Abstract 314: Arterial Stiffness and Pulse Pressure Variability

Blood pressure variability (BPV) is associated with adverse cardiovascular outcomes. Factors determining BPV are unclear. Arterial stiffness manifested by pulse pressure (PP) may be related to BPV, and is reflected in the pulse wave velocity (PWV), as well as the regression of diastolic on systolic pressure determined by the Ambulatory Arterial Stiffness Index (AASI). We hypothesized that arterial stiffness was associated with PP variability (PPVAR) and determined arterial stiffness using AASI and PWV. Ambulatory blood pressure (BP) data from untreated subjects (n=56, 28 men) with SBP >130 to AASI correlated positively with day PPVAR (r=0.57, p The relationship between AASI and PPVAR was only evident when the blood pressure periods were broken down into day and night. The 24 hour regression relationship of diastolic on systolic blood pressure with PPVAR appears different between day or night compared with the 24 hour aggregate, suggesting circadian differences in factors which modify PPVAR. Poor PWV correlation with PPVAR is likely due to relatively young age of our subjects.