Artery Research

Volume 6, Issue 2, June 2012, Pages 103 - 108

Relationship between 24 h ambulatory central blood pressure and left ventricular mass – Rationale and design of a prospective multicenter study

Authors
Thomas Webera, *, Carmel McEnieryb, Ian Wilkinsonb, Giuseppe Schillacic, Maria Lorenza Muiesand, Robert Zweikere, Cristina Giannattasiof, Kai Mortenseng, Johannes Baulmanng, Arno Schmidt-Trucksässh, Siegfried Wassertheureri
aCardiology Department, Klinikum Wels-Grieskirchen, Grieskirchnerstrasse 42, 4600 Wels, Austria
bClinical Pharmacology Unit, University of Cambridge, UK
cUnit of Internal Medicine, Angiology and Arteriosclerosis, University of Perugia, Italy
dDepartment of Medical and Surgical Sciences, University of Brescia, Italy
eCardiology Department, Medical University Graz, Austria
fDirettore Scuola di Specializzazione in Malattie Cardiovascolari, Università di Milano Bicocca, Italy
gCardiology Department, University of Lübeck, Germany
hInstitute of Exercise and Health Sciences, University of Basel, Switzerland
iAustrian Institute of Technology, Vienna, Austria
*Corresponding author. Tel.: +43 7242 415 2215; fax: +43 7242 415 3992. E-mail address: thomas.weber3@liwest.at (T. Weber).
Corresponding Author
Thomas Weber
Received 22 October 2011, Revised 23 December 2011, Accepted 4 January 2012, Available Online 20 January 2012.
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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Journal
Artery Research
Volume-Issue
6 - 2
Pages
103 - 108
Publication Date
2012/01/20
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.1016/j.artres.2012.01.001How to use a DOI?
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.

Cite this article

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  -