Consensus of Russian experts on the evaluation of arterial stiffness in clinical practice

Abstract

АГ-артериальная гипертензия, АД-артериальное давление, ДАД-диастолическое артериальное давление, ЗПА-заболевание периферических артерий, ИБС-ишемическая болезнь сердца, ИСАГизолированная систолическая артериальная гипертензия, кфСПВ-каротидно-феморальная скорость пульсовой волны, ЛЖ-левый желудочек, ЛПИ-лодыжечно-плечевой индекс, МРТ-магнитно-резонансная томография, ПАД-пульсовое артериальное давление, плСПВ-плече-лодыжечная скорость пульсовой волны, ППИ-пальце-плечевой индекс, РА-ревматоидный артрит, САД-систолическое артериальное давление, СД-сахарный диабет, СКФ-скорость клубочковой фильтрации, СПВ-скорость пульсовой волны, ССЗ-сердечно-сосудистые заболевания, ССО-сердечно-сосудистые осложнения, ССР-сердечно-сосудистый риск, УЗИ-ультразвуковое исследование, ФВ-фракция выброса, ХБП-хроническая болезнь почек, ХПН-хроническая почечная недостаточность, ХСН-хроническая сердечная недостаточность, ЦАД-центральное аортальное давление, AIx-индекс аугментации, CAVI-сердечно-лодыжечный сосудистый индекс, D-путь, пройденный волной, Δt-время запаздывания. Recently, there was plenty studies published on the arterial stiffness assessment, and importance of this was proved as an independent prediction parameter, together with standard cardiovascular risk factors. In current document, we collect and structure the available clinical and scientific data from abroad and Russian studies. The aim of current publication is the need to bring a reader the importance of demanded in clinical practice ways of arterial wall stiffness assessment, information about conditions when it is important to the assessment, and available restrictions, as the issues remaining unresolved.

Association between Carotid Wall Shear Rate and Arterial Stiffness in Patients with Hypertension and Atherosclerosis of Peripheral Arteries

“…Carotid-femoral (cfPWV) and carotid-radial (crPWV) pulse wave velocity (PWV) were measured. Investigation was performed in accordance with recommendations outlined in European expert consensus document on arterial stiffness and Russian expert consensus document on the evaluation of arterial stiffness in clinical practice [ 19 , 20 ]. Local carotid stiffness was evaluated by carotid ultrasound.…”

Melatonin corrective effect on systemic and vascular hemodynamic parameters in patients with the first degree of arterial hypertension suffering from sleep disorders

“…Considering the fact that in recent years there has been an increase in mortality in groups with a low cardiovascular risk, the standard risk assessment system does not allow reflecting the true probability of CVC with persistent morphofunctional changes in the cardiovascular system (CVS), including the vascular bed (24).…”

“…Before the beginning of observation and after 12 weeks, all patients underwent general clinical and instrumental examination: BP measurement with an automatic tonometer (OMRON M2 Basic), ECG registration (Schiller Cardiovit AT-1 electrocardiograph), 24-hour blood pressure monitoring (ABPM) with a complex of software and hardware monitoring of blood pressure BPLab («BPLab», LLC «Petr Telegin»). We recorded daily, nighttime, and daytime values of SBP and DBP, pulse aortic pressure (PAP) and mean aortic pressure (MAP), as well as SBP and DBP variability, morning BP surge value (MBPS), and BP daily index (DI), called the degree of night drop.…”

Identifying Early Vascular Ageing in Patients With Metabolic Syndrome: Unresolved Issues and a Proposed Novel VAmets Score

“…cfPWV, currently the most widely used indicator of arterial stiffness, meets most of the stringent criteria for a biomarker suitable for clinical use to detect EVA in patients with MetS [37]. However, despite numerous expert recommendations [38][39][40], the frequency of its use in clinical practice is low, mainly for practical and logistic reasons.…”