The Importance of Ambulatory Venous Hypertension Should Be Revised

Jiří Spáčil

doi:doi:10.11648/j.ccr.20190301.14

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The Importance of Ambulatory Venous Hypertension Should Be Revised

Jiří Spáčil

Published in Cardiology and Cardiovascular Research (Volume 3, Issue 1)

Received: 6 January 2019 Accepted: 27 February 2019 Published: 26 March 2019

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Abstract

Inadequate decrease of venous pressure in patients with varicose vein while walking and exercising is called ambulatory venous hypertension (AVH). It has been considered as the main cause of chronic venous insufficiency. However, venous pressure in lower limbs while standing (95 mmHg) and sitting (70 mmHg) remains higher most of the day compared to AVH (healthy persons 26 mmHg, patients with varicose veins 41 mmHg). Published values of venous pressure in lower limbs in healthy persons and in patients with varicose veins in lower limbs, obtained while lying, standing, standing with small movements, sitting and walking, and the reported times, were used to calculate the mean venous pressure for 24 hours. Photoplethysmographic testing was used for indirect evaluation of venous haemodynamics in intensive and moderate exercise in sitting subjects. Patients with varicose veins restrict standing times; taking into account this fact, mean venous pressure for 24 hours reached 48.71 mmHg in healthy persons and 49.56 mmHg in patients with varicose vein (CEAP C2 stage). The difference is very small and cannot be the fundamental pathophysiological mechanism of development of venous insufficiency. Conclusion: 24-hour venous pressure in legs in healthy persons and in persons with varicose veins in lower limbs shows only a very small difference. The importance of AVH, particularly in initial stages of the disease, should be revised.

Published in	Cardiology and Cardiovascular Research (Volume 3, Issue 1)
DOI	10.11648/j.ccr.20190301.14
Page(s)	14-17
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Ambulatory Venous Hypertension, Venous Pressure, Varicose Vein

References

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APA Style

Jiří Spáčil. (2019). The Importance of Ambulatory Venous Hypertension Should Be Revised. Cardiology and Cardiovascular Research, 3(1), 14-17. https://doi.org/10.11648/j.ccr.20190301.14

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ACS Style

Jiří Spáčil. The Importance of Ambulatory Venous Hypertension Should Be Revised. Cardiol. Cardiovasc. Res. 2019, 3(1), 14-17. doi: 10.11648/j.ccr.20190301.14

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AMA Style

Jiří Spáčil. The Importance of Ambulatory Venous Hypertension Should Be Revised. Cardiol Cardiovasc Res. 2019;3(1):14-17. doi: 10.11648/j.ccr.20190301.14

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@article{10.11648/j.ccr.20190301.14,
  author = {Jiří Spáčil},
  title = {The Importance of Ambulatory Venous Hypertension Should Be Revised},
  journal = {Cardiology and Cardiovascular Research},
  volume = {3},
  number = {1},
  pages = {14-17},
  doi = {10.11648/j.ccr.20190301.14},
  url = {https://doi.org/10.11648/j.ccr.20190301.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20190301.14},
  abstract = {Inadequate decrease of venous pressure in patients with varicose vein while walking and exercising is called ambulatory venous hypertension (AVH). It has been considered as the main cause of chronic venous insufficiency. However, venous pressure in lower limbs while standing (95 mmHg) and sitting (70 mmHg) remains higher most of the day compared to AVH (healthy persons 26 mmHg, patients with varicose veins 41 mmHg). Published values of venous pressure in lower limbs in healthy persons and in patients with varicose veins in lower limbs, obtained while lying, standing, standing with small movements, sitting and walking, and the reported times, were used to calculate the mean venous pressure for 24 hours. Photoplethysmographic testing was used for indirect evaluation of venous haemodynamics in intensive and moderate exercise in sitting subjects. Patients with varicose veins restrict standing times; taking into account this fact, mean venous pressure for 24 hours reached 48.71 mmHg in healthy persons and 49.56 mmHg in patients with varicose vein (CEAP C2 stage). The difference is very small and cannot be the fundamental pathophysiological mechanism of development of venous insufficiency. Conclusion: 24-hour venous pressure in legs in healthy persons and in persons with varicose veins in lower limbs shows only a very small difference. The importance of AVH, particularly in initial stages of the disease, should be revised.},
 year = {2019}
}

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TY  - JOUR
T1  - The Importance of Ambulatory Venous Hypertension Should Be Revised
AU  - Jiří Spáčil
Y1  - 2019/03/26
PY  - 2019
N1  - https://doi.org/10.11648/j.ccr.20190301.14
DO  - 10.11648/j.ccr.20190301.14
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 14
EP  - 17
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20190301.14
AB  - Inadequate decrease of venous pressure in patients with varicose vein while walking and exercising is called ambulatory venous hypertension (AVH). It has been considered as the main cause of chronic venous insufficiency. However, venous pressure in lower limbs while standing (95 mmHg) and sitting (70 mmHg) remains higher most of the day compared to AVH (healthy persons 26 mmHg, patients with varicose veins 41 mmHg). Published values of venous pressure in lower limbs in healthy persons and in patients with varicose veins in lower limbs, obtained while lying, standing, standing with small movements, sitting and walking, and the reported times, were used to calculate the mean venous pressure for 24 hours. Photoplethysmographic testing was used for indirect evaluation of venous haemodynamics in intensive and moderate exercise in sitting subjects. Patients with varicose veins restrict standing times; taking into account this fact, mean venous pressure for 24 hours reached 48.71 mmHg in healthy persons and 49.56 mmHg in patients with varicose vein (CEAP C2 stage). The difference is very small and cannot be the fundamental pathophysiological mechanism of development of venous insufficiency. Conclusion: 24-hour venous pressure in legs in healthy persons and in persons with varicose veins in lower limbs shows only a very small difference. The importance of AVH, particularly in initial stages of the disease, should be revised.
VL  - 3
IS  - 1
ER  -

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Jiří Spáčil

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APA Style

Jiří Spáčil. (2019). The Importance of Ambulatory Venous Hypertension Should Be Revised. Cardiology and Cardiovascular Research, 3(1), 14-17. https://doi.org/10.11648/j.ccr.20190301.14

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ACS Style

Jiří Spáčil. The Importance of Ambulatory Venous Hypertension Should Be Revised. Cardiol. Cardiovasc. Res. 2019, 3(1), 14-17. doi: 10.11648/j.ccr.20190301.14

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AMA Style

Jiří Spáčil. The Importance of Ambulatory Venous Hypertension Should Be Revised. Cardiol Cardiovasc Res. 2019;3(1):14-17. doi: 10.11648/j.ccr.20190301.14

Copy | Download

@article{10.11648/j.ccr.20190301.14,
  author = {Jiří Spáčil},
  title = {The Importance of Ambulatory Venous Hypertension Should Be Revised},
  journal = {Cardiology and Cardiovascular Research},
  volume = {3},
  number = {1},
  pages = {14-17},
  doi = {10.11648/j.ccr.20190301.14},
  url = {https://doi.org/10.11648/j.ccr.20190301.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20190301.14},
  abstract = {Inadequate decrease of venous pressure in patients with varicose vein while walking and exercising is called ambulatory venous hypertension (AVH). It has been considered as the main cause of chronic venous insufficiency. However, venous pressure in lower limbs while standing (95 mmHg) and sitting (70 mmHg) remains higher most of the day compared to AVH (healthy persons 26 mmHg, patients with varicose veins 41 mmHg). Published values of venous pressure in lower limbs in healthy persons and in patients with varicose veins in lower limbs, obtained while lying, standing, standing with small movements, sitting and walking, and the reported times, were used to calculate the mean venous pressure for 24 hours. Photoplethysmographic testing was used for indirect evaluation of venous haemodynamics in intensive and moderate exercise in sitting subjects. Patients with varicose veins restrict standing times; taking into account this fact, mean venous pressure for 24 hours reached 48.71 mmHg in healthy persons and 49.56 mmHg in patients with varicose vein (CEAP C2 stage). The difference is very small and cannot be the fundamental pathophysiological mechanism of development of venous insufficiency. Conclusion: 24-hour venous pressure in legs in healthy persons and in persons with varicose veins in lower limbs shows only a very small difference. The importance of AVH, particularly in initial stages of the disease, should be revised.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - The Importance of Ambulatory Venous Hypertension Should Be Revised
AU  - Jiří Spáčil
Y1  - 2019/03/26
PY  - 2019
N1  - https://doi.org/10.11648/j.ccr.20190301.14
DO  - 10.11648/j.ccr.20190301.14
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 14
EP  - 17
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20190301.14
AB  - Inadequate decrease of venous pressure in patients with varicose vein while walking and exercising is called ambulatory venous hypertension (AVH). It has been considered as the main cause of chronic venous insufficiency. However, venous pressure in lower limbs while standing (95 mmHg) and sitting (70 mmHg) remains higher most of the day compared to AVH (healthy persons 26 mmHg, patients with varicose veins 41 mmHg). Published values of venous pressure in lower limbs in healthy persons and in patients with varicose veins in lower limbs, obtained while lying, standing, standing with small movements, sitting and walking, and the reported times, were used to calculate the mean venous pressure for 24 hours. Photoplethysmographic testing was used for indirect evaluation of venous haemodynamics in intensive and moderate exercise in sitting subjects. Patients with varicose veins restrict standing times; taking into account this fact, mean venous pressure for 24 hours reached 48.71 mmHg in healthy persons and 49.56 mmHg in patients with varicose vein (CEAP C2 stage). The difference is very small and cannot be the fundamental pathophysiological mechanism of development of venous insufficiency. Conclusion: 24-hour venous pressure in legs in healthy persons and in persons with varicose veins in lower limbs shows only a very small difference. The importance of AVH, particularly in initial stages of the disease, should be revised.
VL  - 3
IS  - 1
ER  -

Copy | Download