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The Arterial System in Hypertension (Paperback, Softcover reprint of the original 1st ed. 1993)
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The Arterial System in Hypertension (Paperback, Softcover reprint of the original 1st ed. 1993)
Series: Developments in Cardiovascular Medicine, 144
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MICHEL E. SAFAR and MICHAEL F. O'ROURKE One of the principal
problems of hypertension is the precise definition of blood
pressure as a cardiovascular risk factor. Clinicians indicate peak
systolic pressure and end diastolic pressure in the brachial artery
as the principal criteria for blood pressure measurement.
Consequently, these values are as indicators for clinical
management and therapeutic adjustment. This used methodology, based
on indirect blood pressure measurements at the site of the brachial
artery relates only to the highest and lowest pressure in that
vessel, and does not give any information of the blood pressure
curve itself; this carries more information than peak systolic
pressure and end diastolic pressure. As a first step in better
analysis of the blood pressure curve, research workers in
experimental hypertension defined in addition to peak systolic
pressure and end diastolic, another blood pressure value, mean
arterial pressure, i. e. the average pressure throughout the
cardiac cycle, and about which pressure fluctuates. This is the
pressure recorded by Hales [1] and by Poiseuille [2] in their
pioneering studies. By application of Poiseuille's Law, this
definition of mean arterial pressure led to the concept that
increased mean arterial pressure (and therefore hypertension) was
related, at any given value of cardiac output, to an increase in
vascular resistance, i. e. to a reduc tion in the caliber of the
small arteries.
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