DOI: https://doi.org/10.26641/2307-0404.2017.3.111915

Features of interrelation of the structural state of brachiocephalic arteries in middle-aged and elderly patients with characteristics of the daily profile of blood pressure in patients with essential arterial hypertension stage II.

T. V. Kolesnyk, H. A. Kosova

Abstract


The aim of our study was to evaluate the interrelation of the structural state of brachiocephalic arteries with the characteristics of the daily profile of blood pressure (BP) in middle-aged and elderly patients with essential arterial hypertension stage II. The study included 74 untreated middle-aged (n=46) and elderly (n=28) patients with essential uncomplicated hypertension, which were divided into two groups depending on age. By risk factors, degree of arterial hypertension patients did not differ significantly. In group I, a significantly higher prevalence of stenotic atherosclerosis of the carotid arteries was found in comparison with the patients of group II. In elderly patients with stenotic carotid artery atherosclerosis, a significantly higher level of systolic blood pressure (BP) was established at night time. The increase of carotid intima media thickness in patients with impaired circadian BP rhythm was associated with the insufficient degree of nocturnal decrease in systolic BP. The degree of carotid arteries stenosis in patients with preserved daily BP rhythm was associated with the increasing of systolic BP level at night time, of pulse BP level within 24 hours, and an insufficient decrease in diastolic BP at night time.


Keywords


carotid intima media thickness; atherosclerosis; arterial hypertension; circadian rhythm of blood pressure; elderly age

Full Text:

PDF

References


1. Rebrova OYu. [Statistical analysis of medical data. Application of the STATISTICA software package OYu. Rebrova]. Moskva, MediaSfera. 2002;312. Russian.

2. Goff DC, Lloyd-Jones DM, Bennett G, et al. 2013 ACC/AHA Guideline on the Assessment of Cardio­vascular Risk. J. Am. Coll. Cardiol. 2014;63:2935-59.

3. Hermida RC, Smolensky MH, Ayala DE, et al. 2013 Ambulatory Blood Pressure Monitoring Recom­mendations for the Diagnosis of Adult Hypertension, Assessment of Cardiovascular and other Hypertension-associated Risk, and Attainment of Therapeutic Goals. Chronobiol. Int. 2013;30:355-410.

4. Jarauta E, Mateo-Gallego R, Bea A, et al. Ca­ro­tid Intima-Media Thickness in Subjects With no Car­dio­vascular Risk Factors. Rev. Esp. Cardiol. 2010;63:97-102.

5. Kasliwal RR, Kaushik M, Grewal HK, et al. Carotid ultrasound for cardiovascular risk prediction: From intima-media thickness to carotid plaques. J. Indian Acad. Echocardiogr. Cardio Vasc. Imaging. 2017;1:39-46.

6. Ruijter HMD, Peters SAE, Anderson TJ, et al. Common Carotid Intima-Media Thickness Measurements in Cardiovascular Risk Prediction: A Meta-analysis. JAMA. 2012;308:796-803.

7. Bots ML, Groenewegen KA, Anderson TJ, et al. Common Carotid Intima-Media Thickness Measurements Do Not Improve Cardiovascular Risk Prediction in In­dividuals With Elevated Blood Pressure. Hypertension. 2014;63:1173-81.

8. Eikendal ALM, Groenewegen KA, Anderson TJ, et al. Common Carotid Intima-Media Thickness Relates to Cardiovascular Events in Adults Aged <45 Years. Hypertension. 2015;65:707-13.

9. ESH/ESC Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Eur. Heart J. 2013;34:2159-219.

10. Perk J, De Backer G, Gohlke H, Graham I, Reiner Z, et al. European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). Eur Heart J. 2012;33:1635-701.

11. Piepoli MF, Hoes AW, Agewall S, et al. 2016 European Guidelines on cardiovascular disease pre­ven­tion in clinical. Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur. Heart J. 2016;37:2315-81.

12. Lorenz MW, Schaefer C, Steinmetz H, et al. Is carotid intima media thickness useful for individual prediction of cardiovascular risk? Ten-year results from the Carotid Atherosclerosis Progression Study (CAPS). Eur. Heart J. 2010;31:2041-48.

13. Magnussen CG. Carotid artery intima-media thick­ness and hypertensive heart disease: a short review. Clin. Hypertens. 2017;23:7.

14. Cuspidi C, Sala C, Tadic M, et al. Nondipping pattern and carotid atherosclerosis: a systematic review and meta-analysis. J. Hypertens. 2016;34:385-91; dis­cussion 391-392.

15. Stamatelopoulos KS, Manios E, Barlas G, et al. Time rate of blood pressure variation is superior to central hemodynamics as an associate of carotid intima-media thickness. J. Hypertens. 2010;28:51-58.


GOST Style Citations


1.       Реброва О.Ю. Статистический анализ меди­цинских данных. Применение пакета прикладных программ STATISTICA / О. Ю. Реброва. – Москва: МедиаСфера, 2002. – 312 с.

2.       ACC/AHA guideline on the assessment of cardio­vascular risk / D. C. Goff, D. M. Lloyd-Jones, G. Ben­nett[et al.] // J. Am. College Cardiology. – 2014. – Vol. 63, N 25. – P. 2935-2959.

3.       Ambulatory blood pressure monitoring recom­mendations for the diagnosis of adult hypertension, as­sessment of cardiovascular and other hypertension-associated risk, and attainment of therapeutic goals / R.C. Hermida, M. H. Smolensky, D. E. Ayala[et al.] // Chronobiol. Inter. – 2013. – Vol. 30, N 3. – P. 355-410.

4.       Carotid intima-media thickness in subjects with no cardiovascular risk factors / E. Jarauta, R. Mateo-Gal­lego, A. Bea[et al.] // Revista Española de Cardiología. — 2010. — Vol. 63, N 1. — P. 97–102.

5.       Carotid ultrasound for cardiovascular risk pre­diction: from intima-media thickness to carotid plaques / R. R. Kasliwal, M. Kaushik, H. K. Grewal, M. Bansal // J. Indian Acad. Echocardiography & Cardio Vascular Ima­ging. — 2017. — N 1. — P. 39-46.

6.       Common carotid intima-media thickness measu­rements in cardiovascular risk prediction: a meta-analysis / H. M. D. Ruijter, S. A. E. Peters, T. J. Anderson[et al.] // JAMA. — 2012. — Vol. 308, N 8. — P. 796–803.

7.       Common carotid intima-media thickness measu­rements do not improve cardiovascular risk prediction in individuals with elevated blood pressure / M. L. Bots, K. A. Groenewegen, T. J. Anderson[et al.] // Hypert­ension. — 2014. — Vol. 63, N 6. — P. 1173–1181.

8.       Common carotid intima-media thickness relates to cardiovascular events in adults aged <45 years / A.L.M. Eikendal, K.A. Groenewegen, T.J. Anderson [et al.] // Hypertension. – 2015. – Vol. 65, N 4. – P. 707-713.

9.       ESH/ESC guidelines for the management of arterial hypertension: the task force for the management of arterial hypertension of the european society of hypertension (esh) and of the european society of cardiology (esc) 2013 / Eur. Heart J. – 2013. – Vol. 34, N 28. – P. 2159-2219.

10.    European guidelines on cardiovascular disease prevention in clinical practice (version 2012): J. Perk, G. De Backer[et al.] // Eur. Heart J. – 2012. – Vol. 33, N 13. – P. 1635-1701.

11.    European guidelines on cardiovascular disease prevention in clinical practice / M.F. Piepoli, A.W. Hoes, S. Agewall[et al.] // Eur. Heart J. – 2016. – Vol. 37, N 29. – P. 2315-2381.

12.    Is carotid intima media thickness useful for in­dividual prediction of cardiovascular risk? ten-year results from the carotid atherosclerosis progression study (CAPS) / M.W. Lorenz, C. Schaefer, H. Steinmetz, M. Sit­zer // Eur. Heart J. – 2010. – Vol. 31, N 16. — P. 2041–2048.

13.    Magnussen C.G. Carotid artery intima-media thickness and hypertensive heart disease: a short review / C. G. Magnussen // Clin. Hypertension. – 2017. – Vol. 23. – P. 7.

14.    Nondipping pattern and carotid atherosclerosis: a systematic review and meta-analysis / C. Cuspidi, C. Sala, M. Tadic[et al.] // J. Hypertension. — 2016. — Vol. 34, N 3. — P. 385-391; discussion 391-392.

15.    Time rate of blood pressure variation is superior to central hemodynamics as an associate of carotid intima-media thickness / K. S. Stamatelopoulos, E. Ma­nios, G. Barlas[et al.] // J. Hypertension. – 2010. – Vol. 28, N 1. – P. 51–58.