EARLY PREVENTION: THE CORRELATION BEETWEN ARTERIAL RIGIDITY AND CARDIOVASCULAR RISK IN HYPERTENSIVE PATIENTS AND ITS SOCIAL IMPACT

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EARLY PREVENTION: THE CORRELATION BEETWEN ARTERIAL RIGIDITY AND CARDIOVASCULAR RISK IN HYPERTENSIVE PATIENTS AND ITS SOCIAL IMPACT

Autori:

Mohammed DAHMANI, Stela IURCIUC, Mircea IURCIUC, Laura CRACIUN, Adelina MAVREA, Antoanela POGOREVICI, Aurora BORDEJEVIC, Mirela TOMESCU

Cod: ISSN: 2066-6861 (print), ISSN: 2067-5941 (electronic)
Dimensiuni: pp. 98-103

How to cite this article:

Dahmani, M., Iurciuc, S., Iurciuc, M., Craciun, L., Mavrea, A., Pogorevici, A., Bordejevic, A., Tomescu, M. (2019). Early Prevention: The Correlation beetwen Arterial Rigidity and Cardiovascular Risk in Hypertensive Patients and Its Social Impact. Social Research Reports, 11(1), 98-103. DOI: https://doi.org/10.33788/srr11.1.7

Abstract:

There is a need for innovative strategies in health promotion. A healthy lifestyle is impacted by traditions established along generations which are influenced by their social life and the social relations. In recent years, great emphasis has been placed on the role of arterial stiffness in the development of cardiovascular diseases.Arterial stiffness may predict coronary heart disease beyond classic risk factors.Hypertension guidelines underline the importance of quantification of cardiovascular risk;an extensive evaluation of target organ damage may increase the number of patients classified at high-added cardiovascular risk.The measurement of PWV is generally accepted as the most simple and non-invasive method to determine arterial stiffness.The aim of the study was to establish the relationship between aortic stiffness measured through PWV and cardiovascular risk assessed through a Score Risk diagram in hypertensive patients and to show that PWV retainsits predictive value independently of classic risk factors. 105 patients eged between 40-80 years suffering of primary hypertension have been selected and evaluated(secundary hypertension excluded).The risk assessment of coronary heart disease was made by calculating the Score risk according to gender, age, bloodpressure,cholesterol and smoking for each of them.We have then correlated these parametres. Patients were classified in function of low-moderate cardiovascular risk and high-very high cardiovascular risk.Assessment of PWV in addition to Score risk calculating led to an increase of the proportion of patients at high risk (from 5 to 15%,P < 0.001).The following results have been found: SCORE risk =5.65 (SD=+/-6.05);PWV=9.2m/s (SD=+/-1.94). Our results confirm that determining aortic PWV is an usefultool for Primary Practice, as it correlateswith SCORE index,which is recommended by the European Society of Cardiology as an evaluationmethod of cardiovascular risk in patients.