High arterial rigidity is a significant but not obligatory factor of arterial hypertension in persons over 60 years of age
- Authors: Boytsov S.A.1, Rogoza A.N.1, Kanishcheva E.M.1, Luk'yanov M.M.1, Boitsov SA2, Rogoza AN2, Kanischeva EM2, Lukianov MM2
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Affiliations:
- ФГУ Российский кардиологический научно-производственный комплекс Минздравсоцразвития России
- Russian Cardiological Research Center, Moscow
- Issue: Vol 83, No 9 (2011)
- Pages: 5-9
- Section: Editorial
- URL: https://journals.rcsi.science/0040-3660/article/view/30883
- ID: 30883
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Abstract
Material and methods. Volume sphygmography (VS) was made in 153 patients aged 60-86 years: 96 patients with untreated AH of degree 1-3 (40 males aged 71.0±7.6 years) and 57 normotensive subjects without cardiovascular symptoms (31 males aged 66.6±6.2 years). VS measured ankle-shoulder velocity of the pulse wave (PWVas) and cardiac-ankle vascular index (CAVI). PWVas > M+STD and CAVI > M+2STD (STD is deviation from mean value) were considered above normal for the age.
Results. Hypertensive patients had significantly higher arterial rigidity than normotensives (PWVas 17.8±3.0 and 15.6 ± 2.3 m/s, respectively, p = 0.00001); CAVI - 9.7±2.1 and 8.6±1.1, respectively, p = 0.0003). Arterial rigidity in hypertensive patients occurred significantly more frequently than in normotensive subjects: by PWVas in 46 and 25% cases (p = 0.01), by CAVI - in 41 and 5% cases (p < 0.0001), respectively. It is essential that arterial rigidity was not increased in 54% hypertensive patients by PWVas and in 75% by CAVI.
Conclusion. PWVas and CAVI were higher in elderly hypertensives than in elderly normotensives but elevated arterial rigidity was not obligatory in hypertensives while 25% elderly normotensives had it. Thus, elevated arterial rigidity is an essential but not obligatory mechanism of AH development in the elderly.
About the authors
Sergey Anatol'evich Boytsov
ФГУ Российский кардиологический научно-производственный комплекс Минздравсоцразвития России
Email: prof-boytsov@mail.ru
д-р мед. наук, проф., дир. ГНИЦ профилактической медицины, тел.: 9-495-623-86-36; ФГУ Российский кардиологический научно-производственный комплекс Минздравсоцразвития России
Anatoliy Nikolaevich Rogoza
ФГУ Российский кардиологический научно-производственный комплекс Минздравсоцразвития Россиид-р мед. наук, рук. отд. новых методов исследования и диагностики Института клинической кардиологии им. А. Л. Мясникова, тел.: 8-495-414-63-58; ФГУ Российский кардиологический научно-производственный комплекс Минздравсоцразвития России
Elena Mikhaylovna Kanishcheva
ФГУ Российский кардиологический научно-производственный комплекс Минздравсоцразвития России
Email: louri@mail.ru
врач-терапевт по оказанию экстренной медицинской помощи 2-го терапевтического отд-ния ГКБ № 36; ФГУ Российский кардиологический научно-производственный комплекс Минздравсоцразвития России
Mikhail Mikhaylovich Luk'yanov
ФГУ Российский кардиологический научно-производственный комплекс Минздравсоцразвития Россииканд. мед. наук, ст. науч. сотр. отд. возрастных проблем сердечно-сосудистой патологии Института клинической кардиологии им. А. Л. Мясникова, тел.: 8-495-414-64-79; ФГУ Российский кардиологический научно-производственный комплекс Минздравсоцразвития России
S A Boitsov
Russian Cardiological Research Center, MoscowRussian Cardiological Research Center, Moscow
A N Rogoza
Russian Cardiological Research Center, MoscowRussian Cardiological Research Center, Moscow
E M Kanischeva
Russian Cardiological Research Center, MoscowRussian Cardiological Research Center, Moscow
M M Lukianov
Russian Cardiological Research Center, MoscowRussian Cardiological Research Center, Moscow
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