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脉搏波速度——评估动脉僵硬度的有用工具

[Pulse wave velocity - a useful tool in assessing the stiffness of the arteries].

作者信息

Jannasz Iwona, Sondej Tadeusz, Targowski Tomasz, Dobrowolski Andrzej, Olszewski Robert

机构信息

Department of Geriatrics, National Institute of Geriatrics, Rheumatology and Rehabilitation, Warsaw, Poland.

Military University of Technology, Faculty of Electronics, Warsaw, Poland.

出版信息

Pol Merkur Lekarski. 2019 Jun 28;46(276):257-262.

Abstract

Measurement of pulse wave velocity (PWV) is a simple and noninvasive way to assess stiffness of the arteries. PWV measurement can refer to both the aorta and peripheral arterial vessels. Currently, the most clinically significant is the measurement of PWV between the carotid artery and the femoral artery, which is defined as the speed of the aortic pulse wave. Numerous studies have demonstrated the significance of prognostic PWV aortic measurement as a recognized exponent of subclinical organ damage both among the general population as well as among patients with increased cardiovascular risk, examining patients in detail with hypertension, diabetes, chronic renal failure. The prognostic value of PWV aortic measurement was reflected in the guidelines of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). In clinical trials, the repeatability and reproducibility of PWV measurements were also evaluated, both parameters being considered satisfactory. The paper presents reports from studies on the significance of pulse wave velocity results in the prognosis assessment in different disease entities as well as in age groups.

摘要

脉搏波速度(PWV)的测量是评估动脉僵硬度的一种简单且无创的方法。PWV测量可涉及主动脉和外周动脉血管。目前,临床上最重要的是测量颈动脉和股动脉之间的PWV,其被定义为主动脉脉搏波的速度。大量研究已证明,作为亚临床器官损伤的一个公认指标,测量主动脉PWV对一般人群以及心血管风险增加的患者(包括患有高血压、糖尿病、慢性肾衰竭的患者)进行详细检查时具有预后意义。主动脉PWV测量的预后价值在欧洲心脏病学会(ESC)和欧洲高血压学会(ESH)的指南中得到了体现。在临床试验中,还评估了PWV测量的可重复性和再现性,这两个参数均被认为令人满意。本文介绍了关于脉搏波速度结果在不同疾病实体以及年龄组预后评估中的意义的研究报告。

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