Assessment of arterial wall stiffness by 24-hour blood pressure monitoring

2016 ◽  
Vol 88 (9) ◽  
pp. 119-124 ◽  
Author(s):  
V A Korneva ◽  
T Yu Kuznetsova
Keyword(s):  
Blood Pressure ◽  
Arterial Wall ◽  
Pulse Wave ◽  
Blood Pressure Monitoring ◽  
Vascular Wall ◽  
Pressure Monitoring ◽  
Therapeutic Practice ◽  
Wall Stiffness ◽  
The Given ◽  
Large Vessels

Arterial wall stiffness is an early marker of cardiovascular diseases. The gold standard for assessment of the stiffness of large vessels is presently pulse wave velocity (PWV). Work is in progress on the study of the reference values of PWV in people of different genders and ages. 24-hour blood pressure (BP) monitoring is not only a procedure that can estimate diurnal BP variability, but also monitor the indicators of vascular wall stiffness in a number of cases over a 24-hour period. The given review highlights the pathophysiology of arterial stiffness, methods for its assessment, and the aspects of use in therapeutic practice.

Takayasu arteritis presenting with malignant hypertension; a rare manifestation of a rare disease: a case report and review of the literature

2016 ◽  
Vol 47 (1) ◽  
pp. 60-63 ◽  
Author(s):  
Bhupeshwari Patel ◽  
Astha Tiwari ◽  
Shiv Ram Krishna Dubey ◽  
Girish C Bhatt ◽  
Punit Tiwari ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Takayasu Arteritis ◽  
Surgical Intervention ◽  
Blood Pressure Monitoring ◽  
Malignant Hypertension ◽  
Pressure Monitoring ◽  
Rare Manifestation ◽  
Paediatric Age ◽  
Large Vessels

Takayasu arteritis (TA) is a chronic inflammatory and obliterative disease of large vessels, which mainly affects the aorta and its major branches. TA can lead to renal failure and renovascular hypertension in 60% of patients; it is rare in children aged <10 years and, more rarely, it presents with malignant hypertension in the paediatric age group. Here we present a case of 9-year-old boy with TA who presented with malignant hypertension and required surgical intervention to control the blood pressure. Subsequently, his medications were titrated using 24 h ambulatory blood pressure monitoring (ABPM) and is doing well on follow-up.

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