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The Vobarno Study
Enrico Agabiti Rosei1, Maria L Muiesan2,3, Massimo Salvetti2,3
1Department of Clinical and Experimental Sciences, Medical Clinic, University of Brescia, Brescia, Italy - enrico.agabitirosei@unibs.it.
Insights
The Vobarno Study investigated cardiac and vascular health in a general population, linking heart and vessel structure to blood pressure over 25 years. Findings explore cardiovascular organ damage and long-term outcomes.
Area of Science:
- Cardiovascular Epidemiology
- Clinical Research
- Vascular Biology
Background:
- The Vobarno Study is a unique observational study in a general population.
- It investigates the relationship between cardiac/vascular structure and function with blood pressure.
- This study explores target organ damage in cardiovascular health.
Purpose of the Study:
- To assess the relationship between cardiac and vascular parameters and blood pressure in a general population.
- To evaluate target organ damage, including left ventricular and carotid artery changes.
- To analyze cardiovascular morbidity and mortality over a 25-year follow-up.
Main Methods:
- Recruited a general population sample from Vobarno, Italy, selected from electoral rolls.
- Conducted comprehensive assessments: blood samples, clinic and 24-hour blood pressure monitoring, cardiac and carotid ultrasound, and aortic stiffness measurements.
- Included a 25-year follow-up for cardiovascular morbidity and mortality assessment up to 2019.
Main Results:
- Detailed evaluation of left ventricular mass, systolic function, left atrial and aortic root dimensions.
- Assessment of carotid intima-media thickness (IMT), carotid plaques, and carotid/aortic stiffness.
- Exploration of epidemiological and clinical aspects of target organ damage.
Conclusions:
- The study provides extensive data on cardiovascular structure, function, and blood pressure in a general population.
- It establishes a foundation for understanding long-term cardiovascular outcomes and organ damage.
- The findings contribute to updated knowledge on cardiovascular disease risk factors and progression.
Abstract:
The Vobarno Study represents the first observational study aimed to assess in a general population sample the relationship between parameters of cardiac and vascular structure (and function) and blood pressure values, measured in the clinic and during the 24 hours. In the frame of The Vobarno Study blood samples for hematochemistry and DNA extraction, clinic and 24-hour blood pressure measurements, cardiac and carotid ultrasound, and aortic stiffness were measured in all subjects, living in a small town (Vobarno) between Brescia and the Garda Lake (Italy), and randomly selected from electoral roles. In this sample of a general population an extensive evaluation of organ damage, including left ventricular (LV) mass and hypertrophy, LV systolic function, left atrial dimensions and aortic root diameters, carotid intima media thickness (IMT) and carotid plaques, carotid and aortic stiffness were performed. In this study subjects were included in a long follow-up, lasting 25 years, and cardiovascular morbility and mortality were assessed up to 2019. This will allow to update the information related to cardiovascular morbidity and mortality in the study cohort. The present paper will report the results of some analyses performed, exploring epidemiological and clinical aspects of target organ damage.
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