SIEGELOVÁ, Jarmila, Jiří DUŠEK, K. OTSUKA and G. CORNELISSEN. Mathematical Model of Cardiovascular Disease Risk Based on Vascular Variability Disorders. World Heart Journal. Nova Science Publishers Inc, 2014, vol. 6, No 1, p. 57-62. ISSN 1556-4002. |
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@article{1187070, author = {Siegelová, Jarmila and Dušek, Jiří and Otsuka, K. and Cornelissen, G.}, article_number = {1}, keywords = {ambulatory blood pressure monitoring (ABPM); essential hypertension; Vascular Variability Disorders (VVDs); heart rate variability (HRV)}, language = {eng}, issn = {1556-4002}, journal = {World Heart Journal}, title = {Mathematical Model of Cardiovascular Disease Risk Based on Vascular Variability Disorders}, volume = {6}, year = {2014} }
TY - JOUR ID - 1187070 AU - Siegelová, Jarmila - Dušek, Jiří - Otsuka, K. - Cornelissen, G. PY - 2014 TI - Mathematical Model of Cardiovascular Disease Risk Based on Vascular Variability Disorders JF - World Heart Journal VL - 6 IS - 1 SP - 57-62 EP - 57-62 PB - Nova Science Publishers Inc SN - 15564002 KW - ambulatory blood pressure monitoring (ABPM) KW - essential hypertension KW - Vascular Variability Disorders (VVDs) KW - heart rate variability (HRV) N2 - Blood pressure (BP) values during ambulatory BP monitoring are mostly still interpreted conventionally in the light of the same fixed 24-hour, daytime and nighttime limits for all adults 18 years and older. We show that a chronobiologic approach taking into consideration the circadian characteristics of the BP waveform adjusted for gender and age enable a better estimation of cardiovascular morbidity and mortality risk. Apart from increased 24-hour mean values of BP (MESOR, short for Midline Estimating Statistic of Rhythm), an attribute of MESOR-hypertension (MH), altered patterns of variability in BP and heart rate (HR) are markers of cardiovascular disease risk. Screening for these Vascular Variability Disorders (VVDs) yields a refined diagnosis and prognosis regarding the risk of cardiovascular morbidity and mortality. It also serves as a guide for timed treatment (chronotherapy) when warranted. This chronobiologic approach based on ambulatory BP monitoring remains applicable to manual measurements taken at intervals from the time of awakening to bedtime, preferably with an added measurement around mid-sleep. ER -
SIEGELOVÁ, Jarmila, Jiří DUŠEK, K. OTSUKA and G. CORNELISSEN. Mathematical Model of Cardiovascular Disease Risk Based on Vascular Variability Disorders. \textit{World Heart Journal}. Nova Science Publishers Inc, 2014, vol.~6, No~1, p.~57-62. ISSN~1556-4002.
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