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عنوان فارسی مقاله:
برآورد سفتی شریان و فشار خون میانی در بیماران مبتلا به دیابت نوع 2: مقایسه SphygmoCor و آرتریوگرافی
عنوان انگلیسی مقاله:
Estimates of arterial stiffness and central blood pressure in patients with type 2 diabetes: A comparison of SphygmoCor and Arteriograph
سال انتشار : 2016
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مقدمه انگلیسی مقاله:
1. Introduction
In recent years, pulse wave analysis (PWA) indices and carotid-femoral pulse wave velocity (cf-PWV) have received attention as markers of cardiovascular (CV) risk potentially providing information beyond conventional risk markers.1e3 Patients with type 2 diabetes are characterized by a high CV risk and have been shown to have significantly increased arterial stiffness as evaluated by cf-PWV when compared to non-diabetic individuals.4,5 PWV is an independent predictor of CV mortality in patients with diabetes,6 whereas the added prognostic potential of central blood pressure (BP) and augmentation index (Aix) remains to be determined. Several devices provide non-invasive measurements of central systolic blood pressure (cSBP), Aix and PWV. The SphygmoCor system (AtCor Medical, Sydney, Australia) was one of the first devices and remains commonly used. The system is based on applanation tonometry and this method is often considered the gold standard. However, the method is time-consuming, and the data acquisition is dependent on a skilled investigator. Recently, the Arteriograph (TensioMed, Budapest, Hungary) has been introduced. The Arteriograph uses a brachial cuff for measurements of cSBP, Aix and PWV based on an oscillometric occlusive method. Thus, using the Arteriograph, information on arterial stiffness indices can be obtained quickly and without investigator training. The reproducibility of the Arteriograph has been assessed in a hypertensive population,7,8 showing good agreement between measurements. However, the reproducibility of office measurements with Arteriograph in patients with type 2 diabetes has not been assessed. Furthermore, even though Arteriograph and SphygmoCor have been compared in a number of different patient populations8e12 none of the studies have focused on diabetic patients, a high-risk population with potentially different vascular characteristics compared to the other populations.4 Thus, the aim of the present study was to determine the reproducibility of Arteriograph measurements and to assess the agreement between the SphygmoCor and the Arteriograph in patients with type 2 diabetes.
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کلمات کلیدی:
Effects of telmisartan on arterial stiffness in Type 2 diabetes patients ... https://www.ncbi.nlm.nih.gov/pubmed/12563568 by R Asmar - 2002 - Cited by 78 - Related articles Arterial wall stiffness, an important independent risk factor for cardiovascular ... on arterial stiffness in patients with Type 2 diabetes with essential hypertension. ... Augmentation index and central blood pressure (BP) were determined using the ... Effect of telmisartan on arterial distensibility and central blood ... - NCBI https://www.ncbi.nlm.nih.gov/pubmed/11881102 by R Asmar - 2001 - Cited by 27 - Related articles 2001 Sep;2 Suppl 2:S8-11. ... and central blood pressure in patients with mild to moderate hypertension and Type 2 diabetes mellitus. ... Increased arterial stiffness is directly associated with an increase in pulse wave velocity (PWV) and ... Arterial stiffness, hypertension and diabetes mellitus - Nature https://www.nature.com/jhh/journal/v14/n6/pdf/1001023a.pdf?origin=ppub by JR Cockcroft - 2000 - Cited by 64 - Related articles macro-vascular disease in patients with type 2 dia- ... with non-diabetic patients, even after correction for ... cerning arterial stiffness and central blood pressure. Hypertension Research - Blood Pressure Is the Main Determinant of ... www.nature.com › Journal home › Archive › Original Articles by H Tomita - 2008 - Cited by 24 - Related articles Blood Pressure Is the Main Determinant of the Reflection Wave in Patients with ... wave to the pulse pressure (PP), is an index of arterial stiffness and central blood pressure (BP). Although type 2 diabetes mellitus (DM) is a major risk factor for ... Central blood pressure | AtCor Medical Pty Ltd. atcormedical.com › Health Care Professionals Diabetes, central arterial pressure waveform analysis, central blood pressure, arterial stiffness. ... "In patients with type 1 diabetes, increased AP and AIx were associated with ... with both Type 1 and Type 2 diabetes, as well as earlier pre-diabetic states. Moreover, arterial stiffness is also associated with comorbidities and ... Effects of empagliflozin on blood pressure and markers of arterial ... onlinelibrary.wiley.com/doi/10.1111/dom.12572/full by R Chilton - 2015 - Cited by 69 - Related articles Oct 9, 2015 - ... of arterial stiffness and vascular resistance in patients with type 2 diabetes ... Empagliflozin reduced BP and had favourable effects on markers of ... Mean arterial pressure (MAP) is a measure of central haemodynamics that ...
