{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:02:26Z","timestamp":1755216146551,"version":"3.43.0"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"9","license":[{"start":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:00:00Z","timestamp":1715731200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>In hemodialysis patients, central hemodynamics, stiffness, and wave reflections assessed through ambulatory blood pressure monitoring (ABPM) showed superior prognostic value for cardiovascular (CV) events than peripheral blood pressures (BPs). No such evidence is available for lower-risk hypertensive patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>In 591 hypertensive patients (mean age 58\u200a\u00b1\u200a14\u200ayears, 49% males), ambulatory brachial and central BP, pulse wave velocity (PWV), and augmentation index (AIx) were obtained with a validated upper arm cuff-based pulse wave analysis technology. Information on treatment for hypertension (73% of patients), dyslipidemia (27%), diabetes (8%), CV disease history (25%), was collected. Patients were censored for CV events or all-cause death over 4.2\u200ayears.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>One hundred and four events (24 fatal) were recorded. Advanced age [hazard ratio and 95% confidence interval: 1.03 (1.01, 1.05), <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.0001], female sex [1.57 (1.05, 2.33), <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.027], CV disease [2.22 (1.50, 3.29), <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.0001], increased 24-h central pulse pressure (PP) [1.56 (1.05, 2.31), <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.027], PWV [1.59 (1.07, 2.36), <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.022], or AIx [1.59 (1.08, 2.36), <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.020] were significantly associated with a worse prognosis (univariate Cox regression analysis). The prognostic power of peripheral and central BPs was lower. However, PWV [1.02 (0.64, 1.63), <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.924], AIx [1.06 (0.66, 1.69), <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.823], and central PP [1.18 (0.76, 1.82), <jats:italic toggle=\"yes\">P<\/jats:italic>\u200a=\u200a0.471], were not significant predictors in multivariate analyses.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>In hypertensive patients, ambulatory central PP, PWV, and AIx are associated with an increased risk of CV morbidity and all-cause mortality. However, this association is not independent of other patient characteristics.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/hjh.0000000000003763","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T07:01:11Z","timestamp":1715756471000},"page":"1590-1597","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Association of 24-h central hemodynamics and stiffness with cardiovascular events and all-cause mortality. The VASOTENS Registry"],"prefix":"10.1097","volume":"42","author":[{"given":"Stefano","family":"Omboni","sequence":"first","affiliation":[{"name":"Clinical Research Unit, Italian Institute of Telemedicine, Varese, Italy"},{"name":"Department of Cardiology, Sechenov First Moscow State Medical University, Moscow, Russian Federation"}]},{"given":"Jose","family":"Alfie","sequence":"additional","affiliation":[{"name":"Servicio de Cl\u00ednica M\u00e9dica y Secci\u00f3n Hipertensi\u00f3n Arterial, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina"}]},{"given":"Ayana","family":"Arystan","sequence":"additional","affiliation":[{"name":"Department of Functional Diagnostics, Medical Center Hospital of President's Affairs Administration of The Republic of Kazakhstan, Astana, Kazakhstan"},{"name":"Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA"}]},{"given":"Alberto","family":"Avolio","sequence":"additional","affiliation":[{"name":"Macquarie Medical School, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia"}]},{"given":"Edward","family":"Barin","sequence":"additional","affiliation":[{"name":"Macquarie Medical School, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia"}]},{"given":"Jamilya","family":"Bokusheva","sequence":"additional","affiliation":[{"name":"Department of Functional Diagnostics, Medical Center Hospital of President's Affairs Administration of The Republic of Kazakhstan, Astana, Kazakhstan"}]},{"given":"Natalia","family":"Bulanova","sequence":"additional","affiliation":[{"name":"Pirogov Russian National Research Medical University, Moscow"}]},{"given":"Mark","family":"Butlin","sequence":"additional","affiliation":[{"name":"Macquarie Medical School, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia"}]},{"given":"Paula","family":"Cuffaro","sequence":"additional","affiliation":[{"name":"Servicio de Cl\u00ednica M\u00e9dica y Secci\u00f3n Hipertensi\u00f3n Arterial, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina"}]},{"given":"Maria","family":"Derevyanchenko","sequence":"additional","affiliation":[{"name":"Volgograd State Medical University, Volgograd"}]},{"given":"Elena","family":"Grigoricheva","sequence":"additional","affiliation":[{"name":"South Ural State Medical University, Chelyabinsk"}]},{"given":"Alexandra","family":"Gurevich","sequence":"additional","affiliation":[{"name":"Almazov National Medical Research Centre, Saint Petersburg, Russian Federation"}]},{"given":"Alexandra","family":"Konradi","sequence":"additional","affiliation":[{"name":"Almazov National Medical Research Centre, Saint Petersburg, Russian Federation"}]},{"given":"Maria Lorenza","family":"Muiesan","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy"}]},{"given":"Anna","family":"Paini","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy"}]},{"given":"Telmo","family":"Pereira","sequence":"additional","affiliation":[{"name":"H&TRC - Health & Technology Research Center, Coimbra Health School, Polytechnic University of Coimbra, Coimbra, Portugal"}]},{"given":"Mikhail E.","family":"Statsenko","sequence":"additional","affiliation":[{"name":"Volgograd State Medical University, Volgograd"}]},{"given":"Isabella","family":"Tan","sequence":"additional","affiliation":[{"name":"Macquarie Medical School, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia"},{"name":"The George Institute for Global Health, University of New South Wales, Sydney, Australia"}]},{"name":"the VASOTENS Registry Study Group","sequence":"additional","affiliation":[]}],"member":"276","published-online":{"date-parts":[[2024,5,15]]},"reference":[{"key":"R1-20250803","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.1097\/HJH.0000000000000221","article-title":"European Society of Hypertension practice guidelines for ambulatory blood pressure monitoring","volume":"32","author":"Parati","year":"2014","journal-title":"J Hypertens"},{"key":"R2-20250803","doi-asserted-by":"crossref","first-page":"2041","DOI":"10.1016\/S0140-6736(23)00733-X","article-title":"Relationship between clinic and ambulatory blood pressure and mortality: an observational cohort study in 59 124 patients","volume":"401","author":"Staplin","year":"2023","journal-title":"Lancet"},{"key":"R3-20250803","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1038\/s41371-021-00606-4","article-title":"Ambulatory monitoring of central arterial pressure, wave reflections, and arterial stiffness in patients at cardiovascular risk","volume":"36","author":"Omboni","year":"2022","journal-title":"J Hum Hypertens"},{"key":"R4-20250803","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1097\/HJH.0000000000002312","article-title":"Variable association of 24-h peripheral and central hemodynamics and stiffness with hypertension-mediated organ damage: the VASOTENS Registry","volume":"38","author":"Omboni","year":"2020","journal-title":"J Hypertens"},{"key":"R5-20250803","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1161\/HYPERTENSIONAHA.117.09023","article-title":"Ambulatory pulse wave velocity is a stronger predictor of cardiovascular events and all-cause mortality than office and ambulatory blood pressure in hemodialysis patients","volume":"70","author":"Sarafidis","year":"2017","journal-title":"Hypertension"},{"key":"R6-20250803","doi-asserted-by":"crossref","first-page":"2200","DOI":"10.1097\/HJH.0000000000002153","article-title":"Weak within-individual association of blood pressure and pulse wave velocity in hemodialysis is related to adverse outcomes","volume":"37","author":"Sarafidis","year":"2019","journal-title":"J Hypertens"},{"key":"R7-20250803","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1159\/000499532","article-title":"Comparison of 24-h and office pulse wave velocity for prediction of mortality in hemodialysis patients","volume":"49","author":"Matschkal","year":"2019","journal-title":"Am J Nephrol"},{"key":"R8-20250803","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1111\/jch.13623","article-title":"Ambulatory blood pressure and arterial stiffness web-based telemonitoring in patients at cardiovascular risk. First results of the VASOTENS (Vascular health ASsessment Of The hypertENSive patients) Registry","volume":"21","author":"Omboni","year":"2019","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"R9-20250803","doi-asserted-by":"crossref","first-page":"e137","DOI":"10.2196\/resprot.5619","article-title":"Vascular Health Assessment of The Hypertensive Patients (VASOTENS) Registry: study protocol of an international, web-based telemonitoring registry for ambulatory blood pressure and arterial stiffness","volume":"5","author":"Omboni","year":"2016","journal-title":"JMIR Res Protoc"},{"key":"R10-20250803","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1080\/17434440.2020.1782734","article-title":"Telehealth in chronic disease management and the role of the Internet-of-Medical-Things: the Tholomeus(R) experience","volume":"17","author":"Omboni","year":"2020","journal-title":"Expert Rev Med Devices"},{"key":"R11-20250803","first-page":"27","article-title":"Central aortic blood pressure and augmentation index: comparison between Vasotens and SphygmoCor technology","volume":"3","author":"Rogoza","year":"2012","journal-title":"Res Rep Clin Cardiol"},{"key":"R12-20250803","first-page":"91","article-title":"Validation of the integration of technology that measures additional \u201cvascular\u201d indices into an ambulatory blood pressure monitoring system","volume":"7","author":"Kotovskaya","year":"2014","journal-title":"Med Devices (Auckl)"},{"key":"R13-20250803","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1097\/MBP.0000000000000135","article-title":"Standards for ambulatory blood pressure monitoring clinical reporting in daily practice: recommendations from the Italian Society of Hypertension","volume":"20","author":"Omboni","year":"2015","journal-title":"Blood Press Monit"},{"key":"R14-20250803","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1007\/s11906-016-0681-2","article-title":"Twenty-four-hour ambulatory pulse wave analysis in hypertension management: current evidence and perspectives","volume":"18","author":"Omboni","year":"2016","journal-title":"Curr Hypertens Rep"},{"key":"R15-20250803","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1161\/HYPERTENSIONAHA.119.12853","article-title":"Noninvasive estimation of aortic stiffness through different approaches","volume":"74","author":"Salvi","year":"2019","journal-title":"Hypertension"},{"key":"R16-20250803","doi-asserted-by":"crossref","first-page":"2588","DOI":"10.1093\/eurheartj\/ehl254","article-title":"Expert consensus document on arterial stiffness: methodological issues and clinical applications","volume":"27","author":"Laurent","year":"2006","journal-title":"Eur Heart J"},{"key":"R17-20250803","doi-asserted-by":"crossref","first-page":"1318","DOI":"10.1016\/j.jacc.2009.10.061","article-title":"Prediction of cardiovascular events and all-cause mortality with arterial stiffness: a systematic review and meta-analysis","volume":"55","author":"Vlachopoulos","year":"2010","journal-title":"J Am Coll Cardiol"},{"key":"R18-20250803","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1016\/j.jacc.2013.09.063","article-title":"Aortic pulse wave velocity improves cardiovascular event prediction: an individual participant meta-analysis of prospective observational data from 17,635 subjects","volume":"63","author":"Ben-Shlomo","year":"2014","journal-title":"J Am Coll Cardiol"},{"key":"R19-20250803","doi-asserted-by":"crossref","first-page":"1865","DOI":"10.1093\/eurheartj\/ehq024","article-title":"Prediction of cardiovascular events and all-cause mortality with central haemodynamics: a systematic review and meta-analysis","volume":"31","author":"Vlachopoulos","year":"2010","journal-title":"Eur Heart J"},{"key":"R20-20250803","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1111\/jch.13758","article-title":"Central blood pressure for the management of hypertension: Is it a practical clinical tool in current practice?","volume":"22","author":"Cheng","year":"2020","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"R21-20250803","article-title":"The HOPE Asia Network consensus on blood pressure measurements corresponding to office measurements: Automated office, home, and ambulatory blood pressures","author":"Shin","year":"2023","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"R22-20250803","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1161\/HYPERTENSIONAHA.121.17765","article-title":"Twenty-four-hour central (aortic) systolic blood pressure: reference values and dipping patterns in untreated individuals","volume":"79","author":"Weber","year":"2022","journal-title":"Hypertension"},{"key":"R23-20250803","doi-asserted-by":"crossref","first-page":"601812","DOI":"10.1155\/2015\/601812","article-title":"Evaluation of 24-hour arterial stiffness indices and central hemodynamics in healthy normotensive subjects versus treated or untreated hypertensive patients: a feasibility study","volume":"2015","author":"Omboni","year":"2015","journal-title":"Int J Hypertens"},{"key":"R24-20250803","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1038\/hr.2016.156","article-title":"Relationships between 24-h blood pressure variability and 24-h central arterial pressure, pulse wave velocity and augmentation index in hypertensive patients","volume":"40","author":"Omboni","year":"2017","journal-title":"Hypertens Res"}],"container-title":["Journal of Hypertension"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/HJH.0000000000003763","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T21:11:00Z","timestamp":1754255460000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/HJH.0000000000003763"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,15]]},"references-count":24,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.1097\/hjh.0000000000003763","relation":{},"ISSN":["0263-6352","1473-5598"],"issn-type":[{"type":"print","value":"0263-6352"},{"type":"electronic","value":"1473-5598"}],"subject":[],"published":{"date-parts":[[2024,5,15]]}}}