PMID: 8610916May 15, 1996Paper

Association of the auscultatory gap with vascular disease in hypertensive patients

Annals of Internal Medicine
M C CavalliniRichard B Devereux

Abstract

To assess the relation of the auscultatory gap during blood pressure measurement to cardiovascular structure and function. Cross-sectional study. A hypertension center in a university hospital. 168 persons with hypertension who were otherwise healthy and were not receiving medication. Wideband external pulse recordings and ultrasonographic examination of the left ventricle and extracranial carotid arteries. Vascular stiffness was evaluated using simultaneous carotid pressure waveforms obtained by applanation tonometry of the contralateral carotid artery. Classic auscultatory gaps were present in 21% of patients and were associated with older age (mean age SD, 64 11 years for patients with gaps and 55 13 years for patients without gaps; P < 0.001), female sex (67% of patients with gaps and 44% of patients without gaps were female; P < 0.05), and increased arterial stiffness (arterial stiffness index, 8.5 4.6 in patients with gaps and 5.8 3.2 in patients without gaps; P < 0.005). The prevalence of atherosclerotic plaques was increased more than twofold among patients with gaps compared with patients without gaps (50% compared with 22%; p < 0.002). Patients with and without auscultatory gaps had similar blood pressures, ...Continue Reading

Associated Clinical Trials

Citations

May 7, 2011·The Journal of Clinical Hypertension·Elaine M UrbinaLawrence M Dolan
Apr 21, 2012·International Journal of Rheumatology·Tracy M FrechBarry M Stults
Jul 29, 2018·High Blood Pressure & Cardiovascular Prevention : the Official Journal of the Italian Society of Hypertension·Seymour G BlankMary J Roman
May 7, 2020·Journal of the American Heart Association·Justin R RyderElaine M Urbina
Nov 2, 2006·British Journal of Nursing : BJN·Soraya JonesHafez Ahmed
Apr 23, 2017·Current Diabetes Reports·Amy S Shah, Elaine M Urbina
Jul 23, 2020·The Medical Journal of Australia·Syamkumar D Menon, Sanjay Ganapathi
May 18, 2010·Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics·Toshio Kushiro
Nov 27, 2020·Pediatric Cardiology·Christopher E BlundenPhilippe F Backeljauw
Dec 23, 2019·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Paul E DrawzPaul K Whelton
Jan 27, 2019·Journal of the American College of Cardiology·Paul MuntnerUNKNOWN 2017 National Heart, Lung, and Blood Institute Working Group

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