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Commentary: Using Impedance Cardiography to Detect Asymptomatic Cardiovascular Disease in Prehypertensive Adults with
1Dermed Diagnostics Inc, 2-S 558 White Birch Lane, Wheaton, Illinois, 60189, USA. ademarzo.dermed@att.net.
Insights
New hypertension guidelines identify elevated blood pressure (BP) and stage 1 hypertension. Adults over 40 with risk factors show prevalent cardiovascular abnormalities, indicating early cardiovascular disease (CVD) and supporting treatment decisions.
Area of Science:
- Cardiology
- Hypertension Management
- Preventive Cardiology
Background:
- New hypertension guidelines have redefined blood pressure (BP) categories, eliminating 'prehypertension' and classifying levels as 'elevated BP' or 'stage 1 hypertension'.
- This reclassification aims for earlier intervention to prevent cardiovascular disease (CVD) progression.
Purpose of the Study:
- To assess the prevalence of cardiovascular (CV) abnormalities in adults over 40 with elevated BP and at least two CV risk factors.
- To evaluate the utility of detecting CV abnormalities for early CVD diagnosis and treatment decisions.
Main Methods:
- Analysis of cardiovascular abnormalities in adults aged over 40 with elevated BP and multiple CV risk factors.
- Utilizing impedance cardiography to quantify diverse CV abnormalities in hypertensive patients.
Main Results:
- Cardiovascular abnormalities were found to be prevalent in adults over 40 with elevated BP and at least two CV risk factors.
- Detection of CV abnormalities can reclassify patients from high-risk to having early-stage CVD, supporting treatment initiation.
Conclusions:
- The study highlights the prevalence of CV abnormalities in individuals with elevated BP, underscoring the importance of early detection and intervention.
- Customized treatment strategies, informed by impedance cardiography and patient-specific CV abnormalities (ventricular, vascular, hemodynamic), are crucial for effective BP control and CVD prevention.
Abstract:
New guidelines on hypertension eliminated the classification of prehypertension and divided those blood pressure (BP) levels into elevated BP and stage 1 hypertension. For elevated BP, this study showed that cardiovascular (CV) abnormalities were prevalent in adults over 40 years of age with at least 2 CV risk factors. Detecting abnormalities of the CV system moves a patient from being at high risk to having earlystage cardiovascular disease (CVD) and supports a decision to treat. By redefining stage 1 and lowering the target BP, the new guidelines have set an ambitious goal for early intervention to prevent progression of CVD. Proper drug selection and titration are critical. Hypertensive patients have diverse CV abnormalities that can be quantified by impedance cardiography. By stratifying patients with ventricular, vascular, and hemodynamic abnormalities, treatment can be customized based on the abnormal underlying mechanisms to rapidly control BP and prevent progression of CVD.
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