Arterial stiffness data during the daily monitoring procedure in patients with hypertension in comparison with chronic obstructive pulmonary disease
https://doi.org/10.18093/0869-0189-2013-0-3-41-44
Abstract
Summary. 58 patients with essential hypertension have been examined. 27 of them had a combination of essential hypertension and chronic obstructive pulmonary disease (COPD), 31 persons had an isolated essential hypertension. The control group included 13 healthy individuals. A daily monitoring of blood pressure in the apparatus BPLab (Russia) and the analysis of peripheral, central aortic pressure and the vessel stiffness data have been made. Comparison of groups was carried out using the methods of nonparametric statistics. The combination of hypertension and COPD showed increased daily average of peripheral and central aortic pressure in comparison with isolated essential hypertension and the control group. In patients with COPD and hypertension the increase pulse wave velocity, the index of arterial stiffness and the ambulatory arterial stiffness index as compared with the control group and isolated arterial hypertension have been determined. A direct correlation of arterial stiffness and smoking has been found out.
About the Authors
T. A. AksеnovaRussian Federation
V. V. Gorbunov
Russian Federation
S. Yu. Tsarenok
Russian Federation
Yu. V. Parkhomenko
Russian Federation
References
1. Global Initiative for Chronic Obstructive Lung Disease (GOLD). Global strategy for diagnosis, management, and prevention of chronic obstructive pulmonary disease. NHLBI / WHO workshop report. Last updated 2012. http://www.goldcopd.org
2. Calverley P.M.A., Anderson J.A., Celli B. et al. Salmeterol and fluticasone propionate and survival in chronic obstructive pulmonary disease. N. Engl. J. Med. 2007; 356: 775–789.
3. Mattace R., van der Cammen T.J.M., Hofman A. et al. Arterial stiffness and risk of coronary heart disease and stroke: the Rotterdam study. Circulation 2006; 113: 657–663.
4. Willum,Hansen T., Staessen J.A., Torp,Pedersen C. et al. Prognostic value of aortic pulse wave velocity as index of arterial stiffness in the general population. Circulation 2006; 113: 664–670.
5. London G., Guerin A., Pannier B. et al. Increased systolic pressure in chronic uremia. role of arterial wave reflections. Hypertension 1992; 20: 10–19.
6. Диагностика и лечение артериальной гипертензии. Российские рекомендации (4-й пересмотр). Системные гипертензии 2010; 3: 5–26.
7. Hideaki Shimazu. Method for and evaluation of the indirect measurement of arterial stiffness index. http://www.osachi.jp/English/Technology/detail/ASI.html
8. Dolan E., Thijs L., Li Y. et al. Ambulatory arterial stiffness index as a predictor of cardiovascular mortality in the Dublin outcome study. Hypertension 2006; 47: 365–370.
9. Задионченко В.С., Погонченкова И.В., Адашева Т.В. и др. Артериальная гипертония при хронической обструктивной болезни легких. М.: Анахарсис; 2005.
10. Макарова М.А., Авдеев С.Н., Чучалин А.Г. Артериальная ригидность и эндотелиальная дисфункции у больных ХОБЛ. Что первично, что вторично? Пульмонология 2011; 6: 73–79.
11. McAllister D.A., Maclay J.D., Mills N.L. et al. Arterial stiffness is independently associated with emphysema severity in patients with chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 2007; 176: 1208–1214.
12. Невзорова В.А., Шекунова О.И., Бродская Т.А. Состояние жесткости аорты при хронической обструктивной болезни легких, сочетающейся с ишемической болезнью сердца. Тер. арх. 2010; 3: 18–22.
13. CardioVision® Featuring The Arterial Stiffness Index (ASI) Selected Papers, Letters, and Pertinent Information. CardioVision® is Distributed by: IMDP. http://www.imdp.com/media/pdf/imdpcvbrochure.pdf
14. Макарова М.А., Авдеев С.Н. Артериальная ригидность и эндотелиальная дисфункция у больных хронической обструктивной болезнью легких. Пульмонология 2011; 4: 109–117.
15. Rutten F.H., Moons K.G., Cramer M.J. et al. Recognising heart failure in elderly patients with stable chronic obstructive pulmonary disease in primary care: cross-sectional diagnostic study. Br. Med. J. 2005; 331: 1379.
Review
For citations:
Aksеnova T.A., Gorbunov V.V., Tsarenok S.Yu., Parkhomenko Yu.V. Arterial stiffness data during the daily monitoring procedure in patients with hypertension in comparison with chronic obstructive pulmonary disease. PULMONOLOGIYA. 2013;(3):41-44. (In Russ.) https://doi.org/10.18093/0869-0189-2013-0-3-41-44