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Measuring the Carotid to Femoral Pulse Wave Velocity Cf-PWV to Evaluate Arterial Stiffness
Published on: May 3, 2018
[Masked Arterial Hypertension in Employed Adult Women: Aspects of Screening and Prognostication]
N P Lyamina1, L I Malinova1, A V Nalivaeva1
1Saratov State Medical University named after V.I. Razumovsky, Saratov, Russia.
Abstract:
Masked (M) hypertension (H) remains an unsolved problem of cardiology. Gender aspects of MH require further pathogenetic deciphering and clinical interpretation. We used breathe-hold test and 24-hour blood pressure (BP) monitoring for detection of MH in 275 female middle- aged employees. MH Prevalence of MH was 7.7%. Special clinical and pathogenetic characteristics of MH in studied sample were as follows: high sensitivity of mean hemodynamic BP; body mass index increase, tendency to elevation of fasting glycaemia and lowering of glomerular filtration rate, more frequent presence of dyslipidemia in comparison with normotensive patients, absence of association with levels of anxiety and depression. Ten year risk of fatal cardiovascular events in women with MH was comparable with that among female patients with overt hypertension (0.76 vs 0.68 %). Received data became a basis for elaboration of screening programs of early detection and prevention of H.
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Special considerations while measuring blood pressure
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure: