Interrelation of indicators of ambulatory blood pressure monitoring with structural and functional parameters of the left ventricle in hypertensive patients
https://doi.org/10.18705/1607-419X-2016-22-2-177-183
Abstract
Objective. To find the parameters of the ambulatory blood pressure monitoring (ABPM), which play a significant role for the development of the structural and functional changes of left ventricle (LV) in hypertensive patients.
Design and methods. We included 94 hypertensive patients (55 males, 39 females), mean age — 51 ± 6 years. ABPM and echocardiography were performed in all patients.
Results. There was a significant relation between mean hemodynamic blood pressure (BP) and a relative wall thickness and LV myocardial mass index. Pulse BP significantly correlated with the early LV diastolic dysfunction.
Conclusions. As an indicator of LV postload, mean hemodynamic BP might be used to determine the target organ (heart) damage.
About the Author
E. A. Makoveeva
Surgut State University, Surgut, Russia 1 Lenin avenue, Khanty-Mansyisk — Yugra, Surgut, 628412 Russia
Russian Federation
Russian Federation
MD, Postgraduate Student, Surgut State University
References
1. Guidelines for the management of arterial hypertension ESH/ESC. Rossiiskij Kardiologicheskij Zhurnal = Russian Journal of Cardiology. 2014;105(1):7–94.
2. National guidelines for the diagnosis and treatment of arterial hypertension. Systemnye Gipertenzii = Systemic Hypertension. 2010;3:5–26.
3. Reappraisal of European guidelines on hypertension management: European Society of Hypertension Task Force document. Transl. from engl. Arterial’naya Gipertenziya = Arterial Hypertension. 2010;16(1):4–10.
4. Mitchell GF. Effects of central arterial aging on the structure and function of the peripheral vasculature: implications for end-organ damage. J Appl Physiol (1985). 2008;105 (5):1652–1660. doi: 10.1152/japplphysiol.90549.2008.
5. Starkov GA. Envas and average hemodynamic arterial pressure. Doctor. Ru. 2004;3:19–21.
6. Morman D, Heller L. Physiology of the cardiovascular system. St Petersburg: Piter; 2000. p. 115.
7. Two-dimensional echocardiographic determination of left ventricular volume, systolic functions, and mass. Summary and discussion of the 1989 recommendations of the ASE. Circulation. 1991;84(3):280–290.
8. Dilaveris PE, Gialafos EJ, Sideris SK. Simple electrocardiographic markers for the prediction of paroxysmal idiopathic arterial fibrillation. Am Heart J. 1998 May;135 (5 Pt 1):733–738.
9. Henry WL, A de Maria, Gramiak R. Report of the American Society of Echocardiography, Committee on Nomenclature and Standards. Circulation. 1980;62:212–222.
10. Lang RM, Bierig M, Devereux RB. Recommendations for chamber quantification. Eur J Echo. 2006;7 (2):79–108.
11. Nagueh SF, Appleton CP, Gillebert TC. Recommendations for the evolution of left ventricular diastolic function by echocardiography. J Am Soc Echocardiogr. 2009;22:107–133.
12. Moiseev VS, Kobalava ZhD. Systolic pressure as a key indicator in the diagnosis, monitoring and predicting the risk of arterial hypertension. Klinicheskayya Farmakologiya i Terapiya = Clinical Pharmacology and Therapeutics. 2000;5:5–8.
13. The prevention, diagnosis and treatment of arterial hypertension. Russian medical society on arterial hypertension and Russian Society of Cardiology guidelines (2nd revision). Kardiovasckulyarnaya Terapiya i Profilaktika = Cardiovascular Therapy and Prevention (suppl.). 2004. P. 19.
14. Bronwyn A. Waddell TK, Medley TL, Cameron JD, Dart AM. Large artery stiffness predicts ischemic threshold in patients with coronary artery disease. J Am Coll Cardiol. 2002;40(4):773–779.
15. Lilly L. Pathophysiology of Heart Disease. Transl. from English. Moscow: BKL Publishers; 2003. p. 269.
16. ORourke MF, Yaginuma T. Wave reflections and the arterial pulse. Arch Intern Med. 1984;144(2):366–371.
17. Rajek A, Greif R, Sessler DI. Effects of epidural anesthesia on thermal sensation. Reg Anesth Pain Med. 2001;26(6):527–31.
Review
For citations:
Makoveeva E.A. Interrelation of indicators of ambulatory blood pressure monitoring with structural and functional parameters of the left ventricle in hypertensive patients. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2016;22(2):177-183. https://doi.org/10.18705/1607-419X-2016-22-2-177-183
Views:
1096
Email this article 