Arterial mechanics predict cardiovascular risk in hypertension

被引:47
作者
Safar, ME
Siche, JP
Mallion, JM
London, GM
机构
[1] Hop Broussais, Dept Internal Med, F-75674 Paris 14, France
[2] Hop Broussais, INSERM, U337, F-75674 Paris, France
[3] CHU Grenoble, F-38043 Grenoble, France
[4] Manhes Ctr, Fleury Merogis, France
关键词
hypertension; cardiovascular risk; pulse pressure; wave reflections; pulse wave velocity;
D O I
10.1097/00004872-199715120-00061
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Systolic and diastolic blood pressures are the exclusive mechanical factors considered as predictors of cardiovascular risk for members of populations of normotensive and hypertensive subjects. However, if hypertension is considered as a mechanical factor acting on the arterial wall with deleterious consequences, the totality of the blood pressure curve should be considered in order to investigate the risk. The purpose of this review is to show that in addition to systolic and diastolic blood pressures, other hemodynamic indexes with particular relevance for cardiac complications and that originate from pulsatile pressure should be taken into account, namely brachial pulse pressure, pulse pressure amplification, early wave reflections, and pulse wave velocity. (C) Rapid Science Publishers ISSN 0263-6352.
引用
收藏
页码:1605 / 1611
页数:7
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