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Schierling, Wilma ; Matzner, Julia ; Apfelbeck, Hanna ; Grothues, Dirk ; Oberhoffer-Fritz, Renate ; Pfister, Karin

Pulse Wave Velocity for Risk Stratification of Patients with Aortic Aneurysm

Schierling, Wilma , Matzner, Julia, Apfelbeck, Hanna, Grothues, Dirk , Oberhoffer-Fritz, Renate und Pfister, Karin (2022) Pulse Wave Velocity for Risk Stratification of Patients with Aortic Aneurysm. Journal of Clinical Medicine 11 (14), S. 4026.

Veröffentlichungsdatum dieses Volltextes: 17 Aug 2022 09:21
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.52755


Zusammenfassung

Background: Patients with an aortic aneurysm are at high cardiovascular risk. Pulse wave velocity (PWV) is used as a parameter for risk stratification but may be affected by aortic disease (AoD). This study aimed to investigate the dependence of PWV on treated or untreated AoD and to identify modifiable factors of PWV. Methods: The measurement of PWV with the Mobil-O-Graph was performed fully ...

Background: Patients with an aortic aneurysm are at high cardiovascular risk. Pulse wave velocity (PWV) is used as a parameter for risk stratification but may be affected by aortic disease (AoD). This study aimed to investigate the dependence of PWV on treated or untreated AoD and to identify modifiable factors of PWV. Methods: The measurement of PWV with the Mobil-O-Graph was performed fully automatically in a collective of 381 patients (75.6% male and 24.4% female). Of all patients, 53.8% had nonaortic atherosclerotic vascular disease (AVD), 28.9% had treated AoD, and 17.3% had untreated AoD. Results: There was a statistically significant effect of age (R-2 = 0.838) and current systolic blood pressure (SBP) on PWV (p(age corrected) < 0.05). After correction for age, no statistically significant difference was found between the PWV of men and women, patients with different body weights or degrees of chronic kidney disease, diabetics and nondiabetics, and smokers and nonsmokers. Comparison between patients with nonaortic AVD and treated or untreated AoD revealed no statistically significant differences (PWVnonaortic AVD 10.0 +/- 1.8 m/s, PWVtreated AoD 10.0 +/- 1.5 m/s, PWVuntreated AoD 9.8 +/- 1.6 m/s; p(age corrected) > 0.05). Conclusions: PWV determined with the Mobil-O-Graph correlated with age and current SBP. Neither aortic disease versus nonaortic AVD, its treatment, nor other cardiovascular risk factors had a significant effect on PWV. Successful blood pressure control is crucial to avoid high PWV and thus an increase in cardiovascular events.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftJournal of Clinical Medicine
Verlag:MDPI
Ort der Veröffentlichung:BASEL
Band:11
Nummer des Zeitschriftenheftes oder des Kapitels:14
Seitenbereich:S. 4026
Datum12 Juli 2022
InstitutionenMedizin > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie
Medizin > Lehrstuhl für Kinder- und Jugendmedizin
Identifikationsnummer
WertTyp
10.3390/jcm11144026DOI
Stichwörter / KeywordsARTERIAL STIFFNESS; AUGMENTATION INDEX; REPAIR; VALIDATION; PRESSURE; abdominal aortic aneurysm (AAA); arterial stiffness; atherosclerosis; endovascular aneurysm repair (EVAR); Mobil-O-Graph; pulse wave velocity (PWV)
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-527556
Dokumenten-ID52755

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