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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 |
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container_issue | 2 |
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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 |
format | article |
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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.</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. Drug treatments ; Systole - physiology ; Vascular Stiffness - physiology</subject><ispartof>Journal of international medical research, 2013-04, Vol.41 (2), p.325-333</ispartof><rights>The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav</rights><rights>2014 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-a4ccc8a9963aa595adfcb6426d26c87ce737a3a96b7789b4859e1b9b9fe972853</citedby><cites>FETCH-LOGICAL-c409t-a4ccc8a9963aa595adfcb6426d26c87ce737a3a96b7789b4859e1b9b9fe972853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0300060513476590$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0300060513476590$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21947,27834,27905,27906,44926,45314</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/0300060513476590?utm_source=summon&utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27579371$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23569030$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><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><title>Relationship between arterial stiffness and variability in systolic blood pressure during a single clinic visit in patients with hypertension</title><title>Journal of international medical research</title><addtitle>J Int Med Res</addtitle><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.</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. Pharmaceutical industry</subject><subject>Pharmacology. Drug treatments</subject><subject>Systole - physiology</subject><subject>Vascular Stiffness - physiology</subject><issn>0300-0605</issn><issn>1473-2300</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp1kU-LFDEQxYMo7rh69yS5CF5ak06n0znKsv6BBUH03FSnq3eyZNJtKr3LfAi_s2lmVBA8FdT7vXpJFWMvpXgrpTHvhBJCtEJL1ZhWW_GI7WRjVFWX_mO22-Rq0y_YM6I7IZq61fVTdlEr3dqi7tjPrxgg-znS3i98wPyAGDmkjMlD4JT9NEUk4hBHfg-lOfjg85H7yOlIeQ7e8SHM88iXVLg1IR_X5OMtB06lBOQu-Fioe08-b76lBGLMxB983vP9ccESF6k84jl7MkEgfHGul-z7h-tvV5-qmy8fP1-9v6lcI2yuoHHOdWBtqwC01TBObmjL58a6dZ1xaJQBBbYdjOns0HTaohzsYCe0pu60umRvTnOXNP9YkXJ_8OQwBIg4r9RLZYSstWo3VJxQl2aihFO_JH-AdOyl6Lcj9P8eoVhenaevwwHHP4bfWy_A6zMA5CBMCaLz9Jcz2lhlZOGqE0dwi_3dvKZYtvL_4F9lsJ8j</recordid><startdate>20130401</startdate><enddate>20130401</enddate><creator>Masugata, Hisashi</creator><creator>Senda, Shoichi</creator><creator>Inukai, Michio</creator><creator>Himoto, Takashi</creator><creator>Hosomi, Naohisa</creator><creator>Imachi, Hitomi</creator><creator>Murao, Koji</creator><creator>Okada, Hiroki</creator><creator>Goda, Fuminori</creator><general>SAGE Publications</general><general>Sage Publications</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20130401</creationdate><title>Relationship between arterial stiffness and variability in systolic blood pressure during a single clinic visit in patients with hypertension</title><author>Masugata, Hisashi ; Senda, Shoichi ; Inukai, Michio ; Himoto, Takashi ; Hosomi, Naohisa ; Imachi, Hitomi ; Murao, Koji ; Okada, Hiroki ; Goda, Fuminori</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-a4ccc8a9963aa595adfcb6426d26c87ce737a3a96b7789b4859e1b9b9fe972853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Ambulatory Care</topic><topic>Ankle - blood supply</topic><topic>Ankle - physiopathology</topic><topic>Arterial hypertension. 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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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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