Central arterial stiffness and retinal vessel calibers: the Atherosclerosis Risk in Communities Study-Neurocognitive

Michelle L Meyer1, Barbara E Klein2, Ronald Klein2

  • 1Department of Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.

Journal of Hypertension
|October 5, 2019
PubMed

Insights

Central arterial stiffness, measured by carotid-femoral pulse wave velocity (cfPWV), was linked to wider retinal venules in older adults, especially those without hypertension. This suggests arterial stiffening may impact cerebral microvasculature.

Area of Science:

  • Ophthalmology
  • Cardiology
  • Neurology

Background:

  • The retinal microvasculature offers insights into cerebral vasculature.
  • Changes in retinal caliber may reflect cerebrovascular disease.
  • The link between central arterial stiffness and retinal vessel caliber is not fully understood.

Purpose of the Study:

  • To examine the association between central arterial stiffness and retinal vessel caliber in older adults.
  • To investigate if this association differs based on hypertension or type 2 diabetes status.

Main Methods:

  • Cross-sectional study of 1706 older adults from the Atherosclerosis Risk in Communities Study.
  • Measured central arterial stiffness using carotid-femoral pulse wave velocity (cfPWV).
  • Assessed retinal vessel calibers (central retinal arteriolar equivalent and central retinal vein equivalent).

Main Results:

  • Carotid-femoral PWV was not associated with narrower retinal arterioles.
  • cfPWV was associated with wider retinal venules, particularly in individuals without hypertension.
  • The association was slightly stronger in those with type 2 diabetes.

Conclusions:

  • Central arterial stiffness is associated with wider retinal venular caliber in older adults, especially those without hypertension.
  • Arterial stiffening may be linked to microvascular changes in the brain, as indicated by the retinal vasculature.
Abstract

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