Evaluation of Office and Ambulatory Central Blood Pressure and Augmentation Index by Two Methods and Their Changes After Lifestyle or Medical Interventions in Hypertension

Autor: Helga Gyöngyösi, Dóra Batta, Andrea László, Péter Torzsa, Beáta Kőrösi, Zsófia Nemcsik-Bencze, Orsolya Cseprekál, András Tislér, János Nemcsik
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Artery Research, Vol 30, Iss 1, Pp 1-9 (2024)
Druh dokumentu: article
ISSN: 1876-4401
DOI: 10.1007/s44200-024-00045-9
Popis: Abstract Objective Central systolic blood pressure (cSBP) and augmentation index (Aix) can be evaluated in office and also in ambulatory condition, during 24-h monitoring. The aim of our study was to measure cSBP and Aix in the office and in 24-h setting cSBP with two calibration methods and also Aix. Thereafter, we aimed to compare their changes after the initiation of lifestyle modifications or antihypertensive medications. Methods Office cSBP and Aix were measured with the tonometric PulsePen device (PP-cSBP, PP-Aix, respectively), while 24-h ambulatory cSBP and Aix (24 h-Aix) were evaluated with Mobil-O-Graph. For the calculation of 24-h cSBP both systolic/diastolic and systolic/mean BP calibration methods were considered (24 h-cSBPC1 and 24 h-cSBPC2, respectively). In new hypertensive patients (HT) the measurements were repeated 3 months after the initiation of antihypertensive medication while in white-coat hypertensive patients (WhHT) 12 months after lifestyle modifications. Results 105 patients were involved including 22-22 HT and WhHT subjects, respectively. PP-cSBP (128 ± 13 mmHg,) was higher than 24 h-cSBPC1 (118 ± 9 mmHg, p
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