• 作者：Juliá ; n Roldá ; n ; Pedro Morillas ; ^{pedromorillas@teleline.es} ; Juan Quiles ; Jesú ; s Castillo ; Helder Andrade ; Vicente Bertomeu-Martí ; nez
• 关键词：Hipertensió ; n arterial ; &Iacute ; ndice tobillo-brazo ; Circulació ; n
• 刊名：Medicina Cl篓陋nica
• 出版年：2012
• 期刊代码：pca254_00257753
• 类别：med
• 出版时间：16 June, 2012
• 卷：139
• 期：2
• 页码：61-64
• 文件大小：225 K

class="h4">Background and objective

The guidelines for arterial hypertension recommend a systematic determination of ankle-brachial index (ABI) in the initial risk stratification in hypertensive patients, while not indicating whether controls should be evolutionary. Our aim was to analyze the evolution of the ABI value in hypertensive patients in terms of control of blood pressure (BP) after one year follow-up.

class="h4">Patients and methods

We included 209 hypertensive patients, in whom ABI was determined at baseline and after one year of antihypertensive treatment. Patients were divided into 2 groups in terms of good/poor clinical control of BP (< 140/90 mmHg).

class="h4">Results

A total of 82.8%of the population showed a good control of the BP after one year of treatment and it was associated with significant increase in the ABI value (1.081 versus 1.046 at baseline, P = .002). By contrast, there was no difference of ABI value in patients with poor BP control (1.054 versus 1.093 at baseline).

class="h4">Conclusions

A good clinical control of BP is associated with an increase in the value of the ABI.