Vascular wall stiffness and tissue Doppler parameters in patients with arterial hypertension
Abstract
Relevance. Impaired vascular wall stiffness and structural and functional myocardial remodeling in patients with arterial hypertension are associated with common pathogenetic mechanisms and determine the prognosis of a patient with high blood pressure. The aim of the study. To determine the relationship between arterial stiffness and diastolic dysfunction indices according to tissue Doppler data in patients with arterial hypertension. Materials and methods. The study included 75 patients with arterial hypertension, aged 53.3±15.5 years. A study was conducted of the level of cardiovascular risk, arterial stiffness indices, type of left ventricular remodeling and diastolic dysfunction. Results and conclusions. A reliable relationship was found between arterial stiffness and tissue Doppler indices (the correlation is significant when comparing diastolic dysfunction with the augmentation index, the time of reflected wave propagation and the augmentation index in the aorta).
About the Authors
E. A. GrigorichevaRussian Federation
Chelyabinsk
I. V. Medvedenko
Russian Federation
Chelyabinsk
E. V. Yarushina
Russian Federation
Chelyabinsk
A. S. Pitirimova
Russian Federation
Chelyabinsk
E. A. Sinyutina
Russian Federation
Chelyabinsk
References
1. Галявич А. С., и др. Хроническая сердечная недостаточность. Клинические рекомендации 2024 // Российский кардиологический журнал. – 2024. – Т. 29, № 11. – С. 6162–6267.
2. Кобалава Ж. Д., и др. Артериальная гипертензия у взрослых. Клинические рекомендации 2024 // Российский кардиологический журнал. – 2024. – Т. 29, № 9. – С. 6117–6235.
3. Bäck M., и др. Cardio-ankle vascular index for predicting cardiovascular morbimortality and determinants for its progression in the prospective advanced approach to arterial stiffness (TRIPLE-A-Stiffness) study // EBioMedicine. – 2024. – Т. 103. – С. 414–423.
4. Bell V., и др. Relations between aortic stiffness and left ventricular structure and function in older participants in the Age, Gene/ Environment Susceptibility — Reykjavik Study // Circulation: Cardiovascular Imaging. – 2015. – Т. 8, № 4. – С. e003039.
5. Cuspidi C., и др. Increased arterial stiffness and left ventricular remodelling as markers of masked hypertension: findings from the PAMELA population // Journal of Hypertension. – 2025. – Т. 43, № 5. – С. 781–789.
6. Einarsen E., и др. Association of increased arterial stiffness with diastolic dysfunction in ischemic stroke patients: the Norwegian Stroke in the Young Study // Journal of Hypertension. – 2020. – Т. 38, № 3. – С. 467–473.
7. Goulas I., и др. Prevalence of masked hypertension and its association with left ventricular hypertrophy in children and young adults with chronic kidney disease: a systematic review and meta-analysis // Journal of Hypertension. – 2023. – Т. 41, № 5. – С. 699–707.
8. Kawabata T., и др. Insufficient blood pressure control is independently associated with increased arterial stiffness // Hypertension Research. – 2022. – Т. 45, № 12. – С. 1861–1868.
9. Kim H. L., и др. Arterial stiffness and its associations with left ventricular diastolic function according to heart failure types // Clinical Hypertension. – 2023. – Т. 29, № 1. – С. 8.
10. Kreutz R., и др. 2024 European Society of Hypertension clinical practice guidelines for the management of arterial hypertension // European journal of internal medicine. – 2024. – Т. 126. – С. 1–15.
11. McEvoy J. W., и др. 2024 ESC Guidelines for the management of elevated blood pressure and hypertension: Developed by the task force on the management of elevated blood pressure and hypertension of the European Society of Cardiology (ESC) and endorsed by the European Society of Endocrinology (ESE) and the European Stroke Organisation (ESO) // European heart journal. – 2024. – Т. 45, № 38. – С. 3912–4018.
Review
For citations:
Grigoricheva E.A., Medvedenko I.V., Yarushina E.V., Pitirimova A.S., Sinyutina E.A. Vascular wall stiffness and tissue Doppler parameters in patients with arterial hypertension. Title in english. 2025;20(3):3-7. (In Russ.)