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2023年4月4日火曜日
アルテリオグラフのソフトの修正 @vitalstream_caretaker_メディカルテクニカ
Updated and revised normal values of aortic pulse wave velocity in children
and adolescents aged 3–18 years
Erzsébet Valéria Hidvégi, Andrea Emese Jakab, Zsófia Lenkey, Csaba Bereczki,
Attila Cziráki & Miklós Illyés
Journal of Human Hypertension volume 35, pages604–612 (2021)Cite this article
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Abstract
Measurement of aortic pulse wave velocity (PWVao) is recommended
for stratifying individual cardiovascular (CV) risk in adults.
Diseases in children and adolescents might influence aortic stiffness.
It is necessary to exclude overweight (OW), obese (O) subjects,
and individuals with increased systolic (SBP)
and/or diastolic blood pressure (DBP) from the population,
when creating normal values of PWVao in children and adolescents.
Body mass index (BMI), SBP/DBP cut-off values have remarkably changed
in this population during the last decade. Aims of our study were
to expand our previously published PWVao database and to revise it
by using the recently determined normal values.
PWVao was measured by an occlusive-oscillometric device (Arteriograph,
TensioMed Ltd, Budapest, Hungary) in a healthy population aged 3–18 years.
7940 (4374 boys) participants were recruited, 1912 OW/O subjects
and 1368 individuals with high SBP/DBP were excluded.
Finally, n = 4690 (2599 boys) participants were enrolled.
Mean PWVao values increased from 5.4 ± 0.6 to 6.4 ± 0.5 m/s (p < 0.05)
in boys and from 5.5 ± 0.6 to 6.4 ± 0.5 m/s (p < 0.05) in girls.
Mean PWVao values were significantly lower in our new study,
in boys in age groups of 9–16, in girls in age groups of 11–17.
This is the largest and widest age-ranged database of PWVao published
to date. Due to the change of BMI and SBP/DBP reference values
during the last decade, the “old” database of PWVao needed
to be revised. As a result of this, normal values
of PWVao decreased significantly in both sexes.
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