P157: aortic calcifications and inflammation are associated with in-hospital complications in acute coronary syndrome

Cristina Silva, Mariana Formigo, Nuno Formigo, Sara Freitas,Cristina Cunha, Margarida Rocha,Clarisse Neves, Laura Castro, Filipe Gonçalves, Maria J. Cotter, Pedro G. Cunha, Jorge Cotter,Guillermo Alanis-Sánchez, Ernesto Cardona-Muñoz, - DavidCardona, Müller,Sylvia Totsuka-Sutto,Oscar Mares-Flores, César Murguia-Soto,Diego Castañeda-Zaragoza

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摘要
s 125 Research Center in Sports Sciences, Health and Human Development, CIDESD, University Institute of Maia, Maia, Portugal School of Health Sciences and Institute of Biomedicine e iBiMED, University of Aveiro, Aveiro, Portugal Objective: Carotid-femoral Pulse Wave velocity (cfPWV), the gold standard for measuring stiffness, is a marker of organ damage (OLD). Even though cfPWV correlates with casual (BPc), central (CBP) and ambulatory (ABPM) blood pressure (BP), evidence is limited for resistant hypertension (RH). Method: Thirty-three patients (age, 56.1 8.2 years; weight, 78.0 12.4 kg; height, 1.62 0.08 m) with RH participated in a crosssectional study. Outcomes included clinical data, BPc, ABPM, and carotidfemoral, cfPWV. Correlation analysis was conducted to assess the association between variables; independent t-tests were conducted to compare variables between those participants with cfPWV < and 10 m/s. Results: Patients (20 women and 13 men) presented a peripheral systolic and diastolic BPc of 144.0 3.8 mmHg and 82.0 1.9 mmHg, respectively. The cfPWV correlated with age (r Z 0.356, p Z 0.045), 24 h systolic BP (24 h SBP) nightime pulse pressure (night PP), 24 h pulse pressure (24hPP), casual systolic (SBPc) and diastolic BP (DBPc), central systolic (CSBP), diastolic (CDBP) and central pulse pressure (CPP); controlled for age the correlation remained significant for 24h SBP (rZ0.446, pZ0.009) 24hPP (rZ0.464, pZ0.007), nightPP (rZ0.365, pZ0.036), SBPc (rZ0.620, p<0.001), DBPc (rZ0.488, pZ0.004), PPc (rZ0.592, p<0.001), central SBP (rZ0.587, p<0.001), central DBP (rZ0.487, pZ0.001) and central PP (rZ0.506, pZ0.003). Patients with lower values of cfPWV (nZ26) showed lower SBPc (142.8 15.9 vs. 162.6 30.9 mmHg, pZ0.025), central SBP (136.0 15.7 vs. 154.1 31.8 mmHg, pZ0.041) and PP (49.6 9.5 vs. 60.9 20.8 mmHg, pZ0.043) than patients with cfPWV 10 m/s (nZ7). Conclusion: Our data shows that cfPWV correlates with SBPc, 24hSBP, 24hPP and CSBP, after controlled for age, in patients with RH. Acknowledgments: This work is financed by FEDER Funds through the Operational Competitiveness Factors Program COMPETE and by National Funds through FCT Foundation for Science and Technology within the project "PTDC/DTP-DES/1725/2014".
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