| Future trends in measuring blood pressure:Central pressure, pulse wave velocity, and pulse wave analysis |
|
Cheol Ung Choi, Chang Gyu Park |
|
|
| 혈압측정 트렌드의 변화:중심 동맥압과 대동맥 경직도, 맥파 분석 |
|
최철웅, 박창규 |
|
|
|
|
|
|
| Abstract |
|
The 2007 European Society of Hypertension/European Society of Cardiology guidelines acknowledged that the central (aortic)
blood pressure (BP), which is the pressure exerted on the heart and brain, may differ from the pressure that is measured at the arm.
They also recognized that central pressure may predict outcome in specific populations and is affected differently by antihypertensive
drugs. These guidelines also regarded an increased carotid-femoral pulse wave velocity as subclinical organ damage
and classified increased arterial stiffness into high/very-high risk. Clinical studies have indicated that the central BP and central hemodynamics
(aortic stiffness, augmentation index) are important components in the determination of cardiovascular risk in some
patients. More importantly, recent large-scale trials have shown that central hemodynamics may constitute a worthwhile treatment
target. In addition, central hemodynamics can now be assessed reliably noninvasively with a number of devices. Accordingly, because
arterial stiffness and central hemodynamics are markers and manifestations of organ damage, they independently predict future
cardiovascular events. (Korean J Med 76:389-397, 2009) |
| Key Words:
Central blood pressure; Aortic stiffness; Augmentation index |
|
PDF Links
Full text via DOI
Download Citation
