High arterial rigidity is a significant but not obligatory factor of arterial hypertension in persons over 60 years of age
- 作者: Boytsov S.A.1, Rogoza A.N.1, Kanishcheva E.M.1, Luk'yanov M.M.1, Boitsov SA2, Rogoza AN2, Kanischeva EM2, Lukianov MM2
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隶属关系:
- Russian Cardiological Research Center, Moscow
- 期: 卷 83, 编号 9 (2011)
- 页面: 5-9
- 栏目: Editorial
- ##submission.dateSubmitted##: 10.04.2020
- ##submission.datePublished##: 15.09.2011
- URL: https://ter-arkhiv.ru/0040-3660/article/view/30883
- ID: 30883
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Material and methods. Volume sphygmography (VS) was made in 153 patients aged 60-86 years: 96 patients with untreated AH of degree 1-3 (40 males aged 71.0±7.6 years) and 57 normotensive subjects without cardiovascular symptoms (31 males aged 66.6±6.2 years). VS measured ankle-shoulder velocity of the pulse wave (PWVas) and cardiac-ankle vascular index (CAVI). PWVas > M+STD and CAVI > M+2STD (STD is deviation from mean value) were considered above normal for the age.
Results. Hypertensive patients had significantly higher arterial rigidity than normotensives (PWVas 17.8±3.0 and 15.6 ± 2.3 m/s, respectively, p = 0.00001); CAVI - 9.7±2.1 and 8.6±1.1, respectively, p = 0.0003). Arterial rigidity in hypertensive patients occurred significantly more frequently than in normotensive subjects: by PWVas in 46 and 25% cases (p = 0.01), by CAVI - in 41 and 5% cases (p < 0.0001), respectively. It is essential that arterial rigidity was not increased in 54% hypertensive patients by PWVas and in 75% by CAVI.
Conclusion. PWVas and CAVI were higher in elderly hypertensives than in elderly normotensives but elevated arterial rigidity was not obligatory in hypertensives while 25% elderly normotensives had it. Thus, elevated arterial rigidity is an essential but not obligatory mechanism of AH development in the elderly.
作者简介
Sergey Boytsov
Email: prof-boytsov@mail.ru
Anatoliy Rogoza
Elena Kanishcheva
Email: louri@mail.ru
Mikhail Luk'yanov
S Boitsov
Russian Cardiological Research Center, MoscowRussian Cardiological Research Center, Moscow
A Rogoza
Russian Cardiological Research Center, MoscowRussian Cardiological Research Center, Moscow
E Kanischeva
Russian Cardiological Research Center, MoscowRussian Cardiological Research Center, Moscow
M Lukianov
Russian Cardiological Research Center, MoscowRussian Cardiological Research Center, Moscow
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