Related Experiment Video
Updated: Oct 3, 2026

Measuring the Carotid to Femoral Pulse Wave Velocity (Cf-PWV) to Evaluate Arterial Stiffness
Published on: May 3, 2018
[The relationship of variability of blood pressure with cardiac structure and functions in hypertension]
1Department of Cardiology, Affiliated Sir Run Run Shaw Hospital in Medical College, Zhejiang University, Hangzhou 310016, China.
Insights
Essential hypertension damages diastolic cardiac function and is linked to left ventricular hypertrophy. Blood pressure variability and vascular overload significantly impact cardiac changes, more so than age.
Area of Science:
- Cardiology
- Hypertension Research
- Cardiac Physiology
Context:
- Essential hypertension is a prevalent cardiovascular condition.
- Left ventricular hypertrophy (LVH) is a common complication.
- Understanding the interplay between blood pressure variability and cardiac remodeling is crucial.
Purpose:
- To investigate the relationship between blood pressure variability and cardiac structure/function in essential hypertension.
- To compare cardiac parameters in hypertensive patients with and without LVH.
Summary:
- A study of 110 essential hypertension patients revealed significant differences in left ventricular mass, dimensions, and diastolic function (E/A ratio) between groups with and without LVH.
- Elevated systolic blood pressure load, 24-hour SBP, nocturnal SBP reduction rate, and blood pressure variability (systolic and mean arterial pressure) were significantly different between the groups.
- LVH in essential hypertension is associated with vascular overload, increased blood pressure variability, and nocturnal SBP reduction, with a weaker link to hypertensive age.
Impact:
- Findings highlight that diastolic cardiac function is impaired early in essential hypertension.
- Identifies key hemodynamic factors contributing to LVH, offering targets for intervention.
- Suggests that blood pressure variability and vascular overload are more significant drivers of LVH than previously recognized.
Objective:
To study the relationship of variability of blood pressure with cardiac structure and functions in essential hypertension.
Methods:
A hundred and ten patients suffered from essential hypertension were divided into two groups according whether having left ventricular hypertrophy. The characteristics of overload and variability of blood pressure in both groups were analysed and several indexes on cardiac structure and function were compared between two groups.
Results:
Both groups showed significant differences in the mass of left ventricle (LVM), the mass index (LVMI) of left ventricle, the thickness of interventricular septum (IVS), posterior wall of left ventricle (LVPW) and relative wall thickness (RWT) except for hypertensive ages. The ratio of E/A in both groups was significantly decreased. The rate of SBP load (SBPLO) both at day and night, the level of SBP in 24 hours and reductive rate of SBP at night (nSBPrr), the variabilities of systolic blood pressure (SBPV) and mean arterial pressure (MAPV) as well as hypertensive vascular overload index (HTNVOI) in two groups were obviously different.
Conclusions:
1) In early stage, the diastolic cardiac function in essential hypertension was damaged. 2) The happeness of left ventricular hypertrophy in essential hypertension was not only associated with the degrees and types of vascular overload, the increased variabilities of systolic blood pressure and mean arterial pressure, reversely with the reductive rate of SBP at night as well, but feebly with hypertensive-age. 3) As a low awareness, hypertensive-age was unreliable in the recollection. 4) Age was also a risk factor of left ventricular hypertrophy in essential hypertension.
Related Concept Videos
Hypertension and Regulation of Blood Pressure
Hypertension II: Pathophysiology
Blood Pressure
The average BP in an adult is typically around 120/80 mmHg (millimeters of mercury). In this measurement, the numerator (120) indicates the systolic pressure, which is the pressure in the arteries during the contraction of the heart's ventricles as blood is expelled. The denominator (80) represents the diastolic...
Blood Pressure
Disorders of the Autonomic Nervous System
Raynaud's disease, also known as Raynaud's phenomenon, is a...
Neural Regulation of Blood Pressure
Baroreceptor Reflex
Baroreceptors, located in the carotid sinuses and aortic arch, detect changes in blood pressure. When blood pressure rises, these stretch-sensitive receptors...
