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Relationship between arterial stiffness and variability in systolic blood pressure during a single clinic visit in patients with hypertension

Objective To examine factors affecting systolic blood pressure (SBP) variability during a single clinic visit, in treated hypertensive patients. Methods Hypertensive patients were recruited to this observational study. Blood pressure was measured using an automated blood pressure monitor when each p...

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Published in:Journal of international medical research 2013-04, Vol.41 (2), p.325-333
Main Authors: Masugata, Hisashi, Senda, Shoichi, Inukai, Michio, Himoto, Takashi, Hosomi, Naohisa, Imachi, Hitomi, Murao, Koji, Okada, Hiroki, Goda, Fuminori
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cited_by cdi_FETCH-LOGICAL-c409t-a4ccc8a9963aa595adfcb6426d26c87ce737a3a96b7789b4859e1b9b9fe972853
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container_end_page 333
container_issue 2
container_start_page 325
container_title Journal of international medical research
container_volume 41
creator Masugata, Hisashi
Senda, Shoichi
Inukai, Michio
Himoto, Takashi
Hosomi, Naohisa
Imachi, Hitomi
Murao, Koji
Okada, Hiroki
Goda, Fuminori
description Objective To examine factors affecting systolic blood pressure (SBP) variability during a single clinic visit, in treated hypertensive patients. Methods Hypertensive patients were recruited to this observational study. Blood pressure was measured using an automated blood pressure monitor when each patient arrived at the outpatient clinic and again when they saw the physician. Mean SBP and SBP variability during a single clinic visit were calculated. The cardio–ankle vascular index (CAVI), as a marker of arterial stiffness, was also measured. Results A total of 57 treated hypertensive patients (mean age 71 years) were included in the study. The mean SBP was positively correlated with age (r = 0.457), while SBP variability was positively correlated with age (r = 0.383), CAVI (r = 0.330), and glycosylated haemoglobin (r = 0.345) and triglyceride levels (r = 0.299). Conclusion Variability in SBP during a single clinic visit showed better correlations with arterial stiffness and risk factors for atherosclerosis than did mean SBP. Large SBP variability during a single clinic visit may reflect progression of atherosclerosis, in treated hypertensive patients.
doi_str_mv 10.1177/0300060513476590
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Methods Hypertensive patients were recruited to this observational study. Blood pressure was measured using an automated blood pressure monitor when each patient arrived at the outpatient clinic and again when they saw the physician. Mean SBP and SBP variability during a single clinic visit were calculated. The cardio–ankle vascular index (CAVI), as a marker of arterial stiffness, was also measured. Results A total of 57 treated hypertensive patients (mean age 71 years) were included in the study. The mean SBP was positively correlated with age (r = 0.457), while SBP variability was positively correlated with age (r = 0.383), CAVI (r = 0.330), and glycosylated haemoglobin (r = 0.345) and triglyceride levels (r = 0.299). Conclusion Variability in SBP during a single clinic visit showed better correlations with arterial stiffness and risk factors for atherosclerosis than did mean SBP. Large SBP variability during a single clinic visit may reflect progression of atherosclerosis, in treated hypertensive patients.</description><identifier>ISSN: 0300-0605</identifier><identifier>EISSN: 1473-2300</identifier><identifier>DOI: 10.1177/0300060513476590</identifier><identifier>PMID: 23569030</identifier><identifier>CODEN: JIMRBV</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Ambulatory Care ; Ankle - blood supply ; Ankle - physiopathology ; Arterial hypertension. Arterial hypotension ; Atherosclerosis (general aspects, experimental research) ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Pressure - physiology ; Cardiology. Vascular system ; Demography ; Female ; General pharmacology ; Humans ; Hypertension - physiopathology ; Linear Models ; Male ; Medical sciences ; Middle Aged ; Pharmaceutical technology. Pharmaceutical industry ; Pharmacology. 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Methods Hypertensive patients were recruited to this observational study. Blood pressure was measured using an automated blood pressure monitor when each patient arrived at the outpatient clinic and again when they saw the physician. Mean SBP and SBP variability during a single clinic visit were calculated. The cardio–ankle vascular index (CAVI), as a marker of arterial stiffness, was also measured. Results A total of 57 treated hypertensive patients (mean age 71 years) were included in the study. The mean SBP was positively correlated with age (r = 0.457), while SBP variability was positively correlated with age (r = 0.383), CAVI (r = 0.330), and glycosylated haemoglobin (r = 0.345) and triglyceride levels (r = 0.299). Conclusion Variability in SBP during a single clinic visit showed better correlations with arterial stiffness and risk factors for atherosclerosis than did mean SBP. Large SBP variability during a single clinic visit may reflect progression of atherosclerosis, in treated hypertensive patients.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Ambulatory Care</subject><subject>Ankle - blood supply</subject><subject>Ankle - physiopathology</subject><subject>Arterial hypertension. Arterial hypotension</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Blood Pressure - physiology</subject><subject>Cardiology. Vascular system</subject><subject>Demography</subject><subject>Female</subject><subject>General pharmacology</subject><subject>Humans</subject><subject>Hypertension - physiopathology</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pharmaceutical technology. 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Arterial hypotension</topic><topic>Atherosclerosis (general aspects, experimental research)</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Blood Pressure - physiology</topic><topic>Cardiology. Vascular system</topic><topic>Demography</topic><topic>Female</topic><topic>General pharmacology</topic><topic>Humans</topic><topic>Hypertension - physiopathology</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pharmaceutical technology. Pharmaceutical industry</topic><topic>Pharmacology. Drug treatments</topic><topic>Systole - physiology</topic><topic>Vascular Stiffness - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Masugata, Hisashi</creatorcontrib><creatorcontrib>Senda, Shoichi</creatorcontrib><creatorcontrib>Inukai, Michio</creatorcontrib><creatorcontrib>Himoto, Takashi</creatorcontrib><creatorcontrib>Hosomi, Naohisa</creatorcontrib><creatorcontrib>Imachi, Hitomi</creatorcontrib><creatorcontrib>Murao, Koji</creatorcontrib><creatorcontrib>Okada, Hiroki</creatorcontrib><creatorcontrib>Goda, Fuminori</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of international medical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Masugata, Hisashi</au><au>Senda, Shoichi</au><au>Inukai, Michio</au><au>Himoto, Takashi</au><au>Hosomi, Naohisa</au><au>Imachi, Hitomi</au><au>Murao, Koji</au><au>Okada, Hiroki</au><au>Goda, Fuminori</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationship between arterial stiffness and variability in systolic blood pressure during a single clinic visit in patients with hypertension</atitle><jtitle>Journal of international medical research</jtitle><addtitle>J Int Med Res</addtitle><date>2013-04-01</date><risdate>2013</risdate><volume>41</volume><issue>2</issue><spage>325</spage><epage>333</epage><pages>325-333</pages><issn>0300-0605</issn><eissn>1473-2300</eissn><coden>JIMRBV</coden><abstract>Objective To examine factors affecting systolic blood pressure (SBP) variability during a single clinic visit, in treated hypertensive patients. Methods Hypertensive patients were recruited to this observational study. Blood pressure was measured using an automated blood pressure monitor when each patient arrived at the outpatient clinic and again when they saw the physician. Mean SBP and SBP variability during a single clinic visit were calculated. The cardio–ankle vascular index (CAVI), as a marker of arterial stiffness, was also measured. Results A total of 57 treated hypertensive patients (mean age 71 years) were included in the study. The mean SBP was positively correlated with age (r = 0.457), while SBP variability was positively correlated with age (r = 0.383), CAVI (r = 0.330), and glycosylated haemoglobin (r = 0.345) and triglyceride levels (r = 0.299). Conclusion Variability in SBP during a single clinic visit showed better correlations with arterial stiffness and risk factors for atherosclerosis than did mean SBP. Large SBP variability during a single clinic visit may reflect progression of atherosclerosis, in treated hypertensive patients.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>23569030</pmid><doi>10.1177/0300060513476590</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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ispartof Journal of international medical research, 2013-04, Vol.41 (2), p.325-333
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1473-2300
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source SAGE Open Access
subjects Aged
Aged, 80 and over
Ambulatory Care
Ankle - blood supply
Ankle - physiopathology
Arterial hypertension. Arterial hypotension
Atherosclerosis (general aspects, experimental research)
Biological and medical sciences
Blood and lymphatic vessels
Blood Pressure - physiology
Cardiology. Vascular system
Demography
Female
General pharmacology
Humans
Hypertension - physiopathology
Linear Models
Male
Medical sciences
Middle Aged
Pharmaceutical technology. Pharmaceutical industry
Pharmacology. Drug treatments
Systole - physiology
Vascular Stiffness - physiology
title Relationship between arterial stiffness and variability in systolic blood pressure during a single clinic visit in patients with hypertension
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