Insights in Blood Pressure

Editorial on Central Blood Pressure Management

A variety of factors that cause arterial hypertension are associated to obesity. Central blood pressure (BP) appears to be more closely associated with future cardiovascular events than peripheral blood pressure (BP). Bariatric surgery is an effective approach to control blood pressure while lowering weight in persons who are severely obese. The link between weight loss after bariatric surgery and ambulatory blood pressure monitoring, which includes both peripheral and central blood pressure, should provide light on the mechanisms of organic damage associated with high blood pressure in obesity. We examine the data to see if there is a link between central BP and obesity, as well as how it changes after bariatric surgery. Central blood pressure is a new cardiovascular risk predictor that may be assessed in the clinic using currently available technologies. This paper will examine the current state of central blood pressure monitoring, as well as its implications in cardiac and renal disorders.

Author(s):

Fadi Alfayoumi
Department of Internal Medicine, Texas University Health Sciences Center, USA

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