Relationship between 24 h ambulatory central blood pressure and left ventricular mass – Rationale and design of a prospective multicenter study
- DOI
- 10.1016/j.artres.2012.01.001How to use a DOI?
- Keywords
- Central blood pressure; Ambulatory blood pressure monitoring; Left ventricular mass
- Abstract
The prognostic superiority of ambulatory over clinic blood pressure has been repeatedly proven. However, due to the mechanical properties of the arterial system, systolic and pulse pressures are higher in the brachial artery than in the ascending aorta. It seems logical that central pressures are more relevant to cardiovascular disease than peripheral (brachial) pressures, and indeed, using clinic blood pressures, it has been shown that central systolic and pulse pressures are more closely associated with hypertensive end-organ damage than their brachial counterparts. Moreover, antihypertensive drugs can have differential effects on central versus brachial blood pressures. All these effects have been described on the basis of clinic blood pressure measurements. Recent advances in technology allow the estimation of central systolic blood pressure from brachial pulse waves recorded with a regular brachial oscillometric blood-pressure cuff, using a transfer-function like algorithm (ARCSolver). This method has been invasively validated and allows the recording of 24 h ambulatory central blood pressure profiles. Our multicenter study now aims for the first time to investigate the relationship between central ambulatory blood pressure monitoring and hypertensive end-organ damage (left ventricular mass) in untreated adults.
- Copyright
- © 2012 Association for Research into Arterial Structure and Physiology. Published by Elsevier B.V. All rights reserved.
- Open Access
- This is an open access article distributed under the CC BY-NC license.
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TY - JOUR AU - Thomas Weber AU - Carmel McEniery AU - Ian Wilkinson AU - Giuseppe Schillaci AU - Maria Lorenza Muiesan AU - Robert Zweiker AU - Cristina Giannattasio AU - Kai Mortensen AU - Johannes Baulmann AU - Arno Schmidt-Trucksäss AU - Siegfried Wassertheurer PY - 2012 DA - 2012/01/20 TI - Relationship between 24 h ambulatory central blood pressure and left ventricular mass – Rationale and design of a prospective multicenter study JO - Artery Research SP - 103 EP - 108 VL - 6 IS - 2 SN - 1876-4401 UR - https://doi.org/10.1016/j.artres.2012.01.001 DO - 10.1016/j.artres.2012.01.001 ID - Weber2012 ER -