive value in risk stratification.

scholarly journals THE PARTICULARITIES OF ABPM PARAMETERS IN HYPERTENSIVE PATIENTS WITH NON-DIALYSIS CKD

2017 ◽  
Vol 64 (4) ◽  
pp. 279-283
Author(s):  
Alexandru Minca ◽  
◽  
Mihai Comsa ◽  
Maria Mirabela Manea ◽  
Maria Daniela Tanasescu ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Kidney Disease ◽  
Arterial Stiffness ◽  
Blood Pressure Monitoring ◽  
Target Organ Damage ◽  
Organ Damage ◽  
Stiffness Index ◽  
Area Index ◽  
Hypertensive Patients ◽  
Arterial Stiffness Index

Chronic kidney disease (CKD) affects approximately two million people (in a population of 20 million) in Romania. Hypertension is often associated with CKD and both (hypertension and CKD) are risk factors for cardiovascular (CV) events. Ambulatory blood pressure monitoring (ABPM) is increasingly used all around the world for the diagnosis and monitoring of BP (blood pressure) because it is proven that the ABPM is superior to office BP measurements in evaluating patients with hypertension, with or without CKD. Reduced nocturnal BP fall (non-dipping or reverse-dipping patterns) is associated with target organ damage, especially kidney disease and the proportion of non-dippers and reverse-dippers patients increases progressively with the reduction of glomerular filtration rate (GFR). Another ABPM parameter, ambulatory arterial stiffness index (AASI), is an index which was recently proposed for the evaluation of arterial stiffness (a better tool than PP). It has prognostic value for cardiac death and stroke and several studies have showed that is negatively related to eGFR and is positively related to albuminuria. Hyperbaric area index (HBI) might be considered a novel sensitive marker [independent of patterns of NBPC (nocturnal BP change)] for the reduction of kidney function. These facts suggest that ABPM offers multiple useful data with impact, not only in future CV and renal outcomes assessment, but also in the treatment and management of hypertensive patients with CKD.

scholarly journals Increased Ambulatory Arterial Stiffness Index and Pulse Pressure in Microalbuminuric Patients With Type 1 Diabetes

2009 ◽  
Vol 22 (5) ◽  
pp. 513-519 ◽  
Author(s):  
E. Laugesen ◽  
K. W. Hansen ◽  
S. T. Knudsen ◽  
M. Erlandsen ◽  
E. Ebbehoj ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Arterial Stiffness ◽  
Pulse Pressure ◽  
Stiffness Index ◽  
Arterial Stiffness Index

scholarly journals Relationship between ambulatory arterial stiffness index and subclinical target organ damage in hypertensive patients

2010 ◽  
Vol 34 (2) ◽  
pp. 180-186 ◽  
Author(s):  
Ángel García-García ◽  
Manuel A Gómez-Marcos ◽  
José I Recio-Rodriguez ◽  
Luis J González-Elena ◽  
Javier Parra-Sanchez ◽  
...  
Keyword(s):  
Arterial Stiffness ◽  
Target Organ Damage ◽  
Organ Damage ◽  
Target Organ ◽  
Stiffness Index ◽  
Hypertensive Patients ◽  
Arterial Stiffness Index

Symmetric ambulatory arterial stiffness index and 24-h pulse pressure in HIV infection

2013 ◽  
Vol 31 (3) ◽  
pp. 560-567 ◽  
Author(s):  
Giuseppe Schillaci ◽  
Paolo Maggi ◽  
Giordano Madeddu ◽  
Giacomo Pucci ◽  
Elena Mazzotta ◽  
...  
Keyword(s):  
Arterial Stiffness ◽  
Hiv Infection ◽  
Pulse Pressure ◽  
Stiffness Index ◽  
Arterial Stiffness Index

scholarly journals Influence of the emotional alterations in the arterial stiffness index and cardiovascular risk of pre-hypertensive patients

2021 ◽  
Author(s):  
Erislandis López-Galán ◽  
Agustín Sánchez-Mengana ◽  
Alexander Pascau-Simón ◽  
María Eugenia García-Céspedes ◽  
Jorge Carlos Abad-Araujo ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Arterial Stiffness ◽  
Stiffness Index ◽  
Hypertensive Patients ◽  
Arterial Stiffness Index

scholarly journals Ambulatory Arterial Stiffness Index Is Higher in Hypertensive Patients with Chronic Kidney Disease

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Ronaldo Altenburg Gismondi ◽  
Mario Fritsch Neves ◽  
Wille Oigman ◽  
Rachel Bregman
Keyword(s):  
Blood Pressure ◽  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Arterial Stiffness ◽  
Blood Pressure Monitoring ◽  
Stiffness Index ◽  
Hypertensive Patients ◽  
Clinical Endpoints ◽  
Mdrd Formula ◽  
Arterial Stiffness Index

Ambulatory arterial stiffness index (AASI) is a parameter obtained from ambulatory blood pressure monitoring (ABPM) that correlates with clinical endpoints. The aim of this study was to compare AASI in nondiabetic hypertensive patients with and without chronic kidney disease (CKD). Subjects with systemic arterial hypertension (SAH,n=30) with normal renal function, aged 40 to 75 years, were compared to hypertensive patients with CKD (n=30) presenting estimated glomerular filtration rate (eGFR) <60 mL/min by MDRD formula. ABPM was carried out in all patients. In CKD group, eGFR was 35.3 ± 2.8 ml/min. The mean 24-hour systolic and diastolic blood pressure (BP) was similar in both groups. AASI was significantly higher in CKD group (0.45±0.03versus0.37±0.02,P<0.05), positively correlated to age (r=0.38,P<0.01) and pulse pressure (r=0.43,P<0.01) and negatively correlated to nocturnal BP fall (r=-0.28,P=0.03). These findings indicate the presence of stiffer vessels in CKD hypertensive patients.

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