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Cardiac dysfunction investigation in prehypertension
Chenhong Li1, Yingqi Li, Xiaoying Wang
1Dept. of Biomedical Engineering, Key Laboratory of Biomedical Engineering of Ministry of Education, Zhejiang University, Zheda Road 38, 310027 Hangzhou, China.
Insights
In prehypertension, increased cardiac output and peak velocity may precede elevated blood pressure. These cardiac function changes in early hypertension stages offer insights into disease progression.
Area of Science:
- Cardiology
- Hypertension Research
- Physiology
Background:
- Hypertension is a major cardiovascular risk factor.
- Early detection of cardiac alterations in prehypertension is crucial.
- Understanding the transition from normotension to hypertension is vital.
Purpose of the Study:
- To investigate cardiac function changes in prehypertension.
- To identify specific cardiac parameters altered before hypertension diagnosis.
- To explore the relationship between cardiac function and blood pressure levels.
Main Methods:
- Measured 13 cardiac function parameters in 898 subjects.
- Grouped subjects into normotension, prehypertension, and hypertension groups.
- Utilized statistical analyses to compare groups and assess correlations.
Main Results:
- Prehypertension subjects showed increased peak velocity and cardiac output.
- Systemic vascular resistance index did not significantly increase in prehypertension.
- Peak velocity correlated with systolic blood pressure in prehypertension, but not in other groups.
Conclusions:
- Elevated cardiac output and peak velocity characterize the prehypertension phase.
- These cardiac adaptations may contribute to the subsequent rise in blood pressure.
- Findings suggest prehypertension is an active phase of cardiovascular adaptation.
Abstract:
To study the possible cardiac function alternation in hypertension, 13 cardiac function parameters such as blood pressure (BP), cardiac output (CO), ejection time (ET) and stroke volume (SV), etc. were measured in 898 subjects. The subjects were grouped into 3 groups by blood pressure, namely: normotension, prehypertension and hypertension group. Statistic analyses showed that in prehypertension subjects, peak velocity and cardiac output increased, while the systemic vascular resistance index had no significant increase compared with normotensive. Peak velocity, mean pressure gradient and velocity time integral in prehypertension were significantly correlated with systolic blood pressure, however, no correlation was found in either normotension or hypertension subjects. The results suggest that increasing cardiac output and peak velocity occurred at the phase of prehypertension, which may conduce to the elevation of blood pressure.
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