The "Pulse Time Index of Norm" highly correlates with the left ventricular mass index in patients with arterial hypertension

Vasc Health Risk Manag. 2014 Mar 19:10:139-44. doi: 10.2147/VHRM.S58351. eCollection 2014.

Abstract

Background: Arterial stiffness, as measured by the pulse wave velocity (PWV), is recommended for routine use in clinical practice as an important parameter for the evaluation of cardiovascular risk.1 New 24-hour monitors (eg, with Vasotens technology; Petr Telegin Company, Nizhny Novgorod, Russian Federation) provide single PWV measurements as well as several PWV measurements over a period of 24 hours.2 Such 24-hour pulse wave analysis led to the development of the novel Pulse Time Index of Norm (PTIN), which is defined as the percentage of a 24-hour period during which the PWV does not exceed the 10 m/second PWV threshold. The aim of this study is to test the new PTIN for correlation with the left ventricular mass index (LVMI).

Methods: Oscillometrically generated waveform files (n=137) used for clinical research studies were reanalyzed using the new 2013 version of the Vasotens technology program, which enables PTIN calculations.

Results: A good correlation (r=-0.72) between the PTIN and the LVMI was shown, which was significantly above the blood pressure load (r=0.41).

Conclusion: The PTIN generated by the Vasotens technology can be recommended as an indicator of end organ damage via hypertension.

Keywords: 24-hour; LVMI; PTIN; ambulatory; arterial stiffness; monitoring; pulse wave velocity.

MeSH terms

  • Adult
  • Arterial Pressure*
  • Blood Pressure Monitoring, Ambulatory*
  • Circadian Rhythm*
  • Female
  • Heart Ventricles / diagnostic imaging*
  • Humans
  • Hypertension / diagnosis*
  • Hypertension / diagnostic imaging
  • Hypertension / physiopathology
  • Hypertrophy, Left Ventricular / diagnosis*
  • Hypertrophy, Left Ventricular / diagnostic imaging
  • Hypertrophy, Left Ventricular / physiopathology
  • Male
  • Middle Aged
  • Oscillometry
  • Predictive Value of Tests
  • Pulse Wave Analysis*
  • Registries
  • Risk Factors
  • Time Factors
  • Ultrasonography
  • Vascular Stiffness*