2014
Mathematical Model of Cardiovascular Disease Risk Based on Vascular Variability Disorders
SIEGELOVÁ, Jarmila, Jiří DUŠEK, K. OTSUKA a G. CORNELISSENZákladní údaje
Originální název
Mathematical Model of Cardiovascular Disease Risk Based on Vascular Variability Disorders
Autoři
SIEGELOVÁ, Jarmila (203 Česká republika, garant, domácí), Jiří DUŠEK (203 Česká republika), K. OTSUKA (392 Japonsko) a G. CORNELISSEN (840 Spojené státy)
Vydání
World Heart Journal, Nova Science Publishers Inc, 2014, 1556-4002
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30201 Cardiac and Cardiovascular systems
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Kód RIV
RIV/00216224:14110/14:00075804
Organizační jednotka
Lékařská fakulta
Klíčová slova anglicky
ambulatory blood pressure monitoring (ABPM); essential hypertension; Vascular Variability Disorders (VVDs); heart rate variability (HRV)
Štítky
Příznaky
Recenzováno
Změněno: 23. 6. 2014 15:07, Ing. Mgr. Věra Pospíšilíková
Anotace
V originále
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.