Arterial stiffness assessed by photoplethysmography and cardiovascular risk in prehypertensive patients
Abstract
Introduction: Prehypertension in the population increases the risk of developing hypertension. Hence, a timely identification allows for preventive actions to be taken.
Objective: To identify arterial stiffness disorders and cardiovascular risk in prehypertensive patients.
Method: A descriptive cross-sectional study was conducted in a population consisting of 48 patients over 18 years of age with presumptive diagnosis of prehypertension belonging to the Family Doctor's Office 2 of Policlínico Universitario Josué País García, Santiago de Cuba Municipality, from November 2016 to March 2017. We were able to determine the arterial stiffness index through pulse wave velocity by means of photoplethysmography with an ANGIODIN® PD 3000 device.
Results: Patients between 18 and 34 years of age (50%) and women (62.50%) predominated. Some 52.08% of prehypertensive patients showed moderate or severe arterial stiffness indices; 6.67% of women presented severe arterial stiffness indices, while 55.56% of men had moderate arterial stiffness indices. Fifty percent of patients had moderate cardiovascular risk. In a 50% of women the risk was low, and in 55.55% of men was moderate.
Conclusions: We found arterial stiffness disorders in prehypertensive subjects evidenced by predominance of moderate and severe arterial stiffness index. We also identified prevalence of moderate cardiovascular risk in most individuals.
Downloads
References
1. Ministerio de Salud Pública. Anuario Estadístico de Salud 2019. La Habana: Dirección de Registros Médicos y Estadísticas de Salud; 2020.
2. Díaz Martínez JC, Duque Ramírez M, Marín Velásquez JE, Aristizábal Aristizábal JM, Velázquez Vélez JE, Uribe Arango W. Costos asociados a la fibrilación auricular. Rev Colomb Cardiol. 2016;23(Supp 5):192-7. DOI: https://doi.org/10.1016/j.rccar.2016.10.029
3. Becerra-Luna B, Martínez-Memije R, Cartas-Rosado R, Infante-Vázquez O. Aumento en la efectividad de la identificación de cimas y pies en el pulso fotopletismográfico al reconstruirlo mediante filtrado adaptativo. Arch Card Mex. 2017;87(1):61-71. DOI: https://doi.org/10.1016/j.acmx.2016.10.005
4. Guerrero-García C, Rubio-Guerra AF, Arana-Pazos KC, Maceda-Serrano A, Narváez-Rivera JL, Meneses-Acero I, et al. Correlación entre el grosor intima media con la velocidad de la onda del pulso, y el índice brazo tobillo en sujetos con síndrome metabólico. Arch Med Fam. 2019;21(2):45-9.
5. Lu YC, Lyu P, Zhu HY, Xu DX, Tahir S, Zhang HF, et al. Brachial-ankle pulse wave velocity compared with mean arterial pressure and pulse pressure in risk stratification in a Chinese population. J Hypertens. 2018;36(3):528-36. DOI: https://doi.org/10.1097/hjh.0000000000001591
6. Gómez-Sanchez M, Patino-Alonso MC, Gómez-Sánchez L, Recio-Rodríguez JI, Rodríguez-Sánchez E, Maderuelo-Fernández JA, et al. Valores de referencia de parámetros de rigidez arterial y su relación con los factores de riesgo cardiovascular en población española. Estudio EVA. Rev Esp Cardiol. 2020;73(1):43-52. DOI: https://doi.org/10.1016/j.recesp.2019.04.006
7. Ohkuma T, Ninomiya T, Tomiyama H, Kario K, Hoshide S, Kita Y, et al. Brachial-Ankle Pulse Wave Velocity and the Risk Prediction of Cardiovascular Disease: An Individual Participant Data Meta-Analysis. Hypertension. 2017;69(6):1045-52. DOI: https://doi.org/10.1161/hypertensionaha.117.09097
8. Mendoza-Vázquez G, Espinoza Gómez F, Guzmán-Silahua S, Nava-Zavala AH. Prehipertensión arterial y su relación con factores de riesgo cardiovascular. El Residente. 2017;12(2):48-57.
9. Hwang YC, Fujimoto WY, Kahn SE, Leonetti DL, Boyko EJ. Greater visceral abdominal fat is associated with a lower probability of conversion of prehypertension to normotension. J Hypertens. 2017;35(6):1213-8. DOI: https://doi.org/10.1097/hjh.0000000000001296
10. García Céspedes ME, Copello Sánchez M, Pascau Simón A, Bell Castillo J, Romero García LI, Perera Santana FE. Rigidez arterial como marcador de daño vascular en pacientes con hipertensión arterial controlada. MEDISAN [Internet]. 2018 [citado 10 Dic 2020];22(9):1182-97. Disponible en: http://www.medisan.sld.cu/index.php/san/article/view/2382/pdf
11. Pascau Simón A, Fernández-Brito Rodríguez J, Allen J. Nuevos modelos conceptual y matemático para el contorno de la onda de volumen del pulso arterial. Rev Cub Invest Bioméd [Internet]. 2011 [citado 11 Dic 2020];30(4):487-500. Disponible en: http://scielo.sld.cu/pdf/ibi/v30n4/ibi07411.pdf
12. Sánchez-Hechavarría ME, Carrazana-Escalona R, Planas-Rodríguez M, Cala-Calviño L, Barrios-Deler R, Núñez-Bouron AI, et al. Evaluación del estado nutricional y vascular en estudiantes y atletas de beisbol de alto rendimiento. CorSalud [Internet]. 2017 [citado 13 Dic 2020];9(2):88-94. Disponible en: http://www.revcorsalud.sld.cu/index.php/cors/article/view/205/490
13. Palma JL. Métodos no invasivos para la evaluación de las propiedades físicas de las grandes arterias en la hipertensión arterial. Nefrología. 2002;22(Supp 3):16-20.
14. Ma M, Tan X, Zhu S. Prehypertension and its optimal indicator among adults in Hubei Province, Central China, 2013-2015. Clin Exp Hypertens. 2017;39(6):532-8. DOI: https://doi.org/10.1080/10641963.2017.1281948
15. Booth JN 3rd, Li J, Zhang L, Chen L, Muntner P, Egan B. Trends in Prehypertension and Hypertension Risk Factors in US Adults: 1999-2012. Hypertension. 2017;70(2):275-84. DOI: https://doi.org/10.1161/hypertensionaha.116.09004
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.