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Dissociation of Aortic Pulse Wave Velocity With Risk Factors for Cardiovascular Disease Other Than Hypertension: A Systematic Review

Dissociation of Aortic Pulse Wave Velocity With Risk Factors for Cardiovascular Disease Other Than Hypertension A Systematic Review Marina Cecelja ; Philip Chowienczyk From the King’s College London British Heart Foundation Centre, Cardiovascular Division, Department of Clinical Pharmacology, St. Th... Full description

Journal Title: Hypertension 2009, Vol.54 (6), p.1328-1336
Main Author: Cecelja, Marina
Other Authors: Chowienczyk, Philip
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: Hagerstown, MD: Am Heart Assoc
ID: ISSN: 0194-911X
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recordid: cdi_proquest_miscellaneous_733549690
title: Dissociation of Aortic Pulse Wave Velocity With Risk Factors for Cardiovascular Disease Other Than Hypertension: A Systematic Review
format: Article
creator:
  • Cecelja, Marina
  • Chowienczyk, Philip
subjects:
  • Aorta - physiology
  • Aortic Diseases - epidemiology
  • Aortic Diseases - physiopathology
  • Arterial hypertension. Arterial hypotension
  • Atherosclerosis - epidemiology
  • Atherosclerosis - physiopathology
  • Biological and medical sciences
  • Blood and lymphatic vessels
  • Blood Flow Velocity - physiology
  • Cardiology. Vascular system
  • Clinical manifestations. Epidemiology. Investigative techniques. Etiology
  • Humans
  • Hypertension - epidemiology
  • Hypertension - physiopathology
  • Medical sciences
  • Prognosis
  • Pulsatile Flow - physiology
  • Risk Factors
ispartof: Hypertension, 2009, Vol.54 (6), p.1328-1336
description: Dissociation of Aortic Pulse Wave Velocity With Risk Factors for Cardiovascular Disease Other Than Hypertension A Systematic Review Marina Cecelja ; Philip Chowienczyk From the King’s College London British Heart Foundation Centre, Cardiovascular Division, Department of Clinical Pharmacology, St. Thomas’ Hospital, London, United Kingdom. Correspondence to Philip Chowienczyk, Department of Clinical Pharmacology, St. Thomas’ Hospital, Lambeth Palace Rd, London SE1 7EH, UK. E-mail phil.chowienczyk{at}kcl.ac.uk Carotid-femoral pulse wave velocity (cfPWV), a measure of large artery stiffness, is an important predictor of cardiovascular events. This has been attributed to it being an integrative measure of the impact of cardiovascular risk factors on the arterial wall. Pulse wave velocity is strongly associated with age and blood pressure. However, findings with regard to its relation with other risk factors have been inconsistent. We performed a systematic review of cross-sectional published literature reporting independent associations of cfPWV in multivariable regression models. Articles were selected from a PubMed search using a prespecified search strategy. Studies were included if they did the following: (1) measured cfPWV; (2) reported on associations with cfPWV from regression models; and (3) considered age and blood pressure in the model. From 637 retrieved articles, 65 met our inclusion criteria, and 12 studies were included from reference searches. Age and blood pressure were consistently independently associated with cfPWV (91% and 90% of studies, respectively). Diabetes mellitus was associated with cfPWV in 52% studies, but the strength of the association was low. The majority of studies found no independent association between cfPWV and sex, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides, smoking, or body mass index. The contribution of risk factors other than age and blood pressure to cfPWV is, thus, small or insignificant. The prognostic value of cfPWV may relate to a process of arterial ageing unrelated to classic risk factors other than hypertension. Key Words: pulse wave velocity • aortic stiffness • risk factors • atherosclerosis • arteriosclerosis Related Article: Arteriosclerosis and Atherosclerosis: Guilty by Association Ian B. Wilkinson, Carmel M. McEniery, and John R. Cockcroft Hypertension 2009 54: 1213-1215. [Extract] [Full Text] [PDF]
language: eng
source:
identifier: ISSN: 0194-911X
fulltext: no_fulltext
issn:
  • 0194-911X
  • 1524-4563
url: Link


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titleDissociation of Aortic Pulse Wave Velocity With Risk Factors for Cardiovascular Disease Other Than Hypertension: A Systematic Review
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descriptionDissociation of Aortic Pulse Wave Velocity With Risk Factors for Cardiovascular Disease Other Than Hypertension A Systematic Review Marina Cecelja ; Philip Chowienczyk From the King’s College London British Heart Foundation Centre, Cardiovascular Division, Department of Clinical Pharmacology, St. Thomas’ Hospital, London, United Kingdom. Correspondence to Philip Chowienczyk, Department of Clinical Pharmacology, St. Thomas’ Hospital, Lambeth Palace Rd, London SE1 7EH, UK. E-mail phil.chowienczyk{at}kcl.ac.uk Carotid-femoral pulse wave velocity (cfPWV), a measure of large artery stiffness, is an important predictor of cardiovascular events. This has been attributed to it being an integrative measure of the impact of cardiovascular risk factors on the arterial wall. Pulse wave velocity is strongly associated with age and blood pressure. However, findings with regard to its relation with other risk factors have been inconsistent. We performed a systematic review of cross-sectional published literature reporting independent associations of cfPWV in multivariable regression models. Articles were selected from a PubMed search using a prespecified search strategy. Studies were included if they did the following: (1) measured cfPWV; (2) reported on associations with cfPWV from regression models; and (3) considered age and blood pressure in the model. From 637 retrieved articles, 65 met our inclusion criteria, and 12 studies were included from reference searches. Age and blood pressure were consistently independently associated with cfPWV (91% and 90% of studies, respectively). Diabetes mellitus was associated with cfPWV in 52% studies, but the strength of the association was low. The majority of studies found no independent association between cfPWV and sex, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides, smoking, or body mass index. The contribution of risk factors other than age and blood pressure to cfPWV is, thus, small or insignificant. The prognostic value of cfPWV may relate to a process of arterial ageing unrelated to classic risk factors other than hypertension. Key Words: pulse wave velocity • aortic stiffness • risk factors • atherosclerosis • arteriosclerosis Related Article: Arteriosclerosis and Atherosclerosis: Guilty by Association Ian B. Wilkinson, Carmel M. McEniery, and John R. Cockcroft Hypertension 2009 54: 1213-1215. [Extract] [Full Text] [PDF]
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subjectAorta - physiology ; Aortic Diseases - epidemiology ; Aortic Diseases - physiopathology ; Arterial hypertension. Arterial hypotension ; Atherosclerosis - epidemiology ; Atherosclerosis - physiopathology ; Biological and medical sciences ; Blood and lymphatic vessels ; Blood Flow Velocity - physiology ; Cardiology. Vascular system ; Clinical manifestations. Epidemiology. Investigative techniques. Etiology ; Humans ; Hypertension - epidemiology ; Hypertension - physiopathology ; Medical sciences ; Prognosis ; Pulsatile Flow - physiology ; Risk Factors
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descriptionDissociation of Aortic Pulse Wave Velocity With Risk Factors for Cardiovascular Disease Other Than Hypertension A Systematic Review Marina Cecelja ; Philip Chowienczyk From the King’s College London British Heart Foundation Centre, Cardiovascular Division, Department of Clinical Pharmacology, St. Thomas’ Hospital, London, United Kingdom. Correspondence to Philip Chowienczyk, Department of Clinical Pharmacology, St. Thomas’ Hospital, Lambeth Palace Rd, London SE1 7EH, UK. E-mail phil.chowienczyk{at}kcl.ac.uk Carotid-femoral pulse wave velocity (cfPWV), a measure of large artery stiffness, is an important predictor of cardiovascular events. This has been attributed to it being an integrative measure of the impact of cardiovascular risk factors on the arterial wall. Pulse wave velocity is strongly associated with age and blood pressure. However, findings with regard to its relation with other risk factors have been inconsistent. We performed a systematic review of cross-sectional published literature reporting independent associations of cfPWV in multivariable regression models. Articles were selected from a PubMed search using a prespecified search strategy. Studies were included if they did the following: (1) measured cfPWV; (2) reported on associations with cfPWV from regression models; and (3) considered age and blood pressure in the model. From 637 retrieved articles, 65 met our inclusion criteria, and 12 studies were included from reference searches. Age and blood pressure were consistently independently associated with cfPWV (91% and 90% of studies, respectively). Diabetes mellitus was associated with cfPWV in 52% studies, but the strength of the association was low. The majority of studies found no independent association between cfPWV and sex, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides, smoking, or body mass index. The contribution of risk factors other than age and blood pressure to cfPWV is, thus, small or insignificant. The prognostic value of cfPWV may relate to a process of arterial ageing unrelated to classic risk factors other than hypertension. Key Words: pulse wave velocity • aortic stiffness • risk factors • atherosclerosis • arteriosclerosis Related Article: Arteriosclerosis and Atherosclerosis: Guilty by Association Ian B. Wilkinson, Carmel M. McEniery, and John R. Cockcroft Hypertension 2009 54: 1213-1215. [Extract] [Full Text] [PDF]
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abstractDissociation of Aortic Pulse Wave Velocity With Risk Factors for Cardiovascular Disease Other Than Hypertension A Systematic Review Marina Cecelja ; Philip Chowienczyk From the King’s College London British Heart Foundation Centre, Cardiovascular Division, Department of Clinical Pharmacology, St. Thomas’ Hospital, London, United Kingdom. Correspondence to Philip Chowienczyk, Department of Clinical Pharmacology, St. Thomas’ Hospital, Lambeth Palace Rd, London SE1 7EH, UK. E-mail phil.chowienczyk{at}kcl.ac.uk Carotid-femoral pulse wave velocity (cfPWV), a measure of large artery stiffness, is an important predictor of cardiovascular events. This has been attributed to it being an integrative measure of the impact of cardiovascular risk factors on the arterial wall. Pulse wave velocity is strongly associated with age and blood pressure. However, findings with regard to its relation with other risk factors have been inconsistent. We performed a systematic review of cross-sectional published literature reporting independent associations of cfPWV in multivariable regression models. Articles were selected from a PubMed search using a prespecified search strategy. Studies were included if they did the following: (1) measured cfPWV; (2) reported on associations with cfPWV from regression models; and (3) considered age and blood pressure in the model. From 637 retrieved articles, 65 met our inclusion criteria, and 12 studies were included from reference searches. Age and blood pressure were consistently independently associated with cfPWV (91% and 90% of studies, respectively). Diabetes mellitus was associated with cfPWV in 52% studies, but the strength of the association was low. The majority of studies found no independent association between cfPWV and sex, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides, smoking, or body mass index. The contribution of risk factors other than age and blood pressure to cfPWV is, thus, small or insignificant. The prognostic value of cfPWV may relate to a process of arterial ageing unrelated to classic risk factors other than hypertension. Key Words: pulse wave velocity • aortic stiffness • risk factors • atherosclerosis • arteriosclerosis Related Article: Arteriosclerosis and Atherosclerosis: Guilty by Association Ian B. Wilkinson, Carmel M. McEniery, and John R. Cockcroft Hypertension 2009 54: 1213-1215. [Extract] [Full Text] [PDF]
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