Asymmetric dimethylarginine and augmentation index in newly diagnosed patients with hypertension

新诊断高血压患者的不对称二甲基精氨酸和增强指数

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作者:Mustafa Cakar, Fatih Bulucu, Murat Karaman, Seyit Ahmet Ay, Ömer Kurt, Şevket Balta, Sait Demirkol, Hakan Sarlak, Muharrem Akhan, Battal Altun, Halil Yaman, Erol Arslan, Şeref Demirbaş, Kenan Sağlam

Abstract

Pulse wave velocity (PWV), augmentation index (Aix), and central aortic pressure (CAP) are arterial stiffness markers of endothelial dysfunction (ED). We investigated the relationship between arterial stiffness parameters and asymmetric dimethylarginine (ADMA; a marker of ED), in newly diagnosed patients with hypertension (n = 101; 61 females). These patients were investigated in accordance with the recommendations of hypertension guidelines. Arterial stiffness was measured, and serum ADMA and C-reactive protein (CRP; a marker of inflammation) levels were determined. In both women and men, there was no difference in terms of age, body mass index, systolic and diastolic blood pressures, PWV, CAP and the levels of ADMA, while Aix and CRP levels were significantly higher in women (P = .004, P = .046, respectively). In the whole group, ADMA levels correlated with Aix (Pearson r = .237, P = .024). Our findings provide further evidence of a link between arterial stiffness and ED in newly diagnosed patients with hypertension.

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