Izvorni znanstveni članak

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

Oscillometric Measurement of Pulse Wave Velocity in Hypertensive Crisis

Lucija Bilinovac orcid.org/0000-0002-0206-2884 ; Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska
Iva Kurjaković orcid.org/0000-0002-6988-7303 ; Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska
Jurica Vuković ; Klinička bolnica Merkur, Zagreb, Hrvatska
Juraj Jug orcid.org/0000-0002-3189-1518 ; Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska
Martina Lovrić Benčić orcid.org/0000-0001-8446-6120 ; Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska; Medicinski fakultet Sveučilišta u Zagrebu, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
Ingrid Prkačin orcid.org/0000-0002-5830-7131 ; Medicinski fakultet Sveučilišta u Zagrebu, Zagreb, Hrvatska; Klinička bolnica Merkur, Zagreb, Hrvatska

Sažetak

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.

Ključne riječi

pulse wave velocity; hypertensive crisis; hypertensive urgency.

Hrčak ID:

232213

URI

https://hrcak.srce.hr/232213

Datum izdavanja:

15.1.2020.

Podaci na drugim jezicima: hrvatski

Posjeta: 2.165 *