Seven Day/24 h Ambulatory Blood Pressure Monitoring: Circadian Variability of Pulse Pressure

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SIEGELOVÁ Jarmila DUŠEK Jiří HAVELKOVÁ Alena POHANKA Michal DUNKLEROVÁ Leona DOBŠÁK Petr CORNELISSEN G.

Rok publikování 2016
Druh Článek ve sborníku
Konference Noninvasive methods in cardiology 2016
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
www https://is.muni.cz/do/med/noninvasive_methods_in_cardiology/noninvasive_methods_in_cardiology_2016.pdf
Popis Excessive pulse pressure is defined by a difference between systolic and diastolic blood pressure record more than 60 mmHg. Acceptable pulse pressure is below 60 mmHg. According vascular variability disorders excessive pulse pressure increase risk of increased cardiovascular morbidity and mortality (1-4). Excessive pulse pressure is evaluated from casual measurement of blood pressure. Casual blood pressure has great variability during 24-h and there are not enough information about the variability of the pulse pressure during seven day/ 24 hour blood pressure monitoring in man. From seven day /24 hour blood pressure monitoring it is possible by means of diagnosis of vascular variability disorders (VVD) evaluate also pulse pressure and other factors. Beside of increased mean 24-hours values of BP evaluated using Halberg cosinor analysis (we call it MESOR for rigorous mathematical approach and increased MESOR is an attribute of MESOR hypertension), there are excessive differences between day and night BP values (CHAT), the excessive pulse pressure and the decreased heart rate variability. Our results using the determination of pulse pressure by means of seven day/24h ambulatory BP monitoring showed increased variability of pulse pressure in every subject day by day and the seven day mean value of pulse pressure could show us the real risk of this parameter (5-16).

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