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Age, hypertension and arterial function.

Carmel M McEniery1, Ian B Wilkinson, Albert P Avolio

  • 1Clinical Pharmacology Unit, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK. cmm41@cam.ac.uk

Clinical and Experimental Pharmacology & Physiology
|June 22, 2007
PubMed
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Aging increases aortic stiffness, impacting cardiovascular health. Hypertension complicates arterial stiffness measurements, necessitating new therapies targeting large arteries directly for better cardiovascular outcomes.

Area of Science:

  • Cardiovascular physiology
  • Gerontology
  • Vascular biology

Background:

  • Aging significantly affects the cardiovascular system, particularly large arteries, leading to increased aortic stiffness.
  • Arterial stiffness is closely linked to hypertension, but the relationship is complex due to confounding factors like mean arterial pressure.
  • Existing studies show stiffer peripheral and central arteries in hypertensive individuals, with isolated systolic hypertension uniquely affecting aortic stiffness.

Purpose of the Study:

  • To review the impact of aging on arterial stiffness.
  • To explore the complex relationship between arterial stiffness and hypertension.
  • To discuss current and potential future therapeutic strategies for reducing arterial stiffness.

Main Methods:

  • Review of cross-sectional studies assessing arterial stiffness using various techniques.

Related Experiment Videos

  • Analysis of the influence of mean arterial pressure as a confounder in arterial stiffness measurements.
  • Examination of evidence regarding arterial stiffness in different types of hypertension.
  • Main Results:

    • Aging is associated with increased aortic stiffness, while peripheral artery changes are less pronounced.
    • Hypertension, particularly mixed and isolated systolic types, is linked to increased arterial stiffness.
    • Current antihypertensive drugs primarily reduce stiffness indirectly by lowering blood pressure.

    Conclusions:

    • Directly targeting large artery stiffness is crucial for effective cardiovascular treatment.
    • Functional therapies like nitric oxide donors and phosphodiesterase inhibitors show promise.
    • Inhibiting advanced glycation end-product cross-links offers a potential therapeutic avenue for reducing arterial stiffness.