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Expert consensus document on arterial stiffness: methodological issues and clinical applications
Stephane Laurent1, John Cockcroft, Luc Van Bortel
1Department of Pharmacology and Hôpital Européen Georges Pompidou, Université Paris-Descartes, Faculté de Médecine, Assistance Publique-Hôpitaux de Paris, INSERM U652, 20 rue Leblanc, 75015 Paris, France. stephane.laurent@egp.ap-hop-paris.fr
Insights
Arterial stiffness is crucial for cardiovascular disease development and clinical assessment. This paper clarifies methods for measuring arterial stiffness, aiding clinicians and researchers in selecting appropriate techniques.
Area of Science:
- Cardiovascular Medicine
- Biomedical Engineering
- Vascular Physiology
Background:
- Arterial stiffness is a significant risk factor in cardiovascular disease (CVD) pathogenesis.
- Clinical assessment increasingly incorporates arterial stiffness measurements.
- Existing literature presents methodological challenges in arterial stiffness assessment.
Purpose of the Study:
- To provide a practical overview of arterial stiffness measurement methodologies.
- To address difficulties faced by clinicians and researchers in selecting appropriate methods.
- To summarize key findings from the European Network for Non-invasive Investigation of Large Arteries meetings.
Main Methods:
- Review of proceedings from European Network for Non-invasive Investigation of Large Arteries meetings.
- Synthesis of information on various arterial stiffness indices.
- Discussion of methodological aspects and clinical applications.
Main Results:
- Identification of common challenges in arterial stiffness assessment.
- Clarification of the roles of different arterial stiffness indices.
- Overview of current clinical applications.
Conclusions:
- Standardized methodologies are needed for reliable arterial stiffness assessment.
- Understanding methodological nuances is key for accurate clinical application.
- Further research and consensus are required to optimize arterial stiffness evaluation.
Abstract:
In recent years, great emphasis has been placed on the role of arterial stiffness in the development of cardiovascular diseases. Indeed, the assessment of arterial stiffness is increasingly used in the clinical assessment of patients. Although several papers have previously addressed the methodological issues concerning the various indices of arterial stiffness currently available, and their clinical applications, clinicians and researchers still report difficulties in selecting the most appropriate methodology for their specific use. This paper summarizes the proceedings of several meetings of the European Network for Non-invasive Investigation of Large Arteries and is aimed at providing an updated and practical overview of the most relevant methodological aspects and clinical applications in this area.
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