Effect of different classes of antihypertensive drugs on central and peripheral pressure in a young patient with hypertension — clinical case

Abstract

In recent years, it has been shown that the central pressure correlated with cardiovascular risk and, better than peripheral pressure, provides the risk of serious cardiovascular events. It is known that blood pressure and pulse wave shape are different in different sections of the arterial tree. This difference is related to the age sex, incidence of heart disease, concomitant cardiovascular disease, diabetes, renal failure, used drugs. In young people, with flexible walls of the vessels, the difference between the circumferential pressure, measured at the upper limb and the central pressure can range from a few to over twenty mmHg. In this context, we present a case of a young patient with hypertension treated with antihypertensive fixed dose combination drug.