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Pulsatile but Not Steady Component of Blood Pressure Predicts Cardiovascular Events in Coronary Patients

Pulsatile but Not Steady Component of Blood Pressure Predicts Cardiovascular Events in Coronary Patients Piotr Jankowski ; Kalina Kawecka-Jaszcz ; Danuta Czarnecka ; Ma gorzata Brzozowska-Kiszka ; Katarzyna Styczkiewicz ; Magdalena Loster ; Ma gorzata Kloch-Bade ek ; Jerzy Wili ski ; Adam M. Cury o... Full description

Journal Title: Hypertension 2008-04-01, Vol.51 (4), p.848-855
Main Author: Jankowski, Piotr
Other Authors: Kawecka-Jaszcz, Kalina , Czarnecka, Danuta , Brzozowska-Kiszka, Malgorzata , Styczkiewicz, Katarzyna , Loster, Magdalena , Kloch-Badelek, Malgorzata , Wilinski, Jerzy , Curylo, Adam M , Dudek, Dariusz , on behalf of Aortic Blood Pressure and Survival Study Group
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: United States: Am Heart Assoc
ID: ISSN: 0194-911X
Link: https://www.ncbi.nlm.nih.gov/pubmed/18268136
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title: Pulsatile but Not Steady Component of Blood Pressure Predicts Cardiovascular Events in Coronary Patients
format: Article
creator:
  • Jankowski, Piotr
  • Kawecka-Jaszcz, Kalina
  • Czarnecka, Danuta
  • Brzozowska-Kiszka, Malgorzata
  • Styczkiewicz, Katarzyna
  • Loster, Magdalena
  • Kloch-Badelek, Malgorzata
  • Wilinski, Jerzy
  • Curylo, Adam M
  • Dudek, Dariusz
  • on behalf of Aortic Blood Pressure and Survival Study Group
subjects:
  • Aged
  • Aorta - physiology
  • Blood Pressure - physiology
  • Brachial Artery - physiology
  • Coronary Angiography
  • Coronary Artery Disease - diagnostic imaging
  • Coronary Artery Disease - epidemiology
  • Coronary Artery Disease - physiopathology
  • Female
  • Humans
  • Hypertension - epidemiology
  • Hypertension - physiopathology
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Prognosis
  • Proportional Hazards Models
  • Pulsatile Flow - physiology
  • Risk Factors
ispartof: Hypertension, 2008-04-01, Vol.51 (4), p.848-855
description: Pulsatile but Not Steady Component of Blood Pressure Predicts Cardiovascular Events in Coronary Patients Piotr Jankowski ; Kalina Kawecka-Jaszcz ; Danuta Czarnecka ; Ma gorzata Brzozowska-Kiszka ; Katarzyna Styczkiewicz ; Magdalena Loster ; Ma gorzata Kloch-Bade ek ; Jerzy Wili ski ; Adam M. Cury o ; Dariusz Dudek on behalf of the Aortic Blood Pressure and Survival Study Group From the I Department of Cardiology and Hypertension (P.J., K.K.-J., D.C., M.B.-K., K.S., M.L., M.K.-B., J.W., A.M.C.) and the II Department of Cardiology (D.D.), Collegium Medicum Jagiellonian University, Kraków, Poland. Correspondence to Piotr Jankowski, I Department of Cardiology and Hypertension, Jagiellonian University Medical College, 17 Kopernik St, 31-501 Kraków, Poland. E-mail piotrjankowski{at}interia.pl Although the differences between central and peripheral blood pressure (BP) values have been known for decades, the consequences of decision making based on peripheral rather than central BP have only recently been recognized. There are only a few studies assessing the relationship between intraaortic BP and cardiovascular risk. In addition, the relationship between central BP and the risk of cardiovascular events in a large group of coronary patients has not yet been evaluated. Therefore, the aim of the study was to determine the prognostic significance of central BP-derived indices in patients undergoing coronary angiography. Invasive central BPs were taken at baseline, and study end points were ascertained during over a 4.5-year follow-up in 1109 consecutive patients. The primary end point (cardiovascular death or myocardial infarction or stroke or cardiac arrest or heart transplantation or myocardial revascularization) occurred in 246 (22.2%) patients. Central pulsatility was the most powerful predictor of the primary end point (hazard ratio [HR] 1.30, 95% confidence interval [CI] 1.14 to 1.48). Central pulse pressure was also independently related to the primary end point (HR 1.25, 95% CI 1.09 to 1.43). Central mean BP as well as peripheral BP parameters were not independently related to the primary end point risk. Central pulsatility was also related to risk of cardiovascular death or myocardial infarction or stroke. The pulsatile component of BP is the most important factor related to the cardiovascular risk in coronary patients. It is more closely associated with cardiovascular risk than steady component of BP. Key Words: blood pressure • central pulse pressure • pu
language: eng
source:
identifier: ISSN: 0194-911X
fulltext: no_fulltext
issn:
  • 0194-911X
  • 1524-4563
url: Link


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titlePulsatile but Not Steady Component of Blood Pressure Predicts Cardiovascular Events in Coronary Patients
creatorJankowski, Piotr ; Kawecka-Jaszcz, Kalina ; Czarnecka, Danuta ; Brzozowska-Kiszka, Malgorzata ; Styczkiewicz, Katarzyna ; Loster, Magdalena ; Kloch-Badelek, Malgorzata ; Wilinski, Jerzy ; Curylo, Adam M ; Dudek, Dariusz ; on behalf of Aortic Blood Pressure and Survival Study Group
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descriptionPulsatile but Not Steady Component of Blood Pressure Predicts Cardiovascular Events in Coronary Patients Piotr Jankowski ; Kalina Kawecka-Jaszcz ; Danuta Czarnecka ; Ma gorzata Brzozowska-Kiszka ; Katarzyna Styczkiewicz ; Magdalena Loster ; Ma gorzata Kloch-Bade ek ; Jerzy Wili ski ; Adam M. Cury o ; Dariusz Dudek on behalf of the Aortic Blood Pressure and Survival Study Group From the I Department of Cardiology and Hypertension (P.J., K.K.-J., D.C., M.B.-K., K.S., M.L., M.K.-B., J.W., A.M.C.) and the II Department of Cardiology (D.D.), Collegium Medicum Jagiellonian University, Kraków, Poland. Correspondence to Piotr Jankowski, I Department of Cardiology and Hypertension, Jagiellonian University Medical College, 17 Kopernik St, 31-501 Kraków, Poland. E-mail piotrjankowski{at}interia.pl Although the differences between central and peripheral blood pressure (BP) values have been known for decades, the consequences of decision making based on peripheral rather than central BP have only recently been recognized. There are only a few studies assessing the relationship between intraaortic BP and cardiovascular risk. In addition, the relationship between central BP and the risk of cardiovascular events in a large group of coronary patients has not yet been evaluated. Therefore, the aim of the study was to determine the prognostic significance of central BP-derived indices in patients undergoing coronary angiography. Invasive central BPs were taken at baseline, and study end points were ascertained during over a 4.5-year follow-up in 1109 consecutive patients. The primary end point (cardiovascular death or myocardial infarction or stroke or cardiac arrest or heart transplantation or myocardial revascularization) occurred in 246 (22.2%) patients. Central pulsatility was the most powerful predictor of the primary end point (hazard ratio [HR] 1.30, 95% confidence interval [CI] 1.14 to 1.48). Central pulse pressure was also independently related to the primary end point (HR 1.25, 95% CI 1.09 to 1.43). Central mean BP as well as peripheral BP parameters were not independently related to the primary end point risk. Central pulsatility was also related to risk of cardiovascular death or myocardial infarction or stroke. The pulsatile component of BP is the most important factor related to the cardiovascular risk in coronary patients. It is more closely associated with cardiovascular risk than steady component of BP. Key Words: blood pressure • central pulse pressure • pulsatility • cardiovascular risk • atherosclerosis • coronary artery disease Related Article: Central Blood Pressure and Hypertension Michel E. Safar and Harold Smulyan Hypertension 2008 51: 819-820. [Extract] [Full Text] [PDF]
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subjectAged ; Aorta - physiology ; Blood Pressure - physiology ; Brachial Artery - physiology ; Coronary Angiography ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - epidemiology ; Coronary Artery Disease - physiopathology ; Female ; Humans ; Hypertension - epidemiology ; Hypertension - physiopathology ; Male ; Middle Aged ; Predictive Value of Tests ; Prognosis ; Proportional Hazards Models ; Pulsatile Flow - physiology ; Risk Factors
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title
0Pulsatile but Not Steady Component of Blood Pressure Predicts Cardiovascular Events in Coronary Patients
1Hypertension
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descriptionPulsatile but Not Steady Component of Blood Pressure Predicts Cardiovascular Events in Coronary Patients Piotr Jankowski ; Kalina Kawecka-Jaszcz ; Danuta Czarnecka ; Ma gorzata Brzozowska-Kiszka ; Katarzyna Styczkiewicz ; Magdalena Loster ; Ma gorzata Kloch-Bade ek ; Jerzy Wili ski ; Adam M. Cury o ; Dariusz Dudek on behalf of the Aortic Blood Pressure and Survival Study Group From the I Department of Cardiology and Hypertension (P.J., K.K.-J., D.C., M.B.-K., K.S., M.L., M.K.-B., J.W., A.M.C.) and the II Department of Cardiology (D.D.), Collegium Medicum Jagiellonian University, Kraków, Poland. Correspondence to Piotr Jankowski, I Department of Cardiology and Hypertension, Jagiellonian University Medical College, 17 Kopernik St, 31-501 Kraków, Poland. E-mail piotrjankowski{at}interia.pl Although the differences between central and peripheral blood pressure (BP) values have been known for decades, the consequences of decision making based on peripheral rather than central BP have only recently been recognized. There are only a few studies assessing the relationship between intraaortic BP and cardiovascular risk. In addition, the relationship between central BP and the risk of cardiovascular events in a large group of coronary patients has not yet been evaluated. Therefore, the aim of the study was to determine the prognostic significance of central BP-derived indices in patients undergoing coronary angiography. Invasive central BPs were taken at baseline, and study end points were ascertained during over a 4.5-year follow-up in 1109 consecutive patients. The primary end point (cardiovascular death or myocardial infarction or stroke or cardiac arrest or heart transplantation or myocardial revascularization) occurred in 246 (22.2%) patients. Central pulsatility was the most powerful predictor of the primary end point (hazard ratio [HR] 1.30, 95% confidence interval [CI] 1.14 to 1.48). Central pulse pressure was also independently related to the primary end point (HR 1.25, 95% CI 1.09 to 1.43). Central mean BP as well as peripheral BP parameters were not independently related to the primary end point risk. Central pulsatility was also related to risk of cardiovascular death or myocardial infarction or stroke. The pulsatile component of BP is the most important factor related to the cardiovascular risk in coronary patients. It is more closely associated with cardiovascular risk than steady component of BP. Key Words: blood pressure • central pulse pressure • pulsatility • cardiovascular risk • atherosclerosis • coronary artery disease Related Article: Central Blood Pressure and Hypertension Michel E. Safar and Harold Smulyan Hypertension 2008 51: 819-820. [Extract] [Full Text] [PDF]
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titlePulsatile but Not Steady Component of Blood Pressure Predicts Cardiovascular Events in Coronary Patients
authorJankowski, Piotr ; Kawecka-Jaszcz, Kalina ; Czarnecka, Danuta ; Brzozowska-Kiszka, Malgorzata ; Styczkiewicz, Katarzyna ; Loster, Magdalena ; Kloch-Badelek, Malgorzata ; Wilinski, Jerzy ; Curylo, Adam M ; Dudek, Dariusz ; on behalf of Aortic Blood Pressure and Survival Study Group
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abstractPulsatile but Not Steady Component of Blood Pressure Predicts Cardiovascular Events in Coronary Patients Piotr Jankowski ; Kalina Kawecka-Jaszcz ; Danuta Czarnecka ; Ma gorzata Brzozowska-Kiszka ; Katarzyna Styczkiewicz ; Magdalena Loster ; Ma gorzata Kloch-Bade ek ; Jerzy Wili ski ; Adam M. Cury o ; Dariusz Dudek on behalf of the Aortic Blood Pressure and Survival Study Group From the I Department of Cardiology and Hypertension (P.J., K.K.-J., D.C., M.B.-K., K.S., M.L., M.K.-B., J.W., A.M.C.) and the II Department of Cardiology (D.D.), Collegium Medicum Jagiellonian University, Kraków, Poland. Correspondence to Piotr Jankowski, I Department of Cardiology and Hypertension, Jagiellonian University Medical College, 17 Kopernik St, 31-501 Kraków, Poland. E-mail piotrjankowski{at}interia.pl Although the differences between central and peripheral blood pressure (BP) values have been known for decades, the consequences of decision making based on peripheral rather than central BP have only recently been recognized. There are only a few studies assessing the relationship between intraaortic BP and cardiovascular risk. In addition, the relationship between central BP and the risk of cardiovascular events in a large group of coronary patients has not yet been evaluated. Therefore, the aim of the study was to determine the prognostic significance of central BP-derived indices in patients undergoing coronary angiography. Invasive central BPs were taken at baseline, and study end points were ascertained during over a 4.5-year follow-up in 1109 consecutive patients. The primary end point (cardiovascular death or myocardial infarction or stroke or cardiac arrest or heart transplantation or myocardial revascularization) occurred in 246 (22.2%) patients. Central pulsatility was the most powerful predictor of the primary end point (hazard ratio [HR] 1.30, 95% confidence interval [CI] 1.14 to 1.48). Central pulse pressure was also independently related to the primary end point (HR 1.25, 95% CI 1.09 to 1.43). Central mean BP as well as peripheral BP parameters were not independently related to the primary end point risk. Central pulsatility was also related to risk of cardiovascular death or myocardial infarction or stroke. The pulsatile component of BP is the most important factor related to the cardiovascular risk in coronary patients. It is more closely associated with cardiovascular risk than steady component of BP. Key Words: blood pressure • central pulse pressure • pulsatility • cardiovascular risk • atherosclerosis • coronary artery disease Related Article: Central Blood Pressure and Hypertension Michel E. Safar and Harold Smulyan Hypertension 2008 51: 819-820. [Extract] [Full Text] [PDF]
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