[Association of carotid atherosclerosis and blood pressure variation]

Ao-Ya Liu1, Zhen-Qiu Yu, Wen-Hua Wang

  • 1Department of Hypertension, Anzhen Hospital, Capital Medical University, Beijing 100029, China.

Insights

Blood pressure variation, particularly systolic pressure fluctuations, is linked to carotid artery plaque. This finding highlights blood pressure variability as a key factor in atherosclerosis development.

Area of Science:

  • Cardiovascular medicine
  • Vascular biology
  • Hypertension research

Context:

  • Carotid artery plaque is a significant indicator of cardiovascular disease risk.
  • Blood pressure variability is increasingly recognized as a crucial factor in cardiovascular health.
  • Understanding the interplay between blood pressure patterns and atherosclerosis is vital for risk stratification.

Purpose:

  • To examine the association between carotid artery plaque and blood pressure variability.
  • To identify cardiovascular risk factors correlated with carotid artery plaque.
  • To determine if blood pressure variation independently predicts carotid atherosclerosis.

Summary:

  • A retrospective analysis of 408 hypertensive patients revealed a 55.3% prevalence of carotid artery plaque, increasing with age.
  • Carotid plaque was associated with disease duration, blood sugar, total cholesterol, and LDL cholesterol.
  • The prevalence of carotid plaque correlated positively with the coefficient of variation of 24-hour systolic blood pressure.

Impact:

  • Carotid atherosclerosis is independently associated with blood pressure variability, especially systolic.
  • This suggests that monitoring blood pressure fluctuations may improve cardiovascular risk assessment.
  • Findings emphasize the importance of managing blood pressure variability in hypertensive patients to prevent atherosclerosis.
Abstract

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