J 2005

The relationship between the carotid intima-media thickness, baroreflex sensitivity, variability in blood pressure and heart rate, and ejection fraction in normotensives and hypertensives

LÁBROVÁ, Růžena, Nataša HONZÍKOVÁ, Bohumil FIŠER, Eva MADĚROVÁ, Petra VYSOČANOVÁ et. al.

Basic information

Original name

The relationship between the carotid intima-media thickness, baroreflex sensitivity, variability in blood pressure and heart rate, and ejection fraction in normotensives and hypertensives

Name in Czech

VZTAH MEZI TLOUŠŤKOU STĚNY A.CAROTIS, CITLIVOSTÍ BAROREFLEXU, VARIABILITOU V KREVNÍM TLAKU A SRDEČNÍ FREKVENCI A EJEKČNÍ FRAKCÍ U NORMOTONIKŮ A HYPERTONIKŮ

Name (in English)

The relationship between the carotid intima-media thickness, baroreflex sensitivity, variability in blood pressure and heart rate, and ejection fraction in normotensives and hypertensives

Authors

LÁBROVÁ, Růžena (203 Czech Republic, guarantor), Nataša HONZÍKOVÁ (203 Czech Republic), Bohumil FIŠER (203 Czech Republic), Eva MADĚROVÁ (203 Czech Republic), Petra VYSOČANOVÁ (203 Czech Republic), Zuzana NOVÁKOVÁ (203 Czech Republic), Miroslav JÍRA (203 Czech Republic) and Bořivoj SEMRÁD (203 Czech Republic)

Edition

Scripta medica, Brno, LF MU Brno, 2005, 1211-3395

Other information

Language

Czech

Type of outcome

Článek v odborném periodiku

Field of Study

30105 Physiology

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/05:00014205

Organization unit

Faculty of Medicine

Keywords (in Czech)

Tloušťka intima-media, Baroreflex

Keywords in English

Carotid intima-media thickness; Baroreflex sensitivity; Heart rate variability; Blood pressure variability
Změněno: 19/6/2009 11:59, prof. MUDr. Bohumil Fišer, CSc.

Abstract

V originále

A complex analysis of relationship between carotid intima-media thickness (IMT) and baroreflex sensitivity was performed in normotensives and hypertensives with respect to the signs of tonic and reflex autonomic control of heart rate and blood pressure (BP). The hierarchical multiple regression analysis by means of the forward selection of regressors proved an additive positive effect of age and BMI on a development of IMT in normotensives, but the influence of mean BP was insignificant . The same analysis performed in hypertensives showed, that their thick IMT is not further influenced neither by age nor by BMI nor by mean BP. Taking all subjects together, the dependence of IMT on age and mean BP from 24-h recordings was shown. Correlation of IMT with BRS and BRSf confirmed the hypothesis that the thickened carotid wall has lower compliance and therefore baroreflex sensitivity is lower. IMT correlates with many indices, but the increase of IMT in healthy subjects is dependent on age and BMI. BP plays a role besides age in thickening of carotid wall during the development of hypertension. It is probable that therapy in hypertonics decreases only sympathetic activation, but decreased BRS which is a risk factor for sudden cardiac death after myocardial infarction is not influenced by therapy.

In English

A complex analysis of relationship between carotid intima-media thickness (IMT) and baroreflex sensitivity was performed in normotensives and hypertensives with respect to the signs of tonic and reflex autonomic control of heart rate and blood pressure (BP).The hierarchical multiple regression analysis by means of the forward selection of regressors proved an additive positive effect of age and BMI on a development of IMT in normotensives, but the influence of mean BP was insignificant . The same analysis performed in hypertensives showed, that their thick IMT is not further influenced neither by age nor by BMI nor by mean BP. Taking all subjects together, the dependence of IMT on age and mean BP from 24-h recordings was shown. Correlation of IMT with BRS and BRSf confirmed the hypothesis that the thickened carotid wall has lower compliance and therefore baroreflex sensitivity is lower. IMT correlates with many indices, but the increase of IMT in healthy subjects is dependent on age and BMI. BP plays a role besides age in thickening of carotid wall during the development of hypertension. It is probable that therapy in hypertonics decreases only sympathetic activation, but decreased BRS which is a risk factor for sudden cardiac death after myocardial infarction is not influenced by therapy.

Links

MSM0021622402, plan (intention)
Name: Časná diagnostika a léčba kardiovaskulárních chorob
Investor: Ministry of Education, Youth and Sports of the CR, Early diagnostics and treatment of cardiovascular diseases
NA7362, research and development project
Name: VZTAH CITLIVOSTI BAROREFLEXU K PARAMETRŮM STĚNY A. CAROTIS ZJIŠŤOVANÝM SONOGRAFICKY
Investor: Ministry of Health of the CR