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《Journal of Clinical Internal Medicine》 2019-06
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Effect of blood pressure stratification on brachial ankle pulse wave velocity

Zhang Fangliang;Chen Yingming;Wang Rong;Department of Cardiology,NanXiang Hospital of Jiading Distict,Shanghai;  
Objective To explore the effect of blood pressure stratification on brachial ankle pulse wave velocity(baPWV).Methods The data of 5 643 people who took healthy examination and outpatients with hypertension were obtained from Omron automatic artery stiff detector.BaPWV of different blood pressures and ages were compared.Correlations among baPWV of right side and other indexes were evaluated by Pearson correlation analysis.Influencing factors of baPWV were evaluated by multivariate linear regression analysis and multivariate logistic regression analysis.Results With the increase of systolic pressure stratification,baPWV increased gradually and significantly(P0.05).BaPWV among30 years old group,30-39 years old group,40-49 years old group,50-59 years old group,60-69 years old group,70-79 years old group,80-89 years old group,90-99 years old group were significantly different(P0.05).Results of Pearson correlation analysis showed that baPWV of right side was positively correlated with gender,age,systolic blood pressure,mean blood pressure,diastolic blood pressure,pulse pressure,pulse rate,body mass index,hypertension history,diabetes history and hyperlipidemia history(P0.05).Results of multivariate linear stepwise regression analysis showed that B value of systolic pressure affecting baPWV was 9.22(P0.001).Results of multivariate logistic regression analysis showed that risk of baPWV≥1 400 cm/s in normal high group I,normal high group II and hypertension group all increased compared with that in ideal systolic pressure group and their OR value rised with classification of blood pressure increasing.After adjusting age,gender,BMI,hypertension history,diabetes history,hyperlipidemia history and so on,risk of baPWV≥1 400 cm/s in normal high group I,normal high group Ⅱ and hypertension group all increased and their OR value still rised with classification of blood pressure increasing.Conclusion The effect of blood pressure on baPWV is obvious.After influencing factors are removed,the effect is still existed.It is necessary to propose a normal range of baPWV according to different blood pressure.
【Fund】: 上海市嘉定区卫生计生委面上项目(2018-KY-08)
【CateGory Index】: R443.5
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