Central and peripheral blo od pressure and their control by tre atment
Authors:
J. Filipovský
Published in the journal:
Kardiol Rev Int Med 2008, 10(4): 147-151
Summary
Blo od pressure (BP) me asured the normal way from the brachi al artery differs from central BP in the aorta due to different characteristics of the blo od vessel wall and the size of the reflected pressure wave. Central BP can be estimated non‑invasively using pulse wave analysis. Central BP is a better predictor of cardi ovascular events than peripheral BP, especi ally in pati ents with renal insuffici ency, advanced coronary atherosclerosis etc. Different antihypertensive drugs have different effects: beta blockers have less influence on central BP than on peripheral BP, while the influence of ACE inhibitors and probably also sartans on central Bp is gre ater. Central BP is the potenti al future therape utic objective.
Key words:
central blo od pressure – vascular rigidity – reflected pressure wave – pulse wave analysis – antihypertensive tre atment
Zdroje
1. Filipovský J. Tepenný systém při hypertenzi. In: Widimský J et al (eds). Hypertenze. 3. vyd. Praha: Triton 2008: 158– 180.
2. Filipovský J, Svobodová V, Pecen L. Reproducibility of radi al pulse wave analysis in he althy subjects. J Hypertens 2000; 18: 1033– 1040.
3. Filipovský J. Predictive value of central blo od pressure and arteri al stiffness for cardi ovascular events. In: La urent S et al (eds). Central blo od pressure. Paris: Elsevi er 2008: 61– 67.
4. London GM, Blacher J, Panni er B et al. Arteri al wave reflecti ons and survival in end‑stage renal failure. Hypertensi on 2001; 38: 434– 438.
5. La urent S, Cockcroft J, Van Bortel L et al. Abridged versi on of the expert consensus document on arteri al stiffness. Artery Rese arch 2007; 1: 2– 12.
6. Morgan T, La uri J, Bertram D, Anderson A. Effect of different antihypertensive drug classes on central aortic pressure. Am J Hypertens 2004; 17: 118– 123.
7. London GM, Asmar RG, O’Ro urke MF et al. Mechanism(s) of selective systolic blo od pressure reducti on after a low‑dose combinati on of perindopril/ indapamide in hypertensive subjects: comparison with atenolol. J Am Coll Cardi ol 2004; 43: 92– 99.
8. Willi ams B, Lacy PS, Thom SM et al. Differenti al impact of blo od pressure‑lowering drugs on central aortic pressure and clinical o utcomes: principal results of the Conduit Artery Functi on Evalu ati on (CAFE) Study. Circulati on 2006; 113: 1213– 25.
Štítky
Paediatric cardiology Internal medicine Cardiac surgery CardiologyČlánok vyšiel v časopise
Cardiology Review
2008 Číslo 4
Najčítanejšie v tomto čísle
- Hypertensive disease and heart rate
- Abdominal obesity – an epidemic of the 21st century
- Thrombolytic therapy of cerebral infarction
- Central and peripheral blo od pressure and their control by tre atment