Relationship between blood pressure variability and pulse wave velocity in patients with hypertension_West China Medical Journal

Authors：

CAI Yali , WANG Si , ZHANG Xin , ZHU Xiaojiang , LIU Qi , ZHANG Qiang ,  CHEN Xiaoping

Department of Cardiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

CHEN Xiaoping, Email: xiaopingchen11@126.com

Keywords：

Blood pressure monitoring at home; Blood pressure variability; Primary hypertension; Pulse wave velocity

DOI：

10.7507/1002-0179.201604100

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the best mode of blood pressure monitoring by comparing the correlation of deferent kinds of blood pressure variability with arterial stiffness. Methods This study was conducted among 140 hypertensive patients in Wuhou Strict, Chengdu. Baseline data was collected including demographic data, biochemical examination and brachial-ankle pulse wave velocity (baPWV) measurement and so on. A consecutive home blood pressure was also gained by the individuals themselves and the clinical blood pressure was also recorded during the visit. The correlation between baPWV and the blood pressure variability were tested. Results The blood pressure variability measured at home in the morning was independently correlated with baPWV (r=0.313, P=0.011), the blood pressure variability measured at home in the evening was also independently correlated with baPWV (r=0.241, P=0.042), and day-to-day morning blood pressure variability measured at home was correlated with baPWV (r= 0.269, P=0.030). The correlation of month-to-month blood pressure variability and blood pressure variability gained at clinic room with baPWV was not significant (P>0.05). Conclusion In the monitoring of blood pressure variability in hypertensive patients, the blood pressure variability monitoring at home is better than that at the clinic room; and monitoring in the morning is better than that in the evening.

Citation： CAI Yali, WANG Si, ZHANG Xin, ZHU Xiaojiang, LIU Qi, ZHANG Qiang, CHEN Xiaoping. Relationship between blood pressure variability and pulse wave velocity in patients with hypertension. West China Medical Journal, 2017, 32(6): 847-851. doi: 10.7507/1002-0179.201604100 Copy

1.	陈伟伟, 高润霖, 刘力生, 等. 《中国心血管病报告 2015》概要. 中国循环杂志, 2016, 31(6): 521-528.
2.	Dai S, Robitaille C, Bancej C, et al. Executive summary--report from the Canadian Chronic Disease Surveillance System: hypertension in Canada, 2010. Chronic Dis Can, 2010, 31(1): 46-47.
3.	Amraoui F, Bos S, Vogt L, et al. Long-term renal outcome in patients with malignant hypertension: a retrospective cohort study. BMC Nephrol, 2012, 13: 71.
4.	Floras JS, Jones JV, Hassan MO, et al. Cuff and ambulatory blood pressure in subjects with essential hypertension. Lancet, 1981, 2(8238): 107-109.
5.	Matsui Y, Ishikawa J, Eguchi K, et al. Maximum value of home blood pressure: a novel indicator of target organ damage in hypertension. Hypertension, 2011, 57(6): 1087-1093.
6.	刘傲亚, 余振球, 王文化, 等. 高血压病患者颈动脉粥样硬化与血压变异的相关性. 中华心血管病杂志, 2011, 39(6): 484-487.
7.	刘圣好, 潘文博, 钟万生, 等. 原发性高血压患者脉搏波传导速度的影响因素. 中华高血压杂志, 2011, 19(3): 283-285.
8.	Kishimoto A, Tochikubo O, Ohshige K. Relation between nocturnal arterial oxygen desaturation and morning blood pressure. Clin Exp Hypertens, 2007, 29(1): 51-60.
9.	Kikuya M, Ohkubo T, Metoki H, et al. Day-by-day variability of blood pressure and heart rate at home as a novel predictor of prognosis: the Ohasama study. Hypertension, 2008, 52(6): 1045-1050.
10.	Okada Y, Galbreath MM, Shibata SA, et al. Morning blood pressure surge is associated with arterial stiffness and sympathetic baroreflex sensitivity in hypertensive seniors. Am J Physiol Heart Circ Physiol, 2013, 305(6): H793-H802.
11.	Johansson JK, Niiranen TJ, Puukka PJ, et al. Prognostic value of the variability in home-measured blood pressure and heart rate: the Finn-Home Study. Hypertension, 2012, 59(2): 212-218.
12.	Shimbo D, Shea S, Mcclelland RL, et al. Associations of aortic distensibility and arterial elasticity with long-term visit-to-visit blood pressure variability: the Multi-Ethnic Study of Atherosclerosis (Mesa) Am J Hypertens, 2013, 26(7): 896-902.
13.	Song H, Wei F, Liu Z, et al. Visit-to-visit variability in systolic blood pressure: correlated with the changes of arterial stiffness and myocardial perfusion in on-treated hypertensive patients. Clin Exp Hypertens, 2015, 37(1): 63-69.
14.	Garcia-Garcia A, Garcia-Ortiz L, Recio-Rodriguez JI, et al. Relationship of 24-h blood pressure variability with vascular structure and function in hypertensive patients. Blood Press Monit, 2013, 18(2): 101-106.
15.	Webb AJ, Rothwell PM. Physiological correlates of beat-to-beat, ambulatory, and day-to-day home blood pressure variability after transient ischemic attack or minor stroke. Stroke, 2014, 45(2): 533-538.
16.	Yokota K, Fukuda M, Matsui Y, et al. Impact of visit-to-visit variability of blood pressure on deterioration of renal function in patients with non-diabetic chronic kidney disease. Hypertens Res, 2013, 36(2): 151-157.

1. 陈伟伟, 高润霖, 刘力生, 等. 《中国心血管病报告 2015》概要. 中国循环杂志, 2016, 31(6): 521-528.
2. Dai S, Robitaille C, Bancej C, et al. Executive summary--report from the Canadian Chronic Disease Surveillance System: hypertension in Canada, 2010. Chronic Dis Can, 2010, 31(1): 46-47.
3. Amraoui F, Bos S, Vogt L, et al. Long-term renal outcome in patients with malignant hypertension: a retrospective cohort study. BMC Nephrol, 2012, 13: 71.
4. Floras JS, Jones JV, Hassan MO, et al. Cuff and ambulatory blood pressure in subjects with essential hypertension. Lancet, 1981, 2(8238): 107-109.
5. Matsui Y, Ishikawa J, Eguchi K, et al. Maximum value of home blood pressure: a novel indicator of target organ damage in hypertension. Hypertension, 2011, 57(6): 1087-1093.
6. 刘傲亚, 余振球, 王文化, 等. 高血压病患者颈动脉粥样硬化与血压变异的相关性. 中华心血管病杂志, 2011, 39(6): 484-487.
7. 刘圣好, 潘文博, 钟万生, 等. 原发性高血压患者脉搏波传导速度的影响因素. 中华高血压杂志, 2011, 19(3): 283-285.
8. Kishimoto A, Tochikubo O, Ohshige K. Relation between nocturnal arterial oxygen desaturation and morning blood pressure. Clin Exp Hypertens, 2007, 29(1): 51-60.
9. Kikuya M, Ohkubo T, Metoki H, et al. Day-by-day variability of blood pressure and heart rate at home as a novel predictor of prognosis: the Ohasama study. Hypertension, 2008, 52(6): 1045-1050.
10. Okada Y, Galbreath MM, Shibata SA, et al. Morning blood pressure surge is associated with arterial stiffness and sympathetic baroreflex sensitivity in hypertensive seniors. Am J Physiol Heart Circ Physiol, 2013, 305(6): H793-H802.
11. Johansson JK, Niiranen TJ, Puukka PJ, et al. Prognostic value of the variability in home-measured blood pressure and heart rate: the Finn-Home Study. Hypertension, 2012, 59(2): 212-218.
12. Shimbo D, Shea S, Mcclelland RL, et al. Associations of aortic distensibility and arterial elasticity with long-term visit-to-visit blood pressure variability: the Multi-Ethnic Study of Atherosclerosis (Mesa) Am J Hypertens, 2013, 26(7): 896-902.
13. Song H, Wei F, Liu Z, et al. Visit-to-visit variability in systolic blood pressure: correlated with the changes of arterial stiffness and myocardial perfusion in on-treated hypertensive patients. Clin Exp Hypertens, 2015, 37(1): 63-69.
14. Garcia-Garcia A, Garcia-Ortiz L, Recio-Rodriguez JI, et al. Relationship of 24-h blood pressure variability with vascular structure and function in hypertensive patients. Blood Press Monit, 2013, 18(2): 101-106.
15. Webb AJ, Rothwell PM. Physiological correlates of beat-to-beat, ambulatory, and day-to-day home blood pressure variability after transient ischemic attack or minor stroke. Stroke, 2014, 45(2): 533-538.
16. Yokota K, Fukuda M, Matsui Y, et al. Impact of visit-to-visit variability of blood pressure on deterioration of renal function in patients with non-diabetic chronic kidney disease. Hypertens Res, 2013, 36(2): 151-157.

West China Medical Journal

Relationship between blood pressure variability and pulse wave velocity in patients with hypertension

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