Noninvasive Methods in Cardiology 2025

Kapitola

Abstrakt

In our earlier studies we have described from seven day/24 h ambulatory blood pressure monitoring (AMBP) lage variability of circadian blood pressure profile in every subject and also large variability in night-to-day ratio. The aim of the present study was to examine cardiovascular risk of ambulatory arterial stiffness index (AASI) from seven day/24h AMBP in healthy subjects and in patients with coronary heart disease (CHD).
Our results show the everyday variability in AMBP in SBP and DBP during the day time and night in the group of healthy subjects and also in the group of patients with CHD. The seven day/24 h mean value of AASI in the group healthy subjects was 0.37±0.15, correlation coefficient was 0.84± 0.12, in the group of 50 patients with CHD the seven day/24h mean of AASI was 0.39±0.20, correlation coefficient 0.77±0.20.
In summary, our results of AASI in healthy subjects and in patients with CHD showed the same values of AAS in the evaluation from seven days/24-h AMBP. The fact that we have not found any difference in AASI in healthy subjects the patients with CHD, even if we evaluated it from seven day/24 h AMBP decreases the usefulness of this marker as aa guide for management of individual patients.

Klíčová slova

Ambulatory arterial stiffness index (AASI), ambulatory blood pressure monitoring (ABPM), arterial stiffness, circadian variability, systolic and diastolic blood pressure, cardiovascular risk, coronary heart disease (CHD), seven‑day monitoring, blood press


Reference

  1. Siegelova J., Fiser B., Penaz J.: Frekvenční spektrum spontánních vln krevního tlaku u nenarkotizovaných králíků. Čs Fysiol 16, 1967?, p. 430.
  2. Siegelová J., Rieckert H.: Comparative segment plethysmographic studies with and without diastolic occlusion. Zeitschrift fuer Kreislaufforschung 1967, 56, 22, pp. 1115-1120.
  3. O´Brien E., Sheridan J., O´Malley K. Dippers and non-dippers, Lancet 1988, Vol. 332, p. 397. https://doi.org/10.1016/S0140-6736(88)92867-X
  4. Halberg F, Cornélissen G, Halberg E, Halberg J, Delmore P, Shinoda M, Bakken E. Chronobiology of human blood pressure. Medtronic Continuing Medical Education Seminars, 4th ed. Minneapolis: Medtronic Inc.; 1988. 242 pp.
  5. Halberg F, Cornelissen G, Otsuka K, Siegelova J, Fiser B, Dusek J, Homolka P, Sanchez de la Pena S, Singh RB, BIOCOS project. Extended consensus on need and means to detect vascular variability disorders (VVDs) and vascular variability syndromes (VVSs). Int. J. of Geronto-Geriatrics 11 (14) 119-146, 2008.
  6. Halberg F, Cornelissen G, Wall D, Otsuka K, Halberg J, Katinas G, Watanabe Y, Halhuber M, Müller-Bohn T, Delmore P, Siegelova J, Homolka P, Fiser B, Dusek J, Sanchez de laPena S, Maggioni C, Delyukov A, Gorgo Y, Gubin D, Caradente F, Schaffer E, Rhodus N, Borer K, Sonkowsky RP, Schwartzkopff O. Engineering and gowernmental challenge: 7-day/24-hour chronobiologic blood pressure and heart rate screening: Part II. Biomedical Instrumentation Technology 2002; 36:183-197.
  7. Siegelová J., Dusek J., Fiser B., Homolka P., Vank P., Kohzuki M., Cornellisen G., Halberg F. Relationship between circadian blood pressure variation and age analyzed from 7-day ambulatory monitoring. J Hypertension, 2006, vol. 24, Suppl. 6, p. 122.
  8. Siegelova J., Fiser B. Variability of ambulatory arterial stiffness and the 24-h blood pressure values in patients monitored for 6 consecutive days. J Hypertension 2008, 26:1501-1502. https://doi.org/10.1097/HJH.0b013e328301c439
  9. Schillaci G., Parati G. Variability of ambulatory arterial stiffness index and of 24-h blood pressure values in patients monitored for 6 constituted days. J Hypertension 2008, 26:1502-1503. https://doi.org/10.1097/HJH.0b013e328304383b
  10. Schillaci G., Parati G., Pirro M. et al. Ambulatory arterial stiffness index is not a specific marker of reduced arterial compliance. Hypertension 2007, 49:986-991. https://doi.org/10.1161/HYPERTENSIONAHA.106.082248
  11. Siegelová J., Fišer B., Havelková A., Dobsak P., Dušek J,, Pohanka M., Halberg., Cornelissen G. Abulatory arterial stiffness index in patients monitored for 6 consecutive days. In Halberg F., Kenner T., Fiser B., Siegelova J. Noninvasive Methods in Cardiology 2008, p. 233-237.
  12. Halberg F., Cornelissen G., Otsuka K., Siegelova J., Fiser B., Dusek J., Homolka P., Sanches de la Pena S., Sing R.B. and The BIOCOS project. Extended consensus on means and need to detect vascular variability disorders and vascular variability syndrome. World Heart J 2010; 2,4:279-305.
  13. Halberg F., Cornelissen G., Dusek J., Kenner B., Kenner T., Schwarzkoppf O., Siegelova J. Bohumil Fiser (22.10.1943 – 21.3.2011): Chronobiologist, Emeritus Head of Physiology Department at Masaryk University (Brno, Czech Republic), Czech Minister of Health, and Executive Board Member of World Health Organization: His Legacies for Public and Personal Health Care. World Heart J 2011; 3,1:63-77.
  14. Otsuka K., Cornelissen G., Halberg F. Chronomics and continuous ambulatory blood pressure monitoring. Springer Japan, 2016, 870 p. ISBN 978-4-43154630-6. https://doi.org/10.1007/978-4-431-54631-3
  15. Siegelova J., Havelkova A., Dobsak P. Seven-day/24-h ambulatory blood pressure monitoring: night-time blood pressure and dipping status. J Hypertension 2016, vol 34, Suppl. 4, p. 807. https://doi.org/10.1097/HJH.0000000000000863
  16. Havelkova A., Dvorak P., Siegelova J., Dobsak, P., Filipensky P., Cornelissen G. Possibilities of interpreting the night-to-day ratio specified by 24-hour blood pressure monitoring. International journal of Clinical practice, 2023, p. 1-11. https://doi.org/10.1155/2023/6530295
  17. Havelková A., Dvorak P., Pohanka M., Dobsak P., Siegelová J., Cornelissen G. Nigh-to-day ratio specified by 24-hour blood pressure monitoring, arterial stiffness and cardio-ankle vascular index as a predictive factor of cardiovascular risk. Physiol. Research 2025, 74, p. 755-765. https://doi.org/10.33549/physiolres.935593
  18. Cornelissen G., Siegelova J., Havelková A., Beaty Larry A., Otsuka K. Determinants and reliability of the ambulatory arterial stiffness index, AASI. In Cornelissen G., Pohanka M., Siegelova J., Dobsak P. Noninvasive Methods in Cardiology 2024, p. 19-31. https://doi.org/10.5817/CZ.MUNI.M280-0669-2024-2
  19. Ohkubo T, Hozawa A. and Yamaguchi J. et al., Prognostic significance of the nocturnal decline in blood pressure in individuals with and without high 24-h blood pressure: the Ohasama study, J Hypertens 20 (2002), pp. 2183-2189. https://doi.org/10.1097/00004872-200211000-00017
  20. Hansen T.W., Jeppesen J, Rasmussen S, Ibsen H. and Torp-Pedersen C., Ambulatory blood pressure and mortality: a population-based study, Hypertension 45 (2005), pp. 499-504. https://doi.org/10.1161/01.HYP.0000160402.39597.3b
  21. Ingelsson E., Björklund K., Lind L., Ärnlöv J. and Sundström J., Diurnal blood pressure pattern and risk of congestive heart failure, JAMA 295 (2006), pp. 2859-2866. https://doi.org/10.1001/jama.295.24.2859
  22. Mancia G., Facchetti R., Bombelli M., Grassi G. and Sega R., Long-term risk of mortality associated with selective and combined elevation in office, home, and ambulatory blood pressure, Hypertension 47 (2006), pp. 846-853. https://doi.org/10.1161/01.HYP.0000215363.69793.bb
  23. Verdecchia P., Porcellati C. and Schillaci G. et al., Ambulatory blood pressure. An independent predictor of prognosis in essential hypertension, Hypertension 24 (1994), pp. 793-801. https://doi.org/10.1161/01.HYP.24.6.793
  24. Staessen J.A, Thijs L. and Fagard R. et al., Predicting cardiovascular risk using conventional vs ambulatory blood pressure in older patients with systolic hypertension, JAMA 282 (1999), pp. 539-546. https://doi.org/10.1001/jama.282.6.539
  25. Kario K., Pickering T.G., Matsuo T., Hoshide S., Schwartz J.E. and Shimada K., Stroke prognosis and abnormal nocturnal blood pressure falls in older hypertensives, Hypertension 38 (2001), pp. 852-857. https://doi.org/10.1161/hy1001.092640
  26. José Boggia, Yan Li, Lutgarde Thijs et al. Prognostic accuracy of day versus night ambulatory blood pressure: a cohort study. Lancet 370 (2007), p. 1219-1229. https://doi.org/10.1016/S0140-6736(07)61538-4
  27. Fišer B., Havelková A., Siegelová J., Dušek J., Pohanka M., Cornelissen G., Halberg F. Night-today blood pressure ratio during seven-day ambulatory blood pressure monitoring. In: Halberg F, Kenner T, Fišer B, Siegelová J eds: Noninvasive methods in cardiology 2010, Brno, Masaryk University, p. 128-132. http://www.med.muni.cz/index.php?id=1376
  28. Siegelová J., Dusek J., Fiser B., Homolka P., Vank P., Kohzuki M., Cornellisen G., Halberg F. Relationship between circadian blood pressure variation and age analyzed from 7-day ambulatory monitoring. J Hypertension, 2006, vol. 24, Suppl. 6, p. 122.
  29. Redón J, Vicente A, Alvarez V et al. Circadian rhythm variability of arterial pressure: methodological aspects for the measurement. Med Clin, 1999 112:258-289.
  30. Jerrard-Dunne P, Mahmud A, Feely J. Circadian blood pressure variation: relationship between dipper status and measures of arterial stiffness. J Hypertension 2007, 25:1233-1239. https://doi.org/10.1097/HJH.0b013e3280eec79f
  31. Staessen J., Bulpitt C.J. and O‘Brien E. et al., The diurnal blood pressure profile: A population study, Am J Hypertens 5 (1992), pp. 386-392. https://doi.org/10.1093/ajh/5.6.386
  32. Omboni S., Parati G. and Palatini P. et al., Reproducibility and clinical value of nocturnal hypotension: prospective evidence from the SAMPLE study, J Hypertens 16 (1998), pp. 733-738. https://doi.org/10.1097/00004872-199816060-00003
  33. Mochizuki Y., Okutani M. and Donfeng Y. et al., Limited reproducibility of circadian variation in blood pressure dippers and nondippers, Am J Hypertens 11 (1998), pp. 403-409. https://doi.org/10.1016/S0895-7061(97)00497-4
  34. Cornélissen G, Delcourt A, Toussaint G et al. Opportunity of detecting pre-hypertension: worldwide data on blood pressure overswinging. Biomedicine and Pharmacotherapy 59 (2005) S152-S157. https://doi.org/10.1016/S0753-3322(05)80023-X
  35. Cornelissen G, Siegelova J, Watanabe Y, Otsuka K, Halberg F. Chronobiologically-interpreted ABPM reveals another vascular variability anomaly: Excessive pulse pressure product. World Heart J 2013;4,4:1556-4002.
  36. Omboni S., Anstizabal D., De la Siera A., Dolan E., Head G., Kahan T., Kantola I., Kario K., Kawecka-Jaszcz K., Malan L., Narkiewicz K., Octavio J., Ohkubo T., Palatini P., Siegelova J., Silva E., Stergiou G., Zhang Y., Mancia G., Parati G. on behave of ARTEMIS (International Ambulatory blood pressure Registry: TEleMonitoring of hypertension and cardiovascular riSk project) Investigators: Hypertension types defined by clinic and ambulatory blood pressure ln 14 143 patients referred to hypertension clinics wordwide. Data from the ARTEMIS study. J Hypertension 34(11); p. 2187-2198, 2016. https://doi.org/10.1097/HJH.0000000000001074
  37. Noninvasive Methods in Cardiology in https://www.med.muni.cz/noninvasive-methods-incardiology