Related Experiment Video
Updated: Mar 18, 2026

Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
Peripheral vascular function, oxygen delivery and utilization: the impact of oxidative stress in aging and heart
D Walter Wray1,2,3, Markus Amann1,2,3, Russell S Richardson4,5,6
1Department of Internal Medicine, University of Utah, Salt Lake City, UT, USA.
Insights
Oxidative stress impairs vascular function and oxygen use in aging and heart failure. This review explores how redox imbalance affects peripheral circulation and exercise capacity in these conditions.
Area of Science:
- Cardiovascular Science
- Gerontology
- Oxidative Stress Research
Background:
- Cardiovascular disease (CVD), particularly heart failure (HF), is a leading cause of death and a growing concern with an aging population.
- Heart failure with reduced ejection fraction (HFrEF) is characterized by exercise intolerance, fatigue, and impaired oxygen delivery/utilization.
- Peripheral vascular dysfunction, linked to oxidative stress and redox imbalance, is a potential contributor to these symptoms.
Purpose of the Study:
- To review studies investigating the impact of oxidative stress on peripheral vascular function.
- To examine the role of oxidative stress in oxygen delivery and utilization in healthy aging and HFrEF.
- To synthesize current understanding of redox imbalance in age-related vascular dysfunction.
Main Methods:
- Literature review of studies examining oxidative stress, vascular function, and oxygen metabolism.
- Analysis of research focusing on healthy aging and heart failure with reduced ejection fraction (HFrEF).
- Synthesis of findings related to redox imbalance and peripheral vascular endothelial function.
Main Results:
- Oxidative stress and redox imbalance are implicated in peripheral vascular dysfunction.
- Impaired vascular function contributes to reduced oxygen delivery and utilization.
- These mechanisms are relevant in both healthy aging and HFrEF.
Conclusions:
- Oxidative stress significantly impacts peripheral vascular function, affecting oxygen delivery and utilization.
- Understanding these redox-related mechanisms is crucial for addressing exercise intolerance in aging and HFrEF.
- Further research into mitigating oxidative stress may offer therapeutic benefits for cardiovascular health.
Abstract:
The aging process appears to be a precursor to many age-related diseases, perhaps the most impactful of which is cardiovascular disease (CVD). Heart disease, a manifestation of CVD, is the leading cause of death in the USA, and heart failure (HF), a syndrome that develops as a consequence of heart disease, now affects almost six million American. Importantly, as this is an age-related disease, this number is likely to grow along with the ever-increasing elderly population. Hallmarks of the aging process and HF patients with a reduced ejection fraction (HFrEF) include exercise intolerance, premature fatigue, and limited oxygen delivery and utilization, perhaps as a consequence of diminished peripheral vascular function. Free radicals and oxidative stress have been implicated in this peripheral vascular dysfunction, as a redox imbalance may directly impact the function of the vascular endothelium. This review aims to bring together studies that have examined the impact of oxidative stress on peripheral vascular function and oxygen delivery and utilization with both healthy aging and HFrEF.
More Related Videos
08:35Oxygenation-sensitive Cardiac MRI with Vasoactive Breathing Maneuvers for the Non-invasive Assessment of Coronary Microvascular Dysfunction
Published on: August 17, 2022
09:04Skeletal Muscle Neurovascular Coupling, Oxidative Capacity, and Microvascular Function with 'One Stop Shop' Near-infrared Spectroscopy
Published on: February 20, 2018
Related Concept Videos
Pathophysiology of Heart Failure
Heart Failure II: Pathophysiology
Heart Failure I: Introduction
Pathophysiology of Cardiac Performance
Imbalances in Cardiac Output
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
Mitochondria