Arterial disease but not hypertension predisposes to varicose veins

L A Mäkivaara1, T M Ahti, T Luukkaala

  • 1School of Public Health, 33014 University of Tampere, Finland. liisa.makivaara@uta.fi

Phlebology
|May 10, 2008
PubMed

Insights

Individuals with arterial disease (AD) face a higher risk of developing varicose veins (VV). Hypertension does not appear to significantly increase VV risk. This study highlights AD as a key risk factor for VV.

Area of Science:

  • Vascular Medicine
  • Epidemiology
  • Cardiovascular Health

Background:

  • Cardiovascular diseases (CVD) encompass conditions like arterial disease (AD) and hypertension.
  • Varicose veins (VV) are a common vascular condition with multifactorial causes.
  • The relationship between specific CVDs and VV risk requires further elucidation.

Purpose of the Study:

  • To investigate the association between CVD (specifically AD and hypertension) and the risk of developing varicose veins (VV).
  • To compare the prevalence and incidence of VV in individuals with and without AD or hypertension.

Main Methods:

  • A population-based study involving 4903 participants aged 40, 50, and 60 years in Tampere, Finland.
  • Validated questionnaires were used to assess VV prevalence and incidence over a five-year follow-up period.
  • Analysis focused on new VV occurrences in individuals without pre-existing VV (n=3065).

Main Results:

  • A higher prevalence of VV was observed in individuals with CVD (OR 1.3).
  • Arterial disease (AD) was associated with increased VV prevalence (OR 1.7) and incidence (IOR 1.4, significant in women).
  • Hypertension showed no significant association with increased VV prevalence (OR 1.1) or incidence (IOR 1.1).

Conclusions:

  • Arterial disease (AD) presents a significant additional risk factor for varicose veins (VV).
  • Hypertension does not appear to confer a substantial additional risk for VV development.
  • These findings emphasize the importance of considering arterial health in VV risk assessment.
Abstract

Related Concept Videos

Varicose Veins I: Introduction01:26

Varicose Veins I: Introduction

Varicose veins, or varicosities, are abnormally dilated and twisted superficial veins caused by venous valve incompetence. This condition commonly affects the lower extremities, especially the saphenous veins, due to the higher pressure from prolonged standing and walking. However, varicosities can also occur in other areas, such as the esophagus, vulva, spermatic cords, and anorectal region.Etiology and typesPrimary varicose veins, often idiopathic, are more common in women due to inherent...
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
Veins01:17

Veins

Veins are an integral part of our circulatory system, serving as the blood vessels that transport blood from all body regions to the heart. They are a network of hollow tubes that carry blood low in oxygen from the body's cells back to the heart for reoxygenation. Veins are crucial for maintaining the body's overall fluid balance and the continuous circulation of blood.
Structure of Veins:
The structure of veins is specifically designed to assist in the low-pressure transportation of blood...