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Published on: December 2, 2014
Arterial stiffness: clinical relevance, measurement, and treatment
1State University of New York at Buffalo, USA.
Insights
Arterial stiffness, a known sign of poor prognosis, is linked to aging and hypertension. Recent advances suggest better recognition and treatment of vascular stiffening can improve patient outcomes.
Area of Science:
- Cardiovascular medicine
- Gerontology
- Vascular biology
Background:
- Arterial stiffness, historically recognized, is associated with aging and systolic hypertension.
- Despite its prognostic significance, age-related arterial stiffening is often overlooked in clinical practice.
- Clinicians may underestimate the potential for intervention in vascular stiffening.
Purpose of the Study:
- To highlight the clinical significance of age-related arterial stiffness.
- To emphasize the need for improved recognition of vascular stiffening in hypertension management.
- To suggest that advancements in understanding arterial stiffness will improve patient therapy and outcomes.
Main Methods:
- Review of historical and contemporary medical literature.
- Analysis of the association between aging, arterial stiffness, and hypertension.
- Discussion of recent developments in the clinical recognition and management of vascular stiffening.
Main Results:
- The link between aging, arterial stiffness, and hypertension is well-established.
- Age-related arterial stiffening has significant adverse prognostic implications.
- Current clinical practice may not adequately address the consequences of vascular stiffening.
Conclusions:
- Improved clinical recognition of age-related vascular stiffening is crucial.
- Advancements in understanding arterial stiffness offer potential for better therapeutic strategies.
- Enhanced management of vascular stiffening can lead to improved outcomes for patients with hypertension.
Abstract:
Hardening of the pulse, first described thousands of years ago by Chinese healers, was known even then to be an adverse prognostic sign. In Western medicine, the association of aging, increased large-arterial stiffness, and systolic hypertension has been recognized for more than a century. Yet the adverse consequences of age-related arterial stiffness still receive little attention in everyday clinical practice, perhaps because clinicians assume that nothing can be done about the process. Recent developments, however, suggest that improved clinical recognition of age-related vascular stiffening will lead to better therapy and improved outcomes for patients with hypertension.
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