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Published on: October 19, 2016
Arterial stiffness: a brief review
Najeeb A Shirwany1, Ming-hui Zou
1Department of Medicine, University of Oklahoma Health Science Center, Oklahoma City, 73104, USA.
Insights
Arterial stiffening, a key aspect of vascular aging, significantly increases cardiovascular disease risk. New methods offer better assessment of this condition for improved diagnostics and patient outcomes.
Area of Science:
- Cardiovascular Medicine
- Gerontology
- Biomedical Engineering
Background:
- Physical stiffening of large arteries is central to vascular aging.
- Arterial stiffness contributes to major cardiovascular diseases and mortality.
- Accurate measures of arterial stiffness are crucial for diagnosis and prediction.
Purpose of the Study:
- To review structural and pathophysiological determinants of vascular stiffening.
- To discuss implications for vascular research and medicine.
- To critically evaluate new techniques for assessing arterial stiffness.
Main Methods:
- Literature review of structural and pathophysiological determinants.
- Analysis of implications for clinical practice and research.
- Critical appraisal of novel vascular stiffness assessment techniques.
Main Results:
- Vascular stiffening is a significant risk factor for hypertension, stroke, and heart failure.
- Arterial stiffness assessment aids in disease diagnosis and prognosis.
- Emerging techniques offer improved accuracy and less invasiveness.
Conclusions:
- Understanding vascular stiffening is critical for managing age-related cardiovascular diseases.
- Advanced assessment methods enhance diagnostic and predictive capabilities.
- Further research into arterial stiffness is vital for medical advancements.
Abstract:
Physical stiffening of the large arteries is the central paradigm of vascular aging. Indeed, stiffening in the larger central arterial system, such as the aortic tree, significantly contributes to cardiovascular diseases in older individuals and is positively associated with systolic hypertension, coronary artery disease, stroke, heart failure and atrial fibrillation, which are the leading causes of mortality in the developed countries and also in the developing world as estimated in 2010 by World Health Organizations. Thus, better, less invasive and more accurate measures of arterial stiffness have been developed, which prove useful as diagnostic indices, pathophysiological markers and predictive indicators of disease. This article presents a review of the structural determinants of vascular stiffening, its pathophysiologic determinants and its implications for vascular research and medicine. A critical discussion of new techniques for assessing vascular stiffness is also presented.
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