Journals / The Anatolian Journal of Cardiology / 2016 / Cilt: 16 - Sayı: 9

High blood pressure: An obscuring misnomer?

Pages
713–719
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

A "flow-" rather than a "pressure-" based factor, as the causative or major driving mediator of common hypertensive complications, may change our understanding of hypertension pathophysiology.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:High blood pressure (BP) has been identified as a major risk factor for cardiovascular complications.
📊
Key Findings & Data:Although two-way association between BP and hypertensive complications makes hypertension a near-ideal biomarker, BP as "the cause" for the complications of HT per se still needs more evidence.
💡
Conclusion & Impact:A "flow-" rather than a "pressure-" based factor, as the causative or major driving mediator of common hypertensive complications, may change our understanding of hypertension pathophysiology.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

High blood pressure (BP) has been identified as a major risk factor for cardiovascular complications. Although two-way association between BP and hypertensive complications makes hypertension a near-ideal biomarker, BP as "the cause" for the complications of HT per se still needs more evidence. Another entirely possible hemodynamic candidate for causing hypertensive cardiovascular adverse events can be flow or its iterations, which might have escaped the attention because of its perfect correlation with pressure and harder technical measurement. In this article, we analyze the evidence in hand to compare flow- and pressure-related phenomena to delineate which of the two is the dominant mediator of complications related to hypertension and should be the target for therapy. A "flow-" rather than a "pressure-" based factor, as the causative or major driving mediator of common hypertensive complications, may change our understanding of hypertension pathophysiology.

🔖

Cite This Article

ASLANGER, E., SEZER, M., UMMAN, S. (2016). High blood pressure: An obscuring misnomer?. The Anatolian Journal of Cardiology, Cilt: 16 - Sayı: 9, 713–719. https://ajindex.com/articles/367250

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Lewington S, Clarke R, Qizilbash N, Peto R, Collins R. Prospective Studies Collaboration. Age-specific relevance of usual blood pres- sure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002; 360: 1903- 13. Law MR, Morris JK, Wald NJ. Use of blood pressure lowering drugs in the prevention of cardiovascular disease: metaanalysis of 147 randomised trials in the context of expectations from prospec- tive epidemiological studies. BMJ 2009; 338-b1665. Vasan RS. Biomarkers of cardiovascular disease: molecular basis and practical considerations. Circulation 2006; 113: 2335-62. Levy M. The cardiac and vascular factors that determine systemic blood flow. Circ Res 1979; 44: 739-47.
  2. Malek AM, Alper SL, Izumo S. Hemodynamic shear stress and its role in atherosclerosis. JAMA 1999; 282: 2035-42.
  3. Hicks JW, Badeer HS. Gravity and the circulation: "open" vs. "closed" systems. Am J Physiol 1992; 262: R725-32. O'Rourke MF, Safar ME. Relationship between aortic stiffening and microvascular disease in brain and kidney: cause and logic of therapy. Hypertension 2005; 46: 200-4.
  4. Muller JE, Stone PH, Turi ZG, Rutherford JD, Czeisler CA, Parker C, et al. Circadian variation in the frequency of onset of acute myo- cardial infarction. N Engl J Med 1985; 313: 1315-22.
  5. Sloan MA, Price TR, Foulkes MA, Marler JR, Mohr JP, Hier DB, et al. Circadian rhythmicity of stroke onset. Intracerebral and subarach- noid hemorrhage. Stroke 1992; 23: 1420-6. Elliott WJ. Circadian variation in the timing of stroke onset: a meta- analysis. Stroke 1998; 29:992-6.
  6. Reavey M, Saner H, Paccaud F, Marques-Vidal P. Exploring the peri- odicity of cardiovascular events in Switzerland: variation in deaths and hospitalizations across seasons, day of the week and hour of the day. Int J Cardiol 2013; 168: 2195-200.
  7. Millar-Craig MW, Bishop CN, Raftery EB. Circadian variation of blood-pressure. Lancet 1978; 1: 795-7.
  8. Sheppard JP, Hodgkinson J, Riley R, Martin U, Bayliss S, McManus RJ. Prognostic significance of the morning blood pressure surge in clinical practice: a systematic review. Am J Hypertens 2015; 28: 30-41. Gangwisch JE. A review of evidence for the link between sleep du- ration and hypertension. Am J Hypertens 2014; 27: 1235-42. List of spaceflight records. https://en.wikipedia.org/wiki/List_of_ spaceflight_records#cite_note-Spacefacts_listflights-33 (last ac- cessed on 20.04.2016)
  9. Arbeille P, Fomina G, Roumy J, Alferova I, Tobal N, Herault