The Comparison of Arterial Stiffness in Type 2 Diabetic Normotensive Patients and Mild Hypertensive Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/152014
Type:
Presentation
Title:
The Comparison of Arterial Stiffness in Type 2 Diabetic Normotensive Patients and Mild Hypertensive Patients
Abstract:
The Comparison of Arterial Stiffness in Type 2 Diabetic Normotensive Patients and Mild Hypertensive Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Wang, Mei-Yeh, MSN
P.I. Institution Name:Taipei Medical University; Cardinal Tien College of Healthcare and Management
Title:Doctoral Student and Instructor
Co-Authors:Pei-Shan Tsai, PhD
[Research Paper or Poster Presentation] Background Previous studies have been supported the role of hypertension in the increased arterial stiffness in type 2 diabetes. However, the changing of arterial stiffness indicated by augmentation index (AI) in type 2 diabetics in the absence of hypertension has not been measured. The comparison of AI in type 2 diabetic normotensive patients and mild hypertension has also not been investigated. In addition, whether AI is correlated with other subclinical cardiovascular risk factors including blunted blood pressure (BP) variation and reduced heart rate variability (HRV) in these populations has yet to be examined. Purpose This study was conducted to compare the AI in type 2 diabetic normotensive patients and mild hypertensive patients. The association among AI, diurnal BP variation and HRV was also examined. Methods 53 type 2 diabetic individuals and 23 hypertensive individuals enrolled in this study. All participants were tested for anthropometric, hemodynamic measurements and 5-min HRV. Radial applanation tonometry was used to acquire the aortic pressure waveform noninvasively using the generalized transfer function. AI (%) was then calculated as the ratio of augmented pressure to pulse pressure. Ambulatory BP measurements were performed over a 24-hour period. Results There was no difference between the mean value of AI in type 2 diabetics and mild hypertensives after controlled for age and body height (28.0 +/- 7.0% vs. 21.5 +/- 13.2 %, p=0.413). AI did not significantly correlate to the parameters of diurnal BP variation and four indices of HRV. Conclusions Although the increased AI has been demonstrated in type 2 diabetic normotensive patients with less nocturnal SBP decline and reduced HRV, there was no difference between AI in type 2 normotensive diabetics and mild hypertensives. There was also no association among AI, diurnal BP variation and HRV. The plausible mechanism that linking the ANS deregulation to the higher AI was not supported.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Comparison of Arterial Stiffness in Type 2 Diabetic Normotensive Patients and Mild Hypertensive Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152014-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Comparison of Arterial Stiffness in Type 2 Diabetic Normotensive Patients and Mild Hypertensive Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Wang, Mei-Yeh, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Taipei Medical University; Cardinal Tien College of Healthcare and Management</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral Student and Instructor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mywang@tmu.edu.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Pei-Shan Tsai, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Background Previous studies have been supported the role of hypertension in the increased arterial stiffness in type 2 diabetes. However, the changing of arterial stiffness indicated by augmentation index (AI) in type 2 diabetics in the absence of hypertension has not been measured. The comparison of AI in type 2 diabetic normotensive patients and mild hypertension has also not been investigated. In addition, whether AI is correlated with other subclinical cardiovascular risk factors including blunted blood pressure (BP) variation and reduced heart rate variability (HRV) in these populations has yet to be examined. Purpose This study was conducted to compare the AI in type 2 diabetic normotensive patients and mild hypertensive patients. The association among AI, diurnal BP variation and HRV was also examined. Methods 53 type 2 diabetic individuals and 23 hypertensive individuals enrolled in this study. All participants were tested for anthropometric, hemodynamic measurements and 5-min HRV. Radial applanation tonometry was used to acquire the aortic pressure waveform noninvasively using the generalized transfer function. AI (%) was then calculated as the ratio of augmented pressure to pulse pressure. Ambulatory BP measurements were performed over a 24-hour period. Results There was no difference between the mean value of AI in type 2 diabetics and mild hypertensives after controlled for age and body height (28.0 +/- 7.0% vs. 21.5 +/- 13.2 %, p=0.413). AI did not significantly correlate to the parameters of diurnal BP variation and four indices of HRV. Conclusions Although the increased AI has been demonstrated in type 2 diabetic normotensive patients with less nocturnal SBP decline and reduced HRV, there was no difference between AI in type 2 normotensive diabetics and mild hypertensives. There was also no association among AI, diurnal BP variation and HRV. The plausible mechanism that linking the ANS deregulation to the higher AI was not supported.</td></tr></table>en_GB
dc.date.available2011-10-26T11:21:14Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:21:14Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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