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 2017-01, 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:
Aged
Albuminuria
Albuminuria - etiology
Ankle Brachial Index
Aorta - physiopathology
Aortic blood pressure
Arterial Pressure
Blood Pressure Determination - adverse effects
Blood Pressure Determination - methods
Blood Pressure Monitoring, Ambulatory - adverse effects
Blood Pressure Monitoring, Ambulatory - methods
Female
Glomerular Filtration Rate
Humans
Hypertension - complications
Hypertension - physiopathology
Kidney - injuries
Male
Middle Aged
Original Paper
Pulse Wave Analysis
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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
DOI:10.1159/000485595