A Case Demonstrating the Cardio-Vascular Interaction by a New Cardio-Ankle Vascular Index During the Treatment of Concentric Hypertrophy

Kazuhiro Shimizu, Tsuyoshi Tabata, Hajime Kiyokawa, Yukihiro Morinaga, Shuji Sato, Hiroshi Mikamo, Takahiro Nakagami, Takuo Iiduka, Kohji Shirai, Mahito Noro

Abstract


A 42-year-old hypertensive woman came to our hospital suffering from shortness of breath. Her left ventricular mass index (LVMI) was increased, and a new arterial stiffness index, cardio-ankle vascular index (CAVI), was also elevated. By treating hypertension (HT), diabetes mellitus (DM) and obstructive sleep apnea (OSA), her left ventricular concentric hypertrophy was improved, accompanying with a decrease in CAVI. These observations suggested that arterial stiffness monitored with CAVI might be involved in cardiac hypertrophy. This cardio-vascular interaction could be demonstrated at the first time by monitoring CAVI, which is not affected by blood pressure (BP) at measuring time.




Cardiol Res. 2019;10(1):54-58
doi: https://doi.org/10.14740/cr812

Keywords


Hypertension; Left ventricular mass index; Global longitudinal strain; Concentric hypertrophy; Cardio-ankle vascular index; Cardio-vascular interaction

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