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Published on: December 2, 2014
The combined effect of hypertension and smoking on arterial stiffness
Ciaran Scallan1, Robert J Doonan, Stella S Daskalopoulou
1Department of Medicine, McGill University, McGill University Health Centre, Montreal General Hospital, Montreal, Quebec, Canada.
Insights
Hypertension and smoking independently increase arterial stiffness. Combined, these risk factors significantly worsen arterial stiffness more than either factor alone, highlighting the need for integrated treatment strategies.
Area of Science:
- Cardiovascular Physiology
- Vascular Medicine
- Hypertension Research
Background:
- Arterial stiffness is crucial for cardiovascular system function, representing the left ventricle-arterial tree coupling.
- Elevated arterial stiffness is linked to numerous cardiovascular complications and is exacerbated by aging, hypertension, and smoking.
- Arterial stiffness measurement is a growing method for assessing cardiovascular health and treatment effectiveness.
Purpose of the Study:
- To evaluate the synergistic impact of hypertension and smoking on arterial stiffness.
Main Methods:
- A systematic literature review was conducted, analyzing four relevant studies.
Main Results:
- Hypertension and smoking act as independent risk factors that detrimentally increase arterial stiffness.
- The combined effect of hypertension and smoking leads to a greater increase in arterial stiffness compared to either factor in isolation.
Conclusions:
- Combined hypertension and smoking significantly elevate arterial stiffness.
- Further research is needed to explore the potential of smoking cessation combined with antihypertensive medications to stabilize or reverse arterial stiffness.
Abstract:
Arterial stiffness plays a critical role in the function of the cardiovascular system as it represents the coupling of the left ventricle and arterial tree. Increased arterial stiffness is associated with a number of cardiovascular complications. Increased stiffness occurs with age and with the development of chronic conditions (e.g., hypertension) and the presence of vascular risk factors (e.g., smoking). Measuring arterial stiffness is increasingly gaining popularity as a method of assessing cardiovascular health and treatment efficacy. The purpose of this review was to assess the combined effect of hypertension and smoking on arterial stiffness. A systematic review of the literature revealed four relevant studies; hypertension and smoking were found to be independent detrimental factors for raising arterial stiffness, and combined they raise arterial stiffness more than either solitary factor. However, a need was identified for future studies to determine the extent to which smoking cessation therapy combined with the appropriate anti-hypertensive medication can lead to stabilization or even reversal of arterial stiffness.
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