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Cardiovascular Aging and Risk Assessment: How Multimodality Imaging Can Help
Maja Hrabak Paar1, Miroslav Muršić1, Jens Bremerich2
1Department of Diagnostic and Interventional Radiology, University Hospital Center Zagreb, Kispaticeva 12, HR-10000 Zagreb, Croatia.
Diagnostics (Basel, Switzerland)
|September 14, 2024
Summary
Cardiovascular aging causes arterial stiffening and heart changes, detectable with advanced imaging. Multimodality imaging aids risk stratification for preventive strategies in asymptomatic individuals.
Area of Science:
- Cardiovascular Medicine
- Medical Imaging
- Gerontology
Background:
- Aging significantly impacts the cardiovascular system, leading to arterial thickening, calcification, and stiffening.
- Age-related changes include left ventricular hypertrophy, myocardial fibrosis, and left atrial dilatation, increasing risks for heart failure and atrial fibrillation.
Purpose of the Study:
- To review cardiovascular changes associated with aging.
- To describe the role of multimodality imaging in assessing these age-related changes.
- To highlight the utility of imaging in cardiovascular risk stratification for asymptomatic individuals.
Main Methods:
- Utilizing multimodality imaging techniques such as ultrasound, computed tomography (CT), and magnetic resonance imaging.
- Employing CT for coronary artery calcium scoring and ultrasound for carotid intima-media thickness measurements.
- Assessing structural and functional cardiovascular alterations in the context of aging.
Main Results:
- Multimodality imaging effectively detects age-related cardiovascular modifications like arterial stiffening and cardiac structural changes.
- Specific imaging markers, such as coronary artery calcium and carotid intima-media thickness, are valuable for risk stratification.
- Imaging facilitates the identification of individuals who may benefit from preventive cardiovascular strategies.
Conclusions:
- Cardiovascular aging involves significant structural and functional changes that can be accurately assessed using multimodality imaging.
- Advanced imaging techniques provide crucial data for stratifying cardiovascular risk in asymptomatic aging populations.
- Multimodality imaging supports informed decision-making for personalized preventive cardiovascular care in the elderly.
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