Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Evolution of ambulatory measurement of blood pressure and parameters of arterial stiffness over a 1-year period in patients with systemic sclerosis: ERAMS study

Abstract

Patients with systemic sclerosis commonly exhibit increased arterial stiffness, which may be predictive of the overall severity of the disease. The aim of the present study was to check the stability of parameters of arterial stiffness after 1 year in this population. ERAMS is a French multicentric prospective study designed to identify a link between arterial distensibility and outcome in 100 patients with systemic sclerosis. Arterial distensibility was evaluated by 24-h ambulatory monitoring of QKD interval along with blood pressure (BP) and heart rate (HR) (four measurements/hour). The index QKD100–60, which is linked to aortic distensibility, was calculated automatically. QKD100–60 is the value of QKD (which depends on pulse wave velocity) for 100 mm Hg sBP and 60 bpm HR. The reproducibility of QKD100–60 was assessed on the first patients to be followed up for a complete year. So far the 100 patients have been recruited from 14 participating centres and 48 were re-evaluated after 1 year. QKD100–60 was highly reproducible: 201 ± 6 vs202 ± 18 msec, standard deviation of difference = 13 msec. In conclusion: determination of QKD100–60 to assess arterial stiffness gives stable results over 1 year in patients with systemic sclerosis.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  1. Gosse P et al. Prognostic value of ambulatory measurement of the timing of Korotkoff sounds in elderly hypertensives: a pilot study Am J Hypertens 1997 10: 552–557

    Article  CAS  PubMed  Google Scholar 

  2. Laurent S et al. Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensivepatients Hypertension 2001 37: 1236–1241

    Article  CAS  PubMed  Google Scholar 

  3. Blacher J et al. Carotid arterial stiffness as a predictor of cardiovascular and all-cause mortality in end-stage renal disease Hypertension 1998 32: 570–574

    Article  CAS  PubMed  Google Scholar 

  4. Constans J et al. Alteration of arterial distensibility in systemic sclerosis J Intern Med 1997 241: 115–118

    Article  CAS  PubMed  Google Scholar 

  5. Spieker C, Barenbrok M, Zidek W . Stiffness of systemic arteries inpatients with progressive systemic sclerosis Hypertension 1995 25: 196

    Google Scholar 

  6. Veale DJ, Collidge TA, Belch JJ . Increased prevalence of symptomatic macrovascular disease in systemic sclerosis Ann Rheum Dis 1995 54: 853–855

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Subcommittee for scleroderma criteria of the American Rheumatism Association Diagnostic and Therapeutic Committee. Preliminary criteria for the classification of systemic sclerosis (scleroderma) Arthritis Rheum 1980 23: 581–590

  8. Yates JW, Chalmer B, Mc Kegney FP . Evaluation ofpatients with advances cancer using the Karnofsky performance status Cancer 1980 45: 2220–2224

    Article  CAS  PubMed  Google Scholar 

  9. Kahaleh MB et al. A modified scleroderma skin scoring method Clin Exp Rheumatol 1986 4: 367–369

    CAS  PubMed  Google Scholar 

  10. Gosse P et al. Ambulatory measurement of the QKD interval normalized to heart rate and systolic blood pressure to assess arterial distensibility – value of QKD100-60 Blood Press Monit 2001 6: 85–89

    Article  CAS  PubMed  Google Scholar 

  11. Gosse P et al. Ambulatory measurement of the timing of Korotkoff sounds in a group of normal subjects: influence of age and height Am J Hypertens 1999 12: 231–235

    Article  CAS  PubMed  Google Scholar 

  12. Gosse P, Guillo P, Ascher G, Clementy J . Assessment of arterial distensibility by monitoring the timing of Korotkoff sounds Am J Hypertens 1994 7: 228–233

    Article  CAS  PubMed  Google Scholar 

  13. Bulpitt CJ et al. The effect of age on vascular compliance in man: which are the appropriate measures? J Hum Hypertens 1999 13: 753–758

    Article  CAS  PubMed  Google Scholar 

  14. Abassade P, Baudouy PY, Gobet L, Lhosmot JP . Comparison of two indices of arterial distensibility: temporal apparitions of Korotkoff sounds and pulse wave velocity. A Doppler echocardiography and ambulatory blood pressure monitoring study Arch Mal Coeur Vaiss 2001 94: 23–30

    CAS  PubMed  Google Scholar 

  15. Gosse P et al. Assessment of arterial distensibility by ambulatory monitoring of QKD interval. Reproducibility of the method Arch Mal Coeur Vaiss 1996 89: 975–977

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

Study supported by the Programme Hospitalier de Recherche Clinique, the Société Nationale Française de Médecine Interne, the Groupe de recherche sur les Sclérodermies and the Association des Sclérodermiques de France.

Author information

Authors and Affiliations

Authors

Consortia

Corresponding author

Correspondence to P Gosse.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gosse, P., Taillard, J., Constans, J. et al. Evolution of ambulatory measurement of blood pressure and parameters of arterial stiffness over a 1-year period in patients with systemic sclerosis: ERAMS study. J Hum Hypertens 16, 627–630 (2002). https://doi.org/10.1038/sj.jhh.1001466

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.jhh.1001466

Keywords

This article is cited by

Search

Quick links