dostęp otwarty

Tom 20, Nr 1 (2016)
Artykuły poglądowe
Opublikowany online: 2016-03-31
Pobierz cytowanie

Visit-to-visit blood pressure variability and cardiovascular and kidney diseases

Jerzy Głuszek, Teresa Maria Kosicka
DOI: 10.5603/AH.2016.0006
·
Arterial Hypertension 2016;20(1):26-31.

dostęp otwarty

Tom 20, Nr 1 (2016)
Artykuły poglądowe
Opublikowany online: 2016-03-31

Streszczenie

In healthy people and patients with hypertension, blood pressure varies between clinic visits every several days, a week, or a month apart. Although long thought to be an artifact, recent data suggest that visit-to-visit variability of blood pressure is reproducible and has independent association with cardiovascular outcomes and mortality. There currently is no consensus on how to define blood pressure variability best. The most common metric used is standard deviation of mean blood pressure, variation independent of the mean and average real variability. Blood pressure variability is higher in female, older age and patients with hypertension, with cardiovascular diseases, with diabetes mellitus and chronic kidney disease. Therefore, we are not sure if higher blood pressure variability is the only marker of arterial stiffness and consequence of end organ damage or prognostic indicator of cardiovascular events. We also do not know whether reducing blood pressure variability would reduce the risk of cardiovascular outcomes. However, the number of studies on blood pressure variability is growing exponentially and perhaps in the near future, high blood pressure variability will also be the goal of hypertension therapy.

Streszczenie

In healthy people and patients with hypertension, blood pressure varies between clinic visits every several days, a week, or a month apart. Although long thought to be an artifact, recent data suggest that visit-to-visit variability of blood pressure is reproducible and has independent association with cardiovascular outcomes and mortality. There currently is no consensus on how to define blood pressure variability best. The most common metric used is standard deviation of mean blood pressure, variation independent of the mean and average real variability. Blood pressure variability is higher in female, older age and patients with hypertension, with cardiovascular diseases, with diabetes mellitus and chronic kidney disease. Therefore, we are not sure if higher blood pressure variability is the only marker of arterial stiffness and consequence of end organ damage or prognostic indicator of cardiovascular events. We also do not know whether reducing blood pressure variability would reduce the risk of cardiovascular outcomes. However, the number of studies on blood pressure variability is growing exponentially and perhaps in the near future, high blood pressure variability will also be the goal of hypertension therapy.

Pobierz cytowanie

Słowa kluczowe

blood pressure variability; cardiovascular diseases; kidney failure

Informacje o artykule
Tytuł

Visit-to-visit blood pressure variability and cardiovascular and kidney diseases

Czasopismo

Arterial Hypertension

Numer

Tom 20, Nr 1 (2016)

Strony

26-31

Data publikacji on-line

2016-03-31

DOI

10.5603/AH.2016.0006

Rekord bibliograficzny

Arterial Hypertension 2016;20(1):26-31.

Słowa kluczowe

blood pressure variability
cardiovascular diseases
kidney failure

Autorzy

Jerzy Głuszek
Teresa Maria Kosicka

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