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Dr. C Venkata S Ram: Central Aortic Blood Pressure Is The Future

Central aortic blood pressure is a better marker of overall cardiovascular function
Dr.C.Venkata S Ram, Director of Apollo Institute for Blood Pressure Managemant, Apollo Blood Pressure Clinics, Hyderabad
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Dr. C Venkata S Ram

Director of Apollo Institute for Blood Pressure Management

Apollo Blood Pressure Clinics,Hyderabad


The blood pressure we see in the arm is not the same as that of the aorta. And that’s why some patients, despite good blood pressure control, continue to have progression of vascular disease. “The blood pressure generated by the heart or central aortic blood pressure (CAP) is more sensitive than brachial blood pressure (measured in the arm) in predicting cardiovascular risk. This is the blood pressure experienced by vital organs like the brain, the heart and the kidney, which are majorly affected by untreated and uncontrolled hypertension,” says Dr. C Venkat S Ram in an interview with Dr. Manish Verma. “With advancement in technology, one can estimate CAP in a noninvasive way by looking at the pulse wave analysis (PWA).” “In the strong heart epidemiological prospective study, CAP greater than 50 mmHg was associated with significant cardiovascular disease. For every 10% increase in CAP, there is 30 to 35% increase in cardiovascular morbidity and mortality.” “Antihypertensive drugs, despite similar effects on brachial blood pressure may have dissimilar effects on CAP. Vasoactive calcium channel blocking drugs and angiotensin converting enzyme inhibitors appear to lower CAP.” “CKD, diabetes and perhaps even obstructive sleep apnea are the three comorbidities accompanying hypertension, where CAP is usually higher than brachial blood pressure.” “In the near future, CAP may become useful in making early diagnosis of hypertension and preventing its progression.”


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Role of Coronary Intervention

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Dr.Sushil Kumbhat

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Dr.Sushil Kumbhat

Sr. Cardiologist

Vardhman Iccu & Nursing Home, Mumbai



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