901-80 Auscultatory Gaps and Target Organ Damage in Hypertensive Patients

  • Chiara Cavallini, M.
  • Roman, Mary J.
  • Blank, Seymour G.
  • Pini, Riccardo
  • Pickering, Thomas G.
  • Devereux, Richard B.
Publication date
February 1995
Publisher
American College of Cardiology. Published by Elsevier Inc.
ISSN
0735-1097

Abstract

Auscultatory gaps are a common finding in clinical practice but their clinical and prognostic importance has never been assessed. To examine the relation of auscultatory gaps to left ventricular and arterial structure and function, wideband external pulse recordings during cuff deflation to detect auscultatory gaps and ultrasonographic examination of left ventricle and extracranial carotid artery were performed in 168 unmedicated, asymptomatic hypertensive subjects. Vascular stiffness was also evaluated by simultaneous carotid pressure waveforms obtained by applanation tonometry of the contralateral carotid artery. Auscultatory gaps were present in 21% of the population and were associated with older age (64±11 vs 55±13 years, p<0.0005)....

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