Artery Research

Volume 20, Issue C, December 2017, Pages 72 - 72

P63 CAN BRAQUIAL OSCILLOMETRY IDENTIFY PREHYPERTENSION AMONG NORMOTENSIVE SUBJECTS?

Authors
Enrique Rodilla1, Manuel Adell2, Vicente Giner3, Zeneida Perseguer4, Jose Maria Pascual1, Maria Teresa Climent5
1Hospital de Sagunto, Valencia, Spain
2Farmacia Manuel Adell, Vinaròs, Spain
3Hospital Verge del Lliris Alcoi, Alicante, Spain
4Farmacia Zeneida Perseguer, Petrer, Alicante, Spain
5Farmacia María Teresa Climent, L’Olleria, Valencia, Spain
Available Online 6 December 2017.
DOI
10.1016/j.artres.2017.10.085How to use a DOI?
Abstract

Background and objective: Arterial stiffness (AS) reflects vascular damage. Our objective was to determine 1) the frequency of AS in community pharmacies, 2) if subjects with AS identified by brachial oscillometry have more CV risk factors than normal subjects, and 3) if the prevalence of AS varies upon using either age-adjusted values or a fixed threshold.

Patients and method: Observational, cross-sectional study in 32 community pharmacies of the Valencia Community, between 11/2015 and 4/2016. AS was measured as pulse wave velocity (PWV) with a semi-automatic, validated device (MOBIL-O-GRAPH®, IEM), followed by a 10-item questionnaire.

Results: Mean age of the 1427 consecutive recruited subjects was 56.6 years. Overall prevalence of patients with AS was 17.4% with age-adjusted PWV (9.4% in normotensives, 28.3% in hypertensives). AS showed independent association in normotensives with male gender, obesity, higher pulse pressure and heart rate, in hypertensives, with higher pulse pressure and lower age in multivariate logistic regression. Defining stiffness by PWV > 10 m/s, AS was globally found in 20.5% of subjects, (6.2% in normotensives, 40.2% in hypertensives). It was associated with higher age and pulse pressure in both groups. Concordance in classifying stiffness was 74.6%.

Conclusions: Almost 10% of normotensives showed AS – measured by brachial oscillometry – when adjusting for age-groups. It was associated with male gender, pulse pressure, obesity and heart rate. In hypertensives, AS related to pulse pressure and inversely to age. Stiffness defined by 10 m/s is determined by higher pulse pressure and higher age. Both definitions of PWV are not interchangeable.

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Journal
Artery Research
Volume-Issue
20 - C
Pages
72 - 72
Publication Date
2017/12/06
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.1016/j.artres.2017.10.085How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Cite this article

TY  - JOUR
AU  - Enrique Rodilla
AU  - Manuel Adell
AU  - Vicente Giner
AU  - Zeneida Perseguer
AU  - Jose Maria Pascual
AU  - Maria Teresa Climent
PY  - 2017
DA  - 2017/12/06
TI  - P63 CAN BRAQUIAL OSCILLOMETRY IDENTIFY PREHYPERTENSION AMONG NORMOTENSIVE SUBJECTS?
JO  - Artery Research
SP  - 72
EP  - 72
VL  - 20
IS  - C
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2017.10.085
DO  - 10.1016/j.artres.2017.10.085
ID  - Rodilla2017
ER  -