ArticleAmerican journal of hypertension2018
ECG Voltage in Relation to Peripheral and Central Ambulatory Blood Pressure.
Article in American journal of hypertension, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Risk Stratification by Cross-Classification of Central and Brachial Systolic Blood Pressure.Hypertension (Dallas, Tex. : 1979) · 2022Pooled it
- Twenty-Four-Hour Central Ambulatory Blood Pressure: Relationship With Measures of Cardiovascular Subclinical Organ Damage in Healthy Individuals.Journal of the American Heart Association · 2026Article
- Pharmacological treatment of hypertension guided by peripheral or central blood pressure: a comparison between the two strategies.Frontiers in cardiovascular medicine · 2023Article
- Ambulatory monitoring of central arterial pressure, wave reflections, and arterial stiffness in patients at cardiovascular risk.Journal of human hypertension · 2022Review
- 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.Journal of clinical hypertension (Greenwich, Conn.) · 2019Observational
- Current evidence suggests that estimating blood pressure from convenient ECG waveforms alone is not viable.Journal of electrocardiologyReview
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12 authors at 3 institutions in 3 countries.
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Abstract
backgroundThe heart ejects in the central elastic arteries. No previous study in workers described the diurnal profile of central blood pressure (BP) or addressed the question whether electrocardiogram (ECG) indexes are more closely associated with central than peripheral BP.
methodsIn 177 men (mean age, 29.1 years), we compared the associations of ECG indexes with brachial and central ambulatory BP, measured over 24 hours by the validated oscillometric Mobil-O-Graph 24h PWA monitor.
resultsFrom wakefulness to sleep, as documented by diaries, systolic/diastolic BP decreased by 11.7/13.1 mm Hg peripherally and 9.3/13.6 mm Hg centrally, whereas central pulse pressure (PP) increased by 4.3 mm Hg (P < 0.0001). Over 24 hours and the awake and asleep periods, the peripheral-minus-central differences in systolic/diastolic BPs averaged 11.8/-1.6, 12.7/-1.8, and 10.3/-1.2 mm Hg, respectively (P < 0.0001). Cornell voltage and index averaged 1.18 mV and 114.8 mV·ms. Per 1-SD increment in systolic/diastolic BP, the Cornell voltages were 0.104/0.086 mV and 0.082/0.105 mV higher in relation to brachial 24-hour and asleep BP and 0.088/0.90 mV and 0.087/0.107 mV higher in relation to central BP. The corresponding estimates for the Cornell indexes were 9.6/8.6 and 8.2/10.5 mV·ms peripherally and 8.6/8.9 and 8.8/10.7 mV·ms centrally. The regression slopes (P ≥ 0.067) and correlation coefficients (P ≥ 0.088) were similar for brachial and central BP. Associations of ECG measurements with awake BP and PP were not significant.
conclusionsPeripheral and central BPs run in parallel throughout the day and are similarly associated with the Cornell voltage and index.
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