Time rate of blood pressure variation

A new factor associated with coronary atherosclerosis

Efstathios Manios, Kimon Stamatelopoulos, Georgios Tsivgoulis, Gerasimos Barlas, Eleni Koroboki, Georgios Tsagalis, Fotios Michas, Konstantinos Vemmos, Nikolaos Zakopoulos

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Objectives: Previous studies have demonstrated that the time rate of blood pressure (BP) variation was associated with early carotid atherosclerosis, independent of peripheral and central BP levels. We evaluated the association between the rate of BP variation, derived from ambulatory BP monitoring (ABPM) data analysis, and the severity and topography of coronary artery lesion in a cohort of normotensive patients with suspected coronary artery disease. Methods: ABPM and coronary angiography were performed in 162 normotensive patients with suspected coronary artery disease. The topography and severity of coronary artery lesions were assessed by Gensini score. The time rate of BP variation was defined as the first derivative of the BP values against time. Results: Patients with coronary artery disease (n = 123) presented significantly (P = 0.005) higher daytime rate of systolic BP variation than control patients (n = 39). Multiple linear regression models revealed independent determinants of Gensini score in the following rank order: diabetes mellitus (β: +0.286, P < 0.001), daytime rate of systolic BP variation (β: +0.277, P < 0.001), daytime systolic BP (β: +0.216, P = 0.002), smoking (β: +0.178, P = 0.008) and hypercholesterolemia (β: +0.158, P = 0.020). A 0.1 mmHg/min increase in the daytime rate of systolic BP variation correlated with an increment of 4.935 in the Gensini score (95% CI 2.432-7.438). Conclusion: Steeper BP variations may produce a greater stress on the arterial wall and may have an additive role to vascular risk factors and BP parameters in the detection of the severity of coronary artery lesions in normotensive individuals with suspected coronary artery disease.

Original languageEnglish (US)
Pages (from-to)1109-1114
Number of pages6
JournalJournal of Hypertension
Volume29
Issue number6
DOIs
StatePublished - Jun 1 2011
Externally publishedYes

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Coronary Artery Disease
Blood Pressure
Coronary Vessels
Linear Models
Ambulatory Monitoring
Ambulatory Blood Pressure Monitoring
Carotid Artery Diseases
Hypercholesterolemia
Coronary Angiography
Diabetes Mellitus
Smoking

All Science Journal Classification (ASJC) codes

  • Internal Medicine
  • Physiology
  • Cardiology and Cardiovascular Medicine

Cite this

Manios, E., Stamatelopoulos, K., Tsivgoulis, G., Barlas, G., Koroboki, E., Tsagalis, G., ... Zakopoulos, N. (2011). Time rate of blood pressure variation: A new factor associated with coronary atherosclerosis. Journal of Hypertension, 29(6), 1109-1114. https://doi.org/10.1097/HJH.0b013e3283454ff4

Time rate of blood pressure variation : A new factor associated with coronary atherosclerosis. / Manios, Efstathios; Stamatelopoulos, Kimon; Tsivgoulis, Georgios; Barlas, Gerasimos; Koroboki, Eleni; Tsagalis, Georgios; Michas, Fotios; Vemmos, Konstantinos; Zakopoulos, Nikolaos.

In: Journal of Hypertension, Vol. 29, No. 6, 01.06.2011, p. 1109-1114.

Research output: Contribution to journalArticle

Manios, E, Stamatelopoulos, K, Tsivgoulis, G, Barlas, G, Koroboki, E, Tsagalis, G, Michas, F, Vemmos, K & Zakopoulos, N 2011, 'Time rate of blood pressure variation: A new factor associated with coronary atherosclerosis', Journal of Hypertension, vol. 29, no. 6, pp. 1109-1114. https://doi.org/10.1097/HJH.0b013e3283454ff4
Manios, Efstathios ; Stamatelopoulos, Kimon ; Tsivgoulis, Georgios ; Barlas, Gerasimos ; Koroboki, Eleni ; Tsagalis, Georgios ; Michas, Fotios ; Vemmos, Konstantinos ; Zakopoulos, Nikolaos. / Time rate of blood pressure variation : A new factor associated with coronary atherosclerosis. In: Journal of Hypertension. 2011 ; Vol. 29, No. 6. pp. 1109-1114.
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AU - Manios, Efstathios

AU - Stamatelopoulos, Kimon

AU - Tsivgoulis, Georgios

AU - Barlas, Gerasimos

AU - Koroboki, Eleni

AU - Tsagalis, Georgios

AU - Michas, Fotios

AU - Vemmos, Konstantinos

AU - Zakopoulos, Nikolaos

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