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.
Increased aortic stiffness and related factors in patients with peripheral arterial disease / M. Catalano, G. Scandale, G. Carzaniga, M. Cinquini, M. Minola, G. Dimitrov, M. Carotta. - In: THE JOURNAL OF CLINICAL HYPERTENSION. - ISSN 1524-6175. - 15:10(2013 Oct), pp. 712-716.
|Titolo:||Increased aortic stiffness and related factors in patients with peripheral arterial disease|
CATALANO, MARIA (Corresponding)
CAROTTA, MARIA (Ultimo)
|Parole Chiave:||pulse-wave velocity; risk-factors; arteriosclerosis obliterans; systolic hypertension; augmentation index; walking distance; blood-pressure; lower-limbs; atherosclerosis; reflection|
|Settore Scientifico Disciplinare:||Settore MED/11 - Malattie dell'Apparato Cardiovascolare|
|Data di pubblicazione:||ott-2013|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1111/jch.12167|
|Appare nelle tipologie:||01 - Articolo su periodico|
File in questo prodotto:
|Increased Aortic Stiffness and Related Factors in Patients With Peripheral.pdf||Articolo principale||Publisher's version/PDF||Administrator Richiedi una copia|