Relationship Between the Progression of Coronary Artery Disease and Pulse Pressure Index: A Cross-Sectional Work

Karadavut S., KELEŞOĞLU Ş., ELÇİK D.

Angiology, vol.74, no.7, pp.687-692, 2023 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 74 Issue: 7
  • Publication Date: 2023
  • Doi Number: 10.1177/00033197221124765
  • Journal Name: Angiology
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, CINAHL, EMBASE, Food Science & Technology Abstracts, MEDLINE
  • Page Numbers: pp.687-692
  • Keywords: ambulatory blood pressure monitoring, coronary artery disease, pulse pressure, pulse pressure index, INTIMA-MEDIA THICKNESS, MYOCARDIAL-INFARCTION, CARDIOVASCULAR RISK, BLOOD-PRESSURE, ATHEROSCLEROSIS, HYPERTENSION, STIFFNESS
  • Kayseri University Affiliated: No

Abstract

© The Author(s) 2022.This study sought to analyze the relationship between pulse pressure (PP) index (PPI) (PP/systolic blood pressure; a less variable and objective form of PP) and coronary artery disease (CAD) progression. A registry of 193 patients was evaluated to show CAD progression by comparing current vs previous (6 months to 3 years prior) angiograms. One day after the second angiogram, we conducted ambulatory blood pressure measurements on the patients. Of the 193 patients, 65 (34%) had CAD progression. The PP and PPI were significantly higher in the progression than in the non-progression group (55 ± 12 vs. 51 ± 10 mmHg, P =.02 and.47 ±.06 vs.42 ±.05, P =.004, respectively). Also, the PP and PPI were independently predictive of CAD progression (OR = 1.03, P =.03 and OR = 6.47, P =.01, respectively). Moreover, the correlation of PPI with low-density lipoprotein cholesterol and glycosylated hemoglobin was greater than their correlation with PP. In addition, PPI predicted CAD progression better than PP (area under the curve [AUC] =.649 vs.574, P =.03). Elevated PP and PPI may be associated with the progression of CAD. PPI seems more successful in predicting CAD progression than PP.