December 1, 1997Journal of Hypertension
Arterial mechanics predict cardiovascular risk in hypertension
Why the study?
Does the assessment of additional hemodynamic indexes (brachial pulse pressure, pulse pressure amplification, early wave reflections, and pulse wave velocity) improve the prediction of cardiovascular risk in normotensive and hypertensive subjects compared to systolic and diastolic blood pressure alone?
Population
Populations of normotensive and hypertensive subjects
Comparison
Assessment of additional hemodynamic indexes… vs Assessment of systolic and diastolic blood…
Design
Review
Authors
Discussion
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Member takes
Implication
Supports incorporating pulsatile hemodynamics into CV risk models; leaves open whether routine assessment improves outcomes beyond standard BP.
Structured PICO
Does the assessment of additional hemodynamic indexes (brachial pulse pressure, pulse pressure amplification, early wave reflections, and pulse wave velocity) improve the prediction of cardiovascular risk in normotensive and hypertensive subjects compared to systolic and diastolic blood pressure alone?
P
Population
Populations of normotensive and hypertensive subjects
I
Intervention
Assessment of additional hemodynamic indexes originating from pulsatile pressure (brachial pulse pressure, pulse pressure amplification, early wave reflections, and pulse wave velocity)
C
Comparator
Assessment of systolic and diastolic blood pressures alone
O
Outcome
Prediction of cardiovascular risk and cardiac complications
Additional hemodynamic indexes originating from pulsatile pressure should be considered alongside systolic and diastolic blood pressure to better predict cardiovascular risk.
Cite This Study
Safar et al. (1997) studied this question.