Increased Aortic Stiffness and Related Factors in Patients With Peripheral Arterial Disease
A number of conditions have been associated with functional changes of large arteries. The aim of this study was to evaluate the factors associated with aortic stiffness in patients with peripheral arterial disease (PAD). The authors studied 86 patients with PAD (ankle‐brachial pressure index [ABPI]...
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| Published in | The journal of clinical hypertension (Greenwich, Conn.) Vol. 15; no. 10; pp. 712 - 716 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
United States
John Wiley and Sons Inc
01.10.2013
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1524-6175 1751-7176 1751-7176 |
| DOI | 10.1111/jch.12167 |
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| Abstract | A number of conditions have been associated with functional changes of large arteries. The aim of this study was to evaluate the factors associated with aortic stiffness in patients with peripheral arterial disease (PAD). The authors studied 86 patients with PAD (ankle‐brachial pressure index [ABPI] ≤0.9) and 86 controls. Aortic stiffness was determined by pulse wave velocity (aPWV) using applanation tonometry. In PAD patients, aPWV was higher compared with controls (11±3 vs 9.8±1.8; P=.002). In multiple regression analysis, aPWV was independently associated with pulse pressure (β=0.05, P=.01) in the PAD patients and with age in the control group (β=0.08, P=.0005). The results of this study confirm an aPWV increase in patients with PAD and emphasize the association between blood pressure and aPWV. Further studies are necessary to assess whether higher aortic stiffening adds prognostic value to ABPI, which is the most powerful prognostic indicator in PAD. |
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| AbstractList | A number of conditions have been associated with functional changes of large arteries. The aim of this study was to evaluate the factors associated with aortic stiffness in patients with peripheral arterial disease (PAD). The authors studied 86 patients with PAD (ankle‐brachial pressure index [ABPI] ≤0.9) and 86 controls. Aortic stiffness was determined by pulse wave velocity (aPWV) using applanation tonometry. In PAD patients, aPWV was higher compared with controls (11±3 vs 9.8±1.8; P=.002). In multiple regression analysis, aPWV was independently associated with pulse pressure (β=0.05, P=.01) in the PAD patients and with age in the control group (β=0.08, P=.0005). The results of this study confirm an aPWV increase in patients with PAD and emphasize the association between blood pressure and aPWV. Further studies are necessary to assess whether higher aortic stiffening adds prognostic value to ABPI, which is the most powerful prognostic indicator in PAD. A number of conditions have been associated with functional changes of large arteries. The aim of this study was to evaluate the factors associated with aortic stiffness in patients with peripheral arterial disease (PAD). The authors studied 86 patients with PAD (ankle‐brachial pressure index [ABPI] ≤0.9) and 86 controls. Aortic stiffness was determined by pulse wave velocity ( aPWV ) using applanation tonometry. In PAD patients, aPWV was higher compared with controls (11±3 vs 9.8±1.8; P =.002). In multiple regression analysis, aPWV was independently associated with pulse pressure (β=0.05, P =.01) in the PAD patients and with age in the control group (β=0.08, P =.0005). The results of this study confirm an aPWV increase in patients with PAD and emphasize the association between blood pressure and aPWV . Further studies are necessary to assess whether higher aortic stiffening adds prognostic value to ABPI, which is the most powerful prognostic indicator in PAD. A number of conditions have been associated with functional changes of large arteries. The aim of this study was to evaluate the factors associated with aortic stiffness in patients with peripheral arterial disease (PAD). The authors studied 86 patients with PAD (ankle-brachial pressure index [ABPI] ≤0.9) and 86 controls. Aortic stiffness was determined by pulse wave velocity (aPWV) using applanation tonometry. In PAD patients, aPWV was higher compared with controls (11 ± 3 vs 9.8 ± 1.8; P=.002). In multiple regression analysis, aPWV was independently associated with pulse pressure (β=0.05, P=.01) in the PAD patients and with age in the control group (β=0.08, P=.0005). The results of this study confirm an aPWV increase in patients with PAD and emphasize the association between blood pressure and aPWV. Further studies are necessary to assess whether higher aortic stiffening adds prognostic value to ABPI, which is the most powerful prognostic indicator in PAD.A number of conditions have been associated with functional changes of large arteries. The aim of this study was to evaluate the factors associated with aortic stiffness in patients with peripheral arterial disease (PAD). The authors studied 86 patients with PAD (ankle-brachial pressure index [ABPI] ≤0.9) and 86 controls. Aortic stiffness was determined by pulse wave velocity (aPWV) using applanation tonometry. In PAD patients, aPWV was higher compared with controls (11 ± 3 vs 9.8 ± 1.8; P=.002). In multiple regression analysis, aPWV was independently associated with pulse pressure (β=0.05, P=.01) in the PAD patients and with age in the control group (β=0.08, P=.0005). The results of this study confirm an aPWV increase in patients with PAD and emphasize the association between blood pressure and aPWV. Further studies are necessary to assess whether higher aortic stiffening adds prognostic value to ABPI, which is the most powerful prognostic indicator in PAD. A number of conditions have been associated with functional changes of large arteries. The aim of this study was to evaluate the factors associated with aortic stiffness in patients with peripheral arterial disease (PAD). The authors studied 86 patients with PAD (ankle-brachial pressure index [ABPI] ≤0.9) and 86 controls. Aortic stiffness was determined by pulse wave velocity (aPWV) using applanation tonometry. In PAD patients, aPWV was higher compared with controls (11 ± 3 vs 9.8 ± 1.8; P=.002). In multiple regression analysis, aPWV was independently associated with pulse pressure (β=0.05, P=.01) in the PAD patients and with age in the control group (β=0.08, P=.0005). The results of this study confirm an aPWV increase in patients with PAD and emphasize the association between blood pressure and aPWV. Further studies are necessary to assess whether higher aortic stiffening adds prognostic value to ABPI, which is the most powerful prognostic indicator in PAD. |
| Author | Minola, Marzio Carzaniga, Gianni Dimitrov, Gabriel Carotta, Maria Scandale, Giovanni Catalano, Mariella Cinquini, Michela |
| AuthorAffiliation | 2 Laboratory for the Development of New Pharmacological Strategies Department of Oncology Mario Negri Institute for Pharmacological Research Milan Italy 1 Research Center on Vascular Diseases and Angiology Unit University of Milan Milan Italy |
| AuthorAffiliation_xml | – name: 2 Laboratory for the Development of New Pharmacological Strategies Department of Oncology Mario Negri Institute for Pharmacological Research Milan Italy – name: 1 Research Center on Vascular Diseases and Angiology Unit University of Milan Milan Italy |
| Author_xml | – sequence: 1 givenname: Mariella surname: Catalano fullname: Catalano, Mariella organization: University of Milan – sequence: 2 givenname: Giovanni surname: Scandale fullname: Scandale, Giovanni organization: University of Milan – sequence: 3 givenname: Gianni surname: Carzaniga fullname: Carzaniga, Gianni organization: University of Milan – sequence: 4 givenname: Michela surname: Cinquini fullname: Cinquini, Michela organization: Mario Negri Institute for Pharmacological Research – sequence: 5 givenname: Marzio surname: Minola fullname: Minola, Marzio organization: University of Milan – sequence: 6 givenname: Gabriel surname: Dimitrov fullname: Dimitrov, Gabriel organization: University of Milan – sequence: 7 givenname: Maria surname: Carotta fullname: Carotta, Maria organization: University of Milan |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24088278$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Adult Aged Aged, 80 and over Ankle Brachial Index Aorta - physiopathology Blood Pressure - physiology Case-Control Studies Female Heart Rate - physiology Humans Male Middle Aged Original Paper Original Papers Peripheral Arterial Disease - physiopathology Pulse Wave Analysis Regression Analysis Risk Assessment Vascular Stiffness - physiology |
| Title | Increased Aortic Stiffness and Related Factors in Patients With Peripheral Arterial Disease |
| URI | https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fjch.12167 https://www.ncbi.nlm.nih.gov/pubmed/24088278 https://www.proquest.com/docview/1443415071 https://pubmed.ncbi.nlm.nih.gov/PMC8033817 https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/jch.12167 |
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