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Organ-Specific, Age-Dependent Associations of Steady-State Pressures and Pulsatile Pressure Wave Components With End-Organ Measures
- Source :
- American Journal of Hypertension. 32:272-281
- Publication Year :
- 2018
- Publisher :
- Oxford University Press (OUP), 2018.
-
Abstract
- BACKGROUND The contribution of steady-state pressures and the forward (Pf) and backward (reflected) (Pb) wave pressure components of pulse pressure to risk prediction have produced contrasting results. We hypothesized that the independent contribution of steady-state pressures (mean arterial pressure [MAP]), Pf and Pb, to cardiovascular damage is organ specific and age dependent. METHODS In 1,384 black South Africans from a community sample, we identified independent relations between MAP, Pf, or Pb (applanation tonometry and SphygmoCor software) and left ventricular mass index (LVMI) (n = 997) (echocardiography), carotid intima-media thickness (IMT) (n = 804) (B-mode ultrasound), or aortic pulse wave velocity (PWV) (n = 1,217). RESULTS Independent of risk factors, relations between Pf and IMT were noted in those over 50 years (P < 0.02), whereas in those less than 50 years, MAP (P < 0.005) was independently associated with IMT. Pb failed to show independent relations with IMT at any age (P > 0.37) In contrast, independent relations between Pb and LVMI were noted in those less than (P < 0.0001), and greater than (P < 0.02) 50 years, whereas MAP was not independently associated with LVMI at any age (P > 0.07) and Pf tended to show significant relations only in the elderly (P = 0.05). Moreover, although MAP (P < 0.005) and Pb (P < 0.01) showed independent relations with PWV at any age, Pf failed to show independent relations (P > 0.10). CONCLUSION Independent of confounders, steady-state and aortic Pf and Pb show associations with end-organ measures that are organ specific and age dependent.
- Subjects :
- Adult
Male
medicine.medical_specialty
Mean arterial pressure
Pulsatile flow
Blood Pressure
Pulse Wave Analysis
030204 cardiovascular system & hematology
Carotid Intima-Media Thickness
03 medical and health sciences
0302 clinical medicine
Commentaries
Internal medicine
medicine.artery
Internal Medicine
medicine
Humans
030212 general & internal medicine
Pulse wave velocity
Aged
Aorta
business.industry
Confounding
Age Factors
Middle Aged
Pulse pressure
Cross-Sectional Studies
Blood pressure
Cardiology
Female
Hypertrophy, Left Ventricular
Aortic stiffness
business
Subjects
Details
- ISSN :
- 19417225 and 08957061
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- American Journal of Hypertension
- Accession number :
- edsair.doi.dedup.....179ff43970c61eea67bd20217dd10c3a