Document Detail


Arterial stiffness and ventricular stiffness: a couple of diseases or a coupling disease? A review from the cardiologist's point of view.
MedLine Citation:
PMID:  18799479     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The assessment of arterial stiffness, a common feature of ageing, exacerbated by many common disorders such as hypertension, diabetes mellitus, or renal diseases, has become an attractive tool for identifying structural and functional abnormalities of the arteries in the preclinical stages of the atherosclerotic disease. Arterial stiffness has been recognized as an important pathophysiological determinant of systolic blood pressure and pulse pressure increases and therefore the cause of cardiovascular complications, demonstrating also an independent predictive value for cardiovascular events. Although there are many techniques and indices currently available, their large clinical application is limited by a lack of standardization, with important difficulties when one try effectively to measure, quantify, and compare. Moreover, information on the 'heart-vessel coupling disease', in which combined stiffness of both heart and arteries interact to limit cardiovascular performance and its possible implications in different clinical conditions, is still not well known. We overviewed main methods and indices used to estimate arterial stiffness and aimed to provide an insight into the knowledge of the ventricular-arterial coupling from the cardiologist's point of view.
Authors:
Francesco Antonini-Canterin; Scipione Carerj; Vitantonio Di Bello; Giovanni Di Salvo; Salvatore La Carrubba; Olga Vriz; Daniela Pavan; Alberto Balbarini; Gian Luigi Nicolosi;
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Publication Detail:
Type:  Journal Article; Review     Date:  2008-09-16
Journal Detail:
Title:  European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology     Volume:  10     ISSN:  1532-2114     ISO Abbreviation:  Eur J Echocardiogr     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-01-09     Completed Date:  2009-05-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100890618     Medline TA:  Eur J Echocardiogr     Country:  England    
Other Details:
Languages:  eng     Pagination:  36-43     Citation Subset:  IM    
Affiliation:
Division of Cardiology, ARC, S. Maria degli Angeli Hospital, Via Montereale, 24, 33170 Pordenone, Italy. cardiologia@aopn.fvg.it
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MeSH Terms
Descriptor/Qualifier:
Arteries / physiopathology*
Blood Pressure / physiology
Cardiovascular Diseases / physiopathology,  ultrasonography*
Echocardiography, Doppler*
Elasticity
Electric Impedance
Endothelium, Vascular / physiopathology
Heart Ventricles / physiopathology*
Humans
Predictive Value of Tests
Prognosis
Pulsatile Flow / physiology*
Sensitivity and Specificity
Vascular Resistance / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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