Original scientific paper

https://doi.org/10.15836/ccar2020.22

Oscillometric Measurement of Pulse Wave Velocity in Hypertensive Crisis

Lucija Bilinovac orcid.org/0000-0002-0206-2884 ; University of Zagreb School of Medicine, Zagreb, Croatia
Iva Kurjaković orcid.org/0000-0002-6988-7303 ; University of Zagreb School of Medicine, Zagreb, Croatia
Jurica Vuković ; University Hospital “Merkur”, Zagreb, Croatia
Juraj Jug orcid.org/0000-0002-3189-1518 ; University of Zagreb School of Medicine, Zagreb, Croatia
Martina Lovrić Benčić orcid.org/0000-0001-8446-6120 ; University of Zagreb School of Medicine, Zagreb, Croatia; University of Zagreb School of Medicine, University Hospital Centre Zagreb, Zagreb, Croatia
Ingrid Prkačin orcid.org/0000-0002-5830-7131 ; University of Zagreb School of Medicine, Zagreb, Croatia; University Hospital “Merkur”, Zagreb, Croatia

Abstract

Hypertensive crisis is defined as systolic pressure higher than 180 mmHg or diastolic pressure
higher than 120 mmHg and can be the first manifestation of arterial hypertension. In a hypertensive
emergency there is evidence of organ damage in addition to severe blood pressure elevation, while
in hypertensive urgency there is no organ damage. Patients with hypertensive crisis require thorough
clinical assessment to exclude secondary causes of arterial hypertension. Pulse wave velocity is the
measure of arterial stiffness which is directly connected to cardiovascular risk and hypertensionmediated
organ damage. The aim of this study was to show the measurement of arterial stiffness in
an emergency room setting as a noninvasive method of assessing cardiovascular risk in patients with
hypertensive urgency. Arterial stiffness was measured for all patients with a noninvasive method
using the Agedio B900 device operating on the principle of oscillometry. This study showed that the
patients presenting to the Emergency Room with hypertensive urgency had higher pulse wave velocity
values when compared with the reference range and to patients with resistant hypertension. Noninvasive
measurement of arterial stiffness is a novel method in the diagnostic algorithm for patients
with hypertensive crisis.

Keywords

pulse wave velocity; hypertensive crisis; hypertensive urgency.

Hrčak ID:

232213

URI

https://hrcak.srce.hr/232213

Publication date:

15.1.2020.

Article data in other languages: croatian

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