본문 바로가기
KERD
논문KCI 등재후보

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

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

Background: Blood 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. Methods: Mobil-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). Results: Oscillometric 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. Conclusion: We 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.

Abstract

Background: Blood 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. Methods: Mobil-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). Results: Oscillometric 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. Conclusion: We 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.

참고문헌 (31)

  1. Lewington S, "Collins R; prospective studies collaboration. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61prospective studies", Lancet, 360(9349), pp.1903~1913 (2002)[DOI]
  2. Stevens SL, "Blood pressure variability and cardiovascular disease: systematic review and metaanalysis", BMJ, pp.i4098~ (2016)
  3. Mehlum MH, "Blood pressure variability and risk of cardiovascular events and death in patients with hypertension and different baseline risks", Eur Heart J, 39(24), pp.2243~2251 (2018)[DOI]
  4. Townsend RR, "Recommendations for improving and standardizing vascular research on arterial stiffness : a scientific statement from the American Heart Association", Hypertension, 66(3), pp.698~722 (2015)[DOI]
  5. Vlachopoulos C, "Prediction of cardiovascular events and all-cause mortality with arterial stiffness : a systematic review and meta-analysis", J Am Coll Cardiol, 55(13), pp.1318~1327 (2010)[DOI]
  6. Parati G, "Blood pressure variability : clinical relevance and application", J Clin Hypertens(Greenwich), 20(7), pp.1133~1137 (2018)[DOI]
  7. Parati G, "Blood pressure variability : assessment, predictive value, and potential as a therapeutic target", Curr Hypertens Rep, 17(4), pp.537~ (2015)[DOI]
  8. Chadachan VM, "Understanding short-term blood-pressure-variability phenotypes : from concept to clinical practice", Int J Gen Med, 11, pp.241~254 (2018)[DOI]
  9. Zhong Q, "Carotid-femoral pulse wave velocity in the prediction of cardiovascular events and mortality : an updated systematic review and meta-analysis", Angiology, 69, pp.617~629 (2018)
  10. Schillaci G, "Relationship between short-term blood pressure variability and large-artery stiffness in human hypertension : findings from 2 large databases", Hypertension, 60(2), pp.369~377 (2012)[DOI]
  11. Hametner B, "Oscillometric estimation of aortic pulse wave velocity : comparison with intra-aortic catheter measurements", Blood Press Monit, 18(3), pp.173~176 (2013)[DOI]
  12. Benas D, "Pulse wave analysis using the Mobil-O-graph, Arteriograph and Complior device : a comparative study", Blood Press, 28(2), pp.107~113 (2019)[DOI]
  13. Unger T, "2020 International Society of Hypertension global hypertension practice guidelines", J Hypertens, 38(6), pp.982~1004 (2020)[DOI]
  14. Muntner P, "Measurement of blood pressure in humans : a scientific statement from the American Heart Association", Hypertension, 73(5), pp.e35~e66 (2019)[DOI]
  15. Correia D, "Assessing arterial stiffness using the oscillometric method in patients with diabetes and", or hypertension, 2018, pp.6, 341~
  16. Resende LA, "Comparison of pulse wave analysis parameters by oscillometry in hypertensive diabetic and nondiabetic patients in a Brazilian outpatient care", Medicine(Baltimore), 98, pp.e18100~ (2019)
  17. Van Bortel LM, "Expert consensus document on the measurement of aortic stiffness in daily practice using carotid-femoral pulse wave velocity", Jo J Hypertens, 30(3), pp.445~448 (2012)[DOI]
  18. O'Brien E, "European Society of Hypertension position paper on ambulatory blood pressure monitoring", J Hypertens, 31(9), pp.1731~1768 (2013)[DOI]
  19. Bilo G, "A new method for assessing 24-h blood pressure variability after excluding the contribution of nocturnal blood pressure fall", J Hypertens, 25(10), pp.2058~2066 (2007)[DOI]
  20. Clement DL, "Is blood pressure variability related to activity of the sympathetic system?", 57(Suppl 5), pp.217s~219s (1949)
  21. Mena L, "A reliable index for the prognostic significance of blood pressure variability", J Hypertens, 23(3), pp.505~511 (2005)[DOI]
  22. Abramson JH, "WINPEPI updated : computer programs for epidemiologists, and their teaching potential", Epidemiol Perspect Innov, 8(1), pp.1~ (2011)[DOI]
  23. Mena LJ, "24-hour blood pressure variability assessed by average real variability : a systematic review and metaanalysis", J Am Heart Assoc, 6(10), pp.e006895~ (2017)[DOI]
  24. Abellán-Huerta J, "Correlation of blood pressure variability as measured by clinic, self-measurement at home, and ambulatory blood pressure monitoring", Am J Hypertens, 31(3), pp.305~312 (2018)[DOI]
  25. Kotsis V, "Arterial stiffness and 24 h ambulatory blood pressure monitoring in young healthy volunteers : the early vascular ageing Aristotle University Thessaloniki study(EVA-ARIS study)", Atherosclerosis, 219(1), pp.194~199 (2011)[DOI]
  26. Wei FF, "Beat-to-beat, readingto-reading, and day-to-day blood pressure variability in relation to organ damage in untreated Chinese", Hypertension, 63(4), pp.790~796 (2014)[DOI]
  27. Tedla YG, "Association between longterm blood pressure variability and 10-year progression in arterial stiffness : the multiethnic study of atherosclerosis", Hypertension, 69(1), pp.118~127 (2017)[DOI]
  28. Parati G, "Assessment and management of blood-pressure variability", Nat Rev Cardiol, 10(3), pp.143~155 (2013)[DOI]
  29. Safar ME, "Interaction between hypertension and arterial stiffness", Hypertension, 72(4), pp.796~805 (2018)[DOI]
  30. Hallock P, "Studies on the elastic properties of human isolated aorta", Clin Invest, 16(4), pp.595~602 (1937)[DOI]
  31. Greve SV, "Estimated carotid-femoral pulse wave velocity has similar predictive value as measured carotid-femoral pulse wave velocity", J Hypertens, 34(7), pp.1279~1289 (2016)[DOI]

관련 논문AI추천

Indirect 24-hour blood pressure arterial stiffness indexes and pulse wave velocity: insights from an individual patient data analysisAntza Christina, Athanasopoulou Elpida, Cardoso Claudia R.L., Kakaletsis Nikolaos, Kollias Anastasios, Kotsis Vasilios, Protogerou Athanase D., Salles Gil F., Savopoulos Christos, Sharman James E., Shin Jinho, Stergiou George S.대한고혈압학회 · Clinical Hypertension2025 · 제31권 Association of the magnitude of the difference in blood pressure between office and ambulatory measurements with blood pressure variability in untreated individuals김병규, 김제상, 김지현, 도웅정, 이무용, Hae-Young Kim, Yea Je Lee대한고혈압학회 · Clinical Hypertension2022 · 제28권 Impact of home and clinical blood pressure variability on arteriosclerosis and metabolic indicators: a prospective multicenter registry studyCha Jung-Joon, Cho Dong-Hyuk, Cho Kyung-Hee, Joo Hyung Joon, Kim Eung Ju, Kim Mi-Na, Oh Se Won, Park Jae Hyoung, Shin Seung Yong, Yu Ha Young대한고혈압학회 · Clinical Hypertension2025 · 제31권 Short-term blood pressure variability as a potential therapeutic target for kidney diseaseJhee Jong Hyun, Ko Ye Eun대한고혈압학회 · Clinical Hypertension2023 · 제29권 Blood Pressure Variability and Vascular Dysfunction in Essential HypertensionXian Wu Cheng대한고혈압학회 · Clinical Hypertension2012 · 제18권 제3호Obesity Increases Blood Pressure Variability during the Night강정, 강훈, 김완, 강원유, 남동인, 송호영, 안홍주, 이상선, 정일형, 조상철, 황선호대한고혈압학회 · Clinical Hypertension2014 · 제20권 제1호

이 간행물의 다른 논문 (40건)