Blood pressure complexity

Biomarker

3 papers study it9 findings

  • Humans3

Effects

1

Frailty

mediatesin humans1

1 study
  1. Blood pressure complexity mediates frailty in humans (indirect effects >0.28, mediated proportion >=47%).

    “Beat-to-beat SBP and DBP complexity mediated the association between arterial stiffness and frailty (indirect effects >0.28), accounting for at least 47% of its total effects on frailty”

    Humansassociation between arterial stiffness and frailtyn = 350

    The Multiscale Dynamics of Beat-to-Beat Blood Pressure Fluctuation Mediated the Relationship Between Frailty and Arterial Stiffness in Older Adults

    The journals of gerontology. Series A, Biological sciences and medical sciencesFeb 11, 2022

Upstream

2

Hypertension

downin humans2

2 studies
  1. Hypertension decreases blood pressure complexity in humans (p < 0.0005).

    “SBP and DBP complexity was greatest in normotensive participants, lower in those with controlled-HTN, and lowest in those in uncontrolled-HTN (p < 0.0005).”

    Humansolder adultsn = 392

    The physiologic complexity of beat-to-beat blood pressure is associated with age-related alterations in blood pressure regulation

    Aging cellAug 24, 2023

  2. Hypertension decreases blood pressure complexity in humans (P<0.001).

    “BP complexity was inversely correlated with BPV coefficient of variation (P<0.001) and was similarly reduced in patients with hypertension or diabetes (P<0.001).”

    Humansadjusted for age, sex, and cardiovascular risk factorsn = 908

    Blood Pressure Complexity Discriminates Pathological Beat-to-Beat Variability as a Marker of Vascular Aging

    Journal of the American Heart AssociationJan 19, 2022

More on Hypertension

Age

downin humans1

1 study
  1. age decreases blood pressure complexity in humans (quintile 1: 15.1 [14.0-16.1] versus quintile 5: 13.8 [12.4-15.1]).

    “BP complexity fell systematically across age quintiles (quintile 1: 15.1 [14.0-16.1] versus quintile 5: 13.8 [12.4-15.1])”

    Humanspatients with transient ischemic attack or minor stroken = 908

    Blood Pressure Complexity Discriminates Pathological Beat-to-Beat Variability as a Marker of Vascular Aging

    Journal of the American Heart AssociationJan 19, 2022

Associations

5

Endothelial function

upin humans1

1 study
  1. Blood pressure complexity is associated with endothelial function in humans (β = 0.17-0.22, p < 0.01).

    “worse endothelial function (β = 0.17-0.22, p < 0.01)”

    Humansolder adultsn = 392

    The physiologic complexity of beat-to-beat blood pressure is associated with age-related alterations in blood pressure regulation

    Aging cellAug 24, 2023

Arterial stiffness

downin humans1

1 study
  1. Blood pressure complexity is associated with arterial stiffness in humans (β = -0.35 to -0.18, p < 0.01).

    “greater arterial stiffness (β = -0.35 to -0.18, p < 0.01)”

    Humansolder adultsn = 392

    The physiologic complexity of beat-to-beat blood pressure is associated with age-related alterations in blood pressure regulation

    Aging cellAug 24, 2023

Orthostatic blood pressure decrease

upin humans1

1 study
  1. Blood pressure complexity is associated with orthostatic blood pressure decrease in humans (β = -0.33 to -0.19, p < 0.01).

    “Lower SBP and DBP complexity correlated with greater lying-to-standing decrease in SBP and DBP level (β = -0.33 to -0.19, p < 0.01)”

    Humansolder adultsn = 392

    The physiologic complexity of beat-to-beat blood pressure is associated with age-related alterations in blood pressure regulation

    Aging cellAug 24, 2023

Arterial stiffness

downin humans1

1 study
  1. Arterial stiffness is associated with blood pressure complexity in humans (β < -0.42, p < .001).

    “Greater arterial stiffness was associated with lower BP complexity (β < -0.42, p < .001).”

    Humansn = 350

    The Multiscale Dynamics of Beat-to-Beat Blood Pressure Fluctuation Mediated the Relationship Between Frailty and Arterial Stiffness in Older Adults

    The journals of gerontology. Series A, Biological sciences and medical sciencesFeb 11, 2022

More on Arterial stiffness

Pulse wave velocity

downin humans1

1 study
  1. Blood pressure complexity is associated with pulse wave velocity in humans (r = -0.21, adjusted -0.07, P<0.05).

    “correlated with markers of autonomic dysfunction (heart rate variability SD of R-R intervals: r = 0.20; BRS low frequency: 0.19; BRS high frequency: 0.26) and arterial stiffness (pulse wave velocity: -0.21”

    Humansadjusted for clinical variablesn = 908

    Blood Pressure Complexity Discriminates Pathological Beat-to-Beat Variability as a Marker of Vascular Aging

    Journal of the American Heart AssociationJan 19, 2022

More on Pulse wave velocity

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