Presión aórtica central y parámetros de reflexión de onda: Importancia clínica y análisis de consistencias y discrepancias con niveles de presión periférica
Introducción: se presenta un trabajo de revisión sobre las diferencias entre la presión aórtica central (PAC) y la presión arterial periférica (PAP), y sobre la importancia biomédica de la PAC. Adicionalmente, se presenta un trabajo de investigación original que permitió determinar curvas por edad p...
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| Published in | Revista uruguaya de cardiología Vol. 27; no. 3; pp. 418 - 430 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | Portuguese |
| Published |
Sociedad Uruguaya de Cardiología
01.12.2012
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| Abstract | Introducción: se presenta un trabajo de revisión sobre las diferencias entre la presión aórtica central (PAC) y la presión arterial periférica (PAP), y sobre la importancia biomédica de la PAC. Adicionalmente, se presenta un trabajo de investigación original que permitió determinar curvas por edad para la PAC de una población uruguaya y determinar los porcentajes de individuos (discriminando por edad, sexo y nivel de PAP) que presentan niveles de PAC hipertensivos. Material y método: en 785 uruguayos (edad: 6-79 años), sin enfermedad cardiovascular, hipertensión arterial, diabetes e insuficiencia renal, y sin empleo de fármacos vasoactivos, se midió la PAC y parámetros de reflexión de onda (índice de aumento, presión de aumento aórtica) mediante tonometría de aplanamiento radial y aplicación de una función transferencia generalizada. Resultados: se obtuvieron las tendencias por edad esperables de encontrar para los parámetros de PAC y reflexiones de onda. El 3% y 24% de personas con PAP normal/normal alta, respectivamente, presentaron PAC sistólica mayor del valor deseado. El 32% de personas con PAP clasificable como HTA 1 no presentarían PAC hipertensiva. El 11%-17% de las personas con niveles de PAP óptimos presentaron presión de pulso (PP) aórticas hipertensivas. El 22% y 35% de las personas con PAP normal/normal alta, respectivamente, presentaron PP aórtica hipertensivas. El 43% de personas con niveles de PAP clasificable como HTA 1 no presentaron PP aórtica hipertensiva. Conclusión: medir la PAC contribuiría en la evaluación y clasificación de estados hipertensivos, la valoración de la respuesta al tratamiento y en la determinación del riesgo vascular del paciente |
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| AbstractList | Introducción: se presenta un trabajo de revisión sobre las diferencias entre la presión aórtica central (PAC) y la presión arterial periférica (PAP), y sobre la importancia biomédica de la PAC. Adicionalmente, se presenta un trabajo de investigación original que permitió determinar curvas por edad para la PAC de una población uruguaya y determinar los porcentajes de individuos (discriminando por edad, sexo y nivel de PAP) que presentan niveles de PAC hipertensivos. Material y método: en 785 uruguayos (edad: 6-79 años), sin enfermedad cardiovascular, hipertensión arterial, diabetes e insuficiencia renal, y sin empleo de fármacos vasoactivos, se midió la PAC y parámetros de reflexión de onda (índice de aumento, presión de aumento aórtica) mediante tonometría de aplanamiento radial y aplicación de una función transferencia generalizada. Resultados: se obtuvieron las tendencias por edad esperables de encontrar para los parámetros de PAC y reflexiones de onda. El 3% y 24% de personas con PAP normal/normal alta, respectivamente, presentaron PAC sistólica mayor del valor deseado. El 32% de personas con PAP clasificable como HTA 1 no presentarían PAC hipertensiva. El 11%-17% de las personas con niveles de PAP óptimos presentaron presión de pulso (PP) aórticas hipertensivas. El 22% y 35% de las personas con PAP normal/normal alta, respectivamente, presentaron PP aórtica hipertensivas. El 43% de personas con niveles de PAP clasificable como HTA 1 no presentaron PP aórtica hipertensiva. Conclusión: medir la PAC contribuiría en la evaluación y clasificación de estados hipertensivos, la valoración de la respuesta al tratamiento y en la determinación del riesgo vascular del paciente |
| Author | Farro, Ignacio Lluberas, Ricardo Armentano, Ricardo Luis Zócalo, Yanina Torrado, Juan Bia, Daniel Farro, Federico |
| AuthorAffiliation | Universidad de la República UDELAR |
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| Keywords | PRESIóN ARTERIAL PERIFéRICA ESTUDIOS NO INVASIVOS REFLEXIONES DE ONDA PRESIóN AóRTICA CENTRAL HIPERTENSIóN ARTERIAS |
| Language | Portuguese |
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| Snippet | Introducción: se presenta un trabajo de revisión sobre las diferencias entre la presión aórtica central (PAC) y la presión arterial periférica (PAP), y sobre... |
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| Title | Presión aórtica central y parámetros de reflexión de onda: Importancia clínica y análisis de consistencias y discrepancias con niveles de presión periférica |
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