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MULTI-CHANNEL VOLUME SPHYGMOGRAPHY IN CARDIOANGIOLOGICAL SCREENING OF THE ADULT POPULATION

https://doi.org/10.20996/1819-6446-2015-11-4-371-379

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Abstract

Aim. To study the possibilities of using multi-channel volume sphygmography (MCVS) in prophylactic medical examination of the population.

Material and methods. Simultaneous examination of 522 individuals older than 18 years was performed. Along with standard procedures provided by the prophylactic medical examination program synchronous registration of blood pressure (BP) on four extremities by MCVS was performed. At that a difference in systolic BP between arms (ΔSBParm) and legs (ΔSBPleg) and ankle-brachial index (ABI) were automatically calculated. Values of │ΔSBParm│ or │ΔSBPleg│≥15 mm Hg or ABI≤0.9 were considered as markers of atherosclerotic vascular disease.

Results. Signs of peripheral arterial atherosclerotic lesions among patients ≥40 years old were found in 14.7% of the cases (95% confidence interval [CI] 11.7-18.4). Relative risks of atherosclerotic lesions in arteries increase 1.71-fold (95% CI 1.06-2.74) in arterial hypertension, 1.70-fold (95% CI 1.08-2.68) – in obesity, 1.91 fold (95% CI 1.17-3.12) – in diabetes, as well as with the increasing levels of cardiovascular risk. In patients with ischemic heart disease and a history of cerebral stroke MCVS can detect signs of multifocal atherosclerosis in 21% (95% CI 14-32) and 22% (95% CI 9-46) of the cases, respectively.

Conclusion. MCVS with the determination of ΔSBParm, ΔSBPleg and ABI may be regarded as the basis for low-cost and efficient system of cardioangiological screening.

About the Authors

R. A. Khokhlov
Voronezh Regional Clinical Hospital № 1
Russian Federation
Moskovsky Prospekt 151, Voronezh, 394082 Russia


N. I. Ostroushko
Voronezh Region Health Department
Russian Federation
Nikitinskaya ul. 5, Voronezh, 394036 Russia


A. E. Gaydashev
Peoples’ Friendship University of Russia
Russian Federation
Mikluho-Maklaya ul. 6, Moscow, 117198 Russia


D. V. Kirsanov
Voronezh Branch of JSC Insurance Company "SOGAZ-Med"
Russian Federation
Moskovskii prospect 4, Voronezh, 394026 Russia


N. M. Akhmedzhanov
State ResearchCenter for Preventive Medicine
Russian Federation
Petroverigsky per. 10, Moscow, 101990 Russia


References

1. Order of the Health Ministry on December 3, 2012 number 1006n "Procedure for medical examination of certain groups of adults". Russian (Приказ МЗ РФ от 3 декабря 2012 г. № 1006н «Порядок проведения диспансеризации определенных групп взрослого населения»).

2. Boytsov SA, Chuchalin AG, eds. Dispensary observation of patients with chronic non-communicable diseases and patients with a high risk of their development. Guidelines. Moscow: GNITS PM; 2014. Russian Бойцов С.А., Чучалин А.Г., редакторы. Диспансерное наблюдение больных хроническими неинфекционными заболеваниями и пациентов с высоким риском их развития. Методические рекомендации. М.: ГНИЦ ПМ; 2014.

3. ESC/EAS Guidelines for the management of dyslipidaemias: the Task Force for the management of dyslipidaemias of the European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS). Eur Heart J 2011;32(14):1769-818.

4. Osborn LA, Vernon SM, Reynolds B, Timm TC, Allen K. Screening for subclavian artery stenosis in patients who are candidates for coronary bypass surgery. Catheter Cardiovasc Interv 2002: 56: 162-5.

5. Aboyans V, Kamineni A, Allison MA, McDermott MM, Crouse JR, Ni H, Szklo M, Criqui MH. The epidemiology of subclavian stenosis and its association with markers of subclinical atherosclerosis: the Multi-Ethnic Study of Atherosclerosis (MESA). Atherosclerosis 2010: 211: 266-70.

6. Clark C.E., Campbell J.L., Powell R.J. The interarm blood pressure difference as predictor of cardiovascular events in patients with hypertension in primary care: cohort study. Journal of Human Hypertension 2007: 21; 633-8.

7. Clark CE, Taylor RS, Shore AC, et al. Association of a difference in systolic blood pressure between arms with vascular disease and mortality: a systematic review and meta-analysis. Lancet 2012; 380 (9838):218.

8. Sheng CS, Liu M, Zeng WF et al. Four-Limb Blood Pressure as Predictors of Mortality in Elderly Chinese. Hypertension 2013: 61: 1155-60.

9. White J., Mortensen L.H., Kivimaki M., et al. Interarm differences in systolic blood pressure and mortality among US army veterans: aetiological associations and risk prediction in the Vietnam experience study. Eur J Prev Cardiol 2014;21(11):1394-400.

10. Weinberg I., et al. The Systolic Blood Pressure Difference Between Arms and Cardiovascular Disease in the Framingham Heart Study. The American Journal of Medicine 2014:127; 209-15.

11. Clark C.E., Campbell J.L., Evans P.H., Millward A. Prevalence and clinical implications of the inter-arm blood pressure difference: a systematic review. Journal of Human Hypertension 2006: 20; 923-31.

12. Zhang Z, Ma J, Tao X, et al. The Prevalence and Influence Factors of Inter-Ankle Systolic Blood Pressure Difference in Community Population. PLoS ONE 2013; 8(8): e70777.

13. 2013 ESH/ESC Guidelines for the management of arterial hypertension. Journal of Hypertension 2013; 31:1281-357.

14. European Guidelines on cardiovascular disease prevention in clinical practice (version 2012). Eur Heart J 2012;33:1635-701.

15. Criqui MH, McClelland RL, McDermott MM, et al. The Ankle-Brachial Index and Incident Cardiovascular Events in the MESA (Multi-Ethnic Study of Atherosclerosis). J Am Coll Cardiol 2010;56:1506-12.

16. ESC Guidelines on the diagnosis and treatment of peripheral artery diseases: Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries: the Task Force on the Diagnosis and Treatment of Peripheral Artery Diseases of the European Society of Cardiology (ESC). Eur Heart J 2011;32(22):2851-906.


For citation:


Khokhlov R.A., Ostroushko N.I., Gaydashev A.E., Kirsanov D.V., Akhmedzhanov N.M. MULTI-CHANNEL VOLUME SPHYGMOGRAPHY IN CARDIOANGIOLOGICAL SCREENING OF THE ADULT POPULATION. Rational Pharmacotherapy in Cardiology. 2015;11(4):371-379. (In Russ.) https://doi.org/10.20996/1819-6446-2015-11-4-371-379

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ISSN 1819-6446 (Print)
ISSN 2225-3653 (Online)