Arterial Stiffness and Coronary Ischemic Disease

2006 ◽  
pp. 125-138 ◽  
Author(s):  
Bronwyn A. Kingwell ◽  
Anna A. Ahimastos
Keyword(s):  
Arterial Stiffness ◽  
Ischemic Disease ◽  
Coronary Ischemic Disease

Hypomagnesemia and Coronary Ischemic Disease

2015 ◽  
pp. 132-134
Author(s):  
Jo�o N. Pereira ◽  
Maria J. Laires ◽  
Ana Fran�a ◽  
Ana Alcazar ◽  
Rui Andrade ◽  
...  
Keyword(s):  
Ischemic Disease ◽  
Coronary Ischemic Disease

MP-11.07: Testosterone Levels in Patients with Severe Coronary Ischemic Disease

Urology ◽  
2009 ◽  
Vol 74 (4) ◽  
pp. S95
Author(s):  
P. Jimenez Caceres ◽  
R. Vela-Navarret ◽  
A. Lopez Farre ◽  
J. Garcia Cardoso ◽  
J. Gomez
Keyword(s):  
Ischemic Disease ◽  
Testosterone Levels ◽  
Coronary Ischemic Disease

scholarly journals Sudden cardiac death and guidelines for pre-participation examination in athletes

2016 ◽  
Vol 144 (5-6) ◽  
pp. 359-362
Author(s):  
Ljubica Georgijevic ◽  
Lana Andric ◽  
Aleksandar Klasnja
Keyword(s):  
Sudden Cardiac Death ◽  
United States Of America ◽  
Cardiac Death ◽  
The United States ◽  
National Strategy ◽  
Ischemic Disease ◽  
Older Athletes ◽  
Esc Guidelines ◽  
Coronary Ischemic Disease ◽  
European Society Of Cardiology

Incidence of sudden cardiac death (SCD) in athletes under 35 years of age is between 0.4 and 4.4 in 100,000. The highest mortality is seen in older athletes (?35 years) who engage in running, mostly because of complications of atherosclerotic coronary ischemic disease. Majority of European countries are guided by European Society of Cardiology?s (ESC) pre-participation screening (PPS) recommendations that include electrocardiography (ECG), while in the United States of America the ECG is not a routine part of the PPS examination. In Serbia, the ESC guidelines are being used, but there are no references prescribed by the Ministry of Health. The authors of this study believe that the national strategy for sport improvement should be accompanied with clear and well defined PPS recommendations that could be tenable in our health system.

Arterial stiffness is a potential mechanism and promising indicator of orthostatic hypotension in the general population

VASA ◽  
2014 ◽  
Vol 43 (6) ◽  
pp. 423-432 ◽  
Author(s):  
Qingtao Meng ◽  
Si Wang ◽  
Yong Wang ◽  
Shixi Wan ◽  
Kai Liu ◽  
...  
Keyword(s):  
General Population ◽  
Arterial Stiffness ◽  
Orthostatic Hypotension ◽  
Operating Characteristic ◽  
Pulse Wave ◽  
Augmentation Index ◽  
Multiple Logistic Regression Analysis ◽  
The Elderly ◽  
Baroreceptor Sensitivity ◽  
Roc Curve Analysis

Background: Orthostatic hypotension (OH) is a disease prevalent among middle-aged men and the elderly. The association between arterial stiffness and OH is unclear. This study evaluates whether arterial stiffness is correlated with OH and tests the usefulness of brachial-ankle pulse wave velocity (baPWV), an arterial stiffness marker, with regard to identifying OH. Patients and methods: A sample of 1,010 participants was recruited from the general population (64.8 ± 7.7 years; 426 men) who attended health check-ups. BaPWV and the radial augmentation index (rAI) were both assessed as the arterial stiffness markers, and OH was determined using blood pressure (BP) measured in the supine position, as well as 30 seconds and 2 minutes after standing. Results: The prevalence of OH in this population was 4.9 %. Compared with the non-OH group, both baPWV (20.5 ± 4.5 vs 17.3 ± 3.7, p < 0.001) and rAI (88.1 ± 10.8 vs 84.2 ± 10.7, p < 0.05) were significantly higher in the OH group. In the multiple logistic regression analysis, baPWV (OR, 1.3; 95 % CI, 1.106–1.528; p < 0.05) remained associated with OH. Moreover, the degree of orthostatic BP reduction was related to arterial stiffness. In addition, increases in arterial stiffness predicted decreases in the degree of heart rate (HR) elevation. Finally, a receiver operating characteristic (ROC) curve analysis showed that baPWV was useful in discriminating OH (AUC, 0.721; p < 0.001), with the cut-off value of 18.58 m/s (sensitivity, 0.714; specificity, 0.686). Conclusions: Arterial stiffness determined via baPWV, rather than rAI, was significantly correlated with the attenuation of the orthostatic hemodynamic response and the resultant OH. The impaired baroreceptor sensitivity might be the mechanism. In addition, baPWV appears to be a relatively sensitive and reliable indicator of OH in routine clinical practice.

Markers of arterial stiffness in peripheral arterial disease

VASA ◽  
2015 ◽  
Vol 44 (5) ◽  
pp. 341-348 ◽  
Author(s):  
Marc Husmann ◽  
Vincenzo Jacomella ◽  
Christoph Thalhammer ◽  
Beatrice R. Amann-Vesti
Keyword(s):  
Arterial Stiffness ◽  
Peripheral Arterial Disease ◽  
Pulse Wave ◽  
Augmentation Index ◽  
Arterial Disease ◽  
Care Physician ◽  
Additional Information ◽  
Non Invasive ◽  
Assessment Techniques ◽  
Peripheral Arterial

Abstract. Increased arterial stiffness results from reduced elasticity of the arterial wall and is an independent predictor for cardiovascular risk. The gold standard for assessment of arterial stiffness is the carotid-femoral pulse wave velocity. Other parameters such as central aortic pulse pressure and aortic augmentation index are indirect, surrogate markers of arterial stiffness, but provide additional information on the characteristics of wave reflection. Peripheral arterial disease (PAD) is characterised by its association with systolic hypertension, increased arterial stiffness, disturbed wave reflexion and prognosis depending on ankle-brachial pressure index. This review summarises the physiology of pulse wave propagation and reflection and its changes due to aging and atherosclerosis. We discuss different non-invasive assessment techniques and highlight the importance of the understanding of arterial pulse wave analysis for each vascular specialist and primary care physician alike in the context of PAD.

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