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

The VASOTENS Registry is an international telehealth‐based repository of 24‐hour ambulatory blood pressure monitorings (ABPM) obtained through an oscillometric upper‐arm BP monitor allowing combined estimation of some vascular biomarkers. The present paper reports the results obtained in 1200 partic...

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Published in:	The journal of clinical hypertension (Greenwich, Conn.) Vol. 21; no. 8; pp. 1155 - 1168
Main Authors:	Omboni, Stefano, Posokhov, Igor, Parati, Gianfranco, Rogoza, Anatoly, Kotovskaya, Yulia, Arystan, Ayana, Avolio, Alberto, Barkan, Vitaliy, Bulanova, Natalia, Cardona Muñoz, Ernesto, Grigoricheva, Elena, Konradi, Alexandra, Minyukhina, Irina, Muiesan, Maria Lorenza, Mulè, Giuseppe, Orlova, Iana, Pereira, Telmo, Peixoto Maldonado, João Manuel, Statsenko, Mikhail E., Tilea, Ioan, Waisman, Gabriel, Rogoza, Anatoli, Forcada, Pedro, Zelveian, Parounak, Butlin, Mark, Barin, Edward, Tan, Isabella, Ghiadoni, Lorenzo, Bruno, Rosa Maria, Sarzani, Riccardo, Espinosa, Emma, Volpe, Massimo, Savoia, Carmine, Tocci, Giuliano, Borghi, Claudio, Schillaci, Giuseppe, Pucci, Giacomo, Paini, Anna, Rizzoni, Damiano, Ramos, Carlos, Alanis, Adrian, Varga, Andreea, Volkov, Dmitriy, Kurlykina, Natalya, Rotar, Oxana, Orlov, Alexander, Gorbunov, Vladimir, Boytsov, Sergey, Fedorova, Elena, Korneva, Viktoria, Kuznetsova, Tatyana, Kulikova, Natalya, Evdokimov, Vitaly V., Kuznetsova, Anastasiya, Zheleznyak, Elena, Kobalava, Zhanna, Borisova, Irina, Svetozarsky, Tatiana, Gubanova, Marina, Lazareva, Viktoria, Derevyanchenko, Maria V., Kopylov, Philippe, Sirenko, Yuriy, Recovets, Oksana
Format:	Journal Article
Language:	English
Published:	United States John Wiley and Sons Inc 01-08-2019
Subjects:	Adult Aged Aorta - physiopathology Arterial Pressure - physiology Arterial Stiffness augmentation index blood pressure Blood Pressure Monitoring, Ambulatory - instrumentation Blood Pressure Monitoring, Ambulatory - methods blood pressure telemonitoring Cardiovascular Diseases - epidemiology Case-Control Studies central aortic pressure Cross-Sectional Studies Diastole Female Humans hypertension Hypertension - physiopathology Internet-Based Intervention Male Metabolic Syndrome - physiopathology Middle Aged Non-Randomized Controlled Trials as Topic Original Paper Oscillometry - instrumentation Prospective Studies Pulse Wave Analysis - methods pulse wave velocity Registries Risk Factors Systole Telemedicine - instrumentation vascular biomarkers Vascular Stiffness - physiology arterial stiffness central aortic pressure vascular biomarkers blood pressure pulse wave velocity hypertension augmentation index blood pressure telemonitoring
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Summary:	The VASOTENS Registry is an international telehealth‐based repository of 24‐hour ambulatory blood pressure monitorings (ABPM) obtained through an oscillometric upper‐arm BP monitor allowing combined estimation of some vascular biomarkers. The present paper reports the results obtained in 1200 participants according to different categories of CV risk. Individual readings were averaged for each recording and 24‐hour mean of brachial and aortic systolic (SBP) and diastolic blood pressure (DBP), pulse wave velocity (PWV), and augmentation index (AIx) obtained. Peripheral and central BP, PWV and AIx values were increased in older participants (SBP only) and in case of hypertension (SBP and DBP). BP was lower and PWV and AIx higher in females. PWV was increased and BP unchanged in case of metabolic syndrome. Our results suggest that ambulatory pulse wave analysis in a daily life setting may help evaluate vascular health of individuals at risk for CV disease.
Bibliography:	Funding information This is an investigator‐initiated study. The study coordinator, Italian Institute of Telemedicine, is the promoter and main sponsor of the study and made available its resources and facilities for conducting the trial. The authors received no specific grant from any funding agency in the public, commercial, or not‐for‐profit sectors for the preparation of the manuscript. BPLab GmbH provided the ambulatory blood pressure devices and Biotechmed Ltd. the web‐based telemedicine platform used for data collection, at no costs. These funding sources had no role in the design of the study and had no role during its execution, analyses, interpretation of the data, or decision to submit results. For this study, no additional funding source is available. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Undefined-2 See Appendix 1 for the VASOTENS Registry Study Group.
ISSN:	1524-6175 1751-7176
DOI:	10.1111/jch.13623