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Measuring the Carotid to Femoral Pulse Wave Velocity (Cf-PWV) to Evaluate Arterial Stiffness
Published on: May 3, 2018
The relationship between pulse wave velocity and pulse pressure in Chinese patients with essential hypertension
Yongbin Ni1, Hongyu Wang, Dayi Hu
1Department of Cardiology, People's Hospital, Peking University, Beijing 100044, PR China.
Insights
Aortic pulse wave velocity (PWV) is a key indicator of cardiovascular risk in hypertensive patients. This study found PWV strongly predicts pulse pressure in Chinese essential hypertension patients.
Area of Science:
- Cardiovascular Physiology
- Hypertension Research
- Clinical Biomechanics
Background:
- Aortic pulse wave velocity (PWV) is a recognized cardiovascular disease predictor.
- Limited research exists on PWV in Chinese essential hypertension patients.
- Hypertension and its sequelae are significant public health concerns.
Purpose of the Study:
- To investigate aortic PWV in a large cohort of Chinese essential hypertension patients.
- To determine the relationship between PWV, pulse pressure, and blood pressure components.
- To assess PWV as a determinant of pulse pressure in this population.
Main Methods:
- Cross-sectional study of 3,156 Chinese patients from Ruijin Hospital's Hypertension Division.
- Measured aortic PWV using a validated automatic device.
- Recorded sphygmomanometric blood pressure measurements, including systolic (SBP) and diastolic (DBP) blood pressure, and calculated pulse pressure (PP).
Main Results:
- PWV was significantly higher in patients with pulse pressure (PP) ≥ 60 mmHg.
- Both PP and PWV showed positive correlations with age.
- After adjusting for age and heart rate, PWV remained closely related to PP (r = 0.249, p = 0.001).
- PWV demonstrated complex relationships with SBP and DBP, decreasing with rising DBP at constant SBP and increasing with rising SBP at constant DBP.
Conclusions:
- Aortic PWV is a major determinant of pulse pressure in Chinese essential hypertension patients.
- PWV was highest in patients with isolated systolic hypertension, followed by systolic-diastolic hypertension, isolated diastolic hypertension, and normal blood pressure.
- Findings highlight PWV's clinical significance in assessing cardiovascular risk in this demographic.
Abstract:
Aortic pulse wave velocity (PWV) is a significant and independent predictor of cardiovascular disease in hypertensive subjects and in patients with end-stage renal disease, but there have been few studies on PWV in Chinese patients with essential hypertension. In this cross-sectional study, we investigated 3,156 consecutive patients (mean age: 53.7 +/- 11.58 years) of the Hypertension Division of Ruijin Hospital in Shanghai. Together with sphygmomanometric blood pressure measurements, aortic PWV was measured using a validated automatic device. PWV in patients with pulse pressure (PP) > or = 60 mmHg was significantly greater than that in patients with PP < 60 mmHg (p < 0.01). PP and PWV were positively related to age (PP: r = 0.396, p = 0.001; PWV: r = 0.531, p = 0.001). After adjustment by age and heart rate, PWV was still closely related to PP (r = 0.249, p = 0.001). At any given systolic blood pressure (SBP), PWV significantly decreased with the increase of diastolic blood pressure (DBP), whereas at any given DBP there was a significant increase of PWV with the increase of SBP. In conclusion, PWV was the major determinant of PP, and was highest in Chinese patients with isolated systolic hypertension, followed by those with systolic and diastolic hypertension, isolated diastolic hypertension, and normal blood pressure.
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