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

Clinical Hypertension

Geisa Ribeiro Borges¹  Luiz Antonio Pertilli Rodrigues Resende²  Marco Antonio Vieira Silva²  Dalmo Correia²  Ian Dias de Souza Pierson³  João Lucas Carvalho Achkar³  Camila Blanco Ferreira Jajah³  Nicole Cristine Rambourg³  Lucas Alves Berzotti³  Guilherme Marchiori Moreira⁴  Mateus Marchiori Vieira⁵  Livia Marchiori Vieira⁶ 

[1] Department of Internal Medicine, Franca University, São Paulo, Brazil;Division of Tropical Medicine and Infectious Diseases, Department of Internal Medicine, Federal University of the Triângulo Mineiro, 544 Square, Postal Code, 38025-050, Uberaba, Brazil;Division of Cardiology, Department of Internal Medicine, Federal University of the Triângulo Mineiro, Uberaba, Brazil;Federal University of the Triângulo Mineiro, Department of Internal Medicine, Uberaba, Brazil;Jundiai Medical College, Department of Internal Medicine, Jundiaí, Brazil;Santa Casa de São Paulo Medical School, Department of Internal Medicine, São Paulo, Brazil;Uberaba University, Department of Internal Medicine, Uberaba, Brazil;

关键词: Arterial stiffness;    Short term blood pressure variability;    Ambulatory blood pressure monitoring;    Hypertension;    Pulse wave velocity;   

DOI  :  10.1186/s40885-021-00187-x

来源: Springer

【 摘 要 】

BackgroundBlood pressure variability (BPV) and arterial stiffness show an association with increased cardiovascular events. Evidences demonstrated an association between higher short-term systolic BPV and stiffer arteries. There is no previous study assessed the correlation between BPV and arterial stiffness measured by a Mobil-O-Graph device. We issued to evaluate the correlation between short-term BPV parameters and Mobil-O-Graph pulse wave velocity (PWV) among suspected hypertensive individuals under treatment.MethodsMobil-O-Graph device estimated arterial stiffness (oscillometric PWV [oPWV]) in 649 individuals, and they recorded 24-h ambulatory BP; 428 had suspected hypertension and 221 under treatment. We analyzed the correlation between oPWV and measures of BPV: SD of 24 h BP (24-h SD), SD of daytime BP (daytime-SD), and SD of nighttime BP (nighttime-SD), weighted SD of 24-h BP (wSD), coefficient of variation of 24-h BP (CV 24-h) and average real variability (ARV).ResultsOscillometric PWV showed a positive correlation with all systolic BPV measures, in both groups. Among suspected hypertensives: 24-h SD, r = 0.30; SD daytime-SD, r = 0.34; nighttime-SD, r = 0.16; wSD, r = 0.30; CV 24-h, r = 0.24; ARV, r = 0.22. In the treated individuals: 24-h SD, r = 0.46; daytime-SD, r = 0.47; nighttime-SD, r = 0.35; wSD, r = 0.50; CV 24-h, r = 0.43; ARV, r = 0.37, all P < 0.001. Diastolic BPV demonstrated association with some measures of BPV. In suspected hypertensive group: nighttime-SD, r = 0.13; wSD, r = 0.10, both P < 0.001. And in treated individuals: daytime-SD, r = 0.23; wSD, r = 0.22; CV 24-h, r = 0.19 (all P < 0.001), ARV, r = 0.15 (P < 0.05). Systolic daytime-SD in suspected and diastolic CV 24-h in treated group independently predicted oPWV.ConclusionWe observed a positive and independent correlation between Mobil-O-Graph pulse wave velocity and BPV measures, strong to systolic BPV and weak to diastolic BP.

【 授权许可】

CC BY