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Published on: October 19, 2016
Arterial Stiffness and its Impact on Cardiovascular Health
Rachel Anne Xuereb1, Caroline J Magri2,3, Robert G Xuereb2
1Department of Cardiology, Mater Dei Hospital, Msida, Malta. rachel-anne.xuereb@gov.mt.
Insights
Arterial stiffness, a key indicator of cardiovascular risk, is linked to increased mortality. Assessing arterial stiffness aids in identifying at-risk patients and guiding preventive strategies for cardiovascular disease.
Area of Science:
- Cardiology
- Vascular Biology
- Preventive Medicine
Background:
- Cardiovascular diseases are the leading global cause of death.
- Endothelial function and arterial stiffness are increasingly recognized as critical factors in cardiovascular disease development.
Purpose of the Study:
- To review the impact of arterial stiffness on cardiovascular morbidity and mortality across diverse patient populations.
- To discuss the clinical utility of arterial stiffness assessment in patient risk stratification and disease management.
Main Methods:
- Literature review focusing on studies examining arterial stiffness.
- Analysis of established and emerging methods for measuring arterial stiffness, including pulse wave velocity and cardio-ankle vascular index.
Main Results:
- Arterial stiffness is an independent predictor of cardiovascular mortality and correlates with various cardiovascular risk factors.
- Novel measures like cardio-ankle vascular index offer practical assessment of arterial stiffness.
- Pharmacological interventions can potentially modify arterial stiffness and cardiovascular disease progression.
Conclusions:
- Assessment of arterial stiffness is crucial for improving cardiovascular risk stratification.
- Integrating arterial stiffness evaluation into clinical practice can enhance the management and progression of cardiovascular disease.
Purpose Of Review:
Cardiovascular diseases are the leading cause of mortality globally. Identifying patients at risk is important to initiate preventive strategies. Over the last few decades, the role of the endothelium and its impact on arterial stiffness have been recognised as playing a pivotal role in cardiovascular disease. This review will focus on the effect of arterial stiffness in different patient cohorts with regard to cardiovascular morbidity and mortality, as well as its use in clinical practice.
Recent Findings:
Arterial stiffness is associated with a range of cardiovascular risk factors and is an independent predictor of cardiovascular mortality. The gold standard for evaluating arterial stiffness is pulse wave velocity. Recently, cardio-ankle vascular index has been implemented as an easy and highly reproducible measure of arterial stiffness. Moreover, certain pharmacologic agents may modify arterial stiffness and alter progression of cardiovascular disease. The endothelium plays an important role in cardiovascular disease. Implementing assessment of arterial stiffness in clinical practice will improve stratification of patients at risk of cardiovascular disease and help modify disease progression.
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