Predictive value of non-invasive hemodynamic measurement by means of impedance cardiography in hypertensive subjects older than 50 years of age

Clin Exp Hypertens. 2014;36(5):280-4. doi: 10.3109/10641963.2013.810232. Epub 2013 Sep 18.

Abstract

The prognostic value of impedance cardiography (ICG; cardiac index [CI] and systemic vascular resistance index [SVRI] were measured) was assessed in this retrospective cohort study. A total of 1151 hypertensive outpatients >50 years with a baseline ICG were included. After median follow-up of 3.9 years, for the composite endpoint of cardiovascular events and stroke, adjusted HR for each 500 ml/min/m(2) CI increase was 0.85 (CI95% 0.73-0.9, p = 0.039), and for each 500 dynes s cm(-5) SVRI increase was 1.11 (CI95% 1.01-1.23, p = 0.046), whereas adjusted HR for all-cause mortality was not significant. ICG adds prognostic value to conventional risk factors in hypertensive patients.

Keywords: Cardiovascular morbidity; hypertension; impedance cardiography; mortality; prognosis.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cardiography, Impedance / methods
  • Female
  • Hemodynamics / physiology*
  • Humans
  • Hypertension / diagnosis*
  • Hypertension / physiopathology
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Prognosis
  • Retrospective Studies
  • Stroke / diagnosis*