Cuff-Based Oscillometric Central and Brachial Blood Pressures Obtained Through ABPM are Similarly Associated with Renal Organ Damage in Arterial Hypertension

Background/Aims: Central blood pressure (BP) has been suggested to be a better estimator of hypertension-associated risks. We aimed to evaluate the association of 24-hour central BP, in comparison with 24-hour peripheral BP, with the presence of renal organ damage in hypertensive patients. Methods:...

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Bibliographic Details
Published in:Kidney & blood pressure research 2018-01, Vol.42 (6), p.1068-1077
Main Authors: Fernández-Llama, Patricia, Pareja, Júlia, Yun, Sergi, Vázquez, Susana, Oliveras, Anna, Armario, Pedro, Blanch, Pedro, Calero, Francesca, Sierra, Cristina, de la Sierra, Alejandro
Format: Article
Language:English
Subjects:
Abnormalities
Albumin
Antihypertensives
Aorta
Atherosclerosis
Blood pressure
Cardiovascular disease
Cholesterol
Creatinine
Damage assessment
Diabetes
Epidermal growth factor receptors
Excretion
Family medical history
Glomerular filtration rate
Hypertension
Kidney diseases
Kidneys
Laboratories
Patients
Risk assessment
Standard deviation
Statistical analysis
Studies
Triglycerides
Wave analysis
Wave velocity
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Summary:Background/Aims: Central blood pressure (BP) has been suggested to be a better estimator of hypertension-associated risks. We aimed to evaluate the association of 24-hour central BP, in comparison with 24-hour peripheral BP, with the presence of renal organ damage in hypertensive patients. Methods: Brachial and central (calculated by an oscillometric system through brachial pulse wave analysis) office BP and ambulatory BP monitoring (ABPM) data and aortic pulse wave velocity (PWV) were measured in 208 hypertensive patients. Renal organ damage was evaluated by means of the albumin to creatinine ratio and the estimated glomerular filtration rate. Results: Fifty-four patients (25.9%) were affected by renal organ damage, displaying either microalbuminuria (urinary albumin excretion ≥30 mg/g creatinine) or an estimated glomerular filtration rate (eGFR)
ISSN:1420-4096
1423-0143