The measurement of central blood pressure and arterial stiffness has become an essential diagnostic tool in the modern cardiovascular medicine and this fact has been confirmed by the recent 2013 European Society of Hypertension/ESC Guidelines for the management of arterial hypertension.
(Journal of Hypertension 2013, 31:1281 – 1357).
3.1.6 Central blood pressure
“The measurement of central BP in hypertensive patients raises in creasing interest because of both its predictive value for CV events and the differential effect of antihypertensive drugs, compared with brachial BP….”
3.7.2.2 Pulse wave velocity
….Aortic stiffness has independent predictive value for fatal and nonfatal CV events in hypertensive patients. The additive value of PWV above and beyond traditional risk factors, including SCORE and Framingham risk score, has been quantified in a number of studies. In addition, a substantial proportion of patients at intermediate risk could be reclassified into a higher or lower CV risk, when arterial stiffness is measured”.
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