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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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| Dokumentenart | Artikel | ||||
| Titel eines Journals oder einer Zeitschrift | Journal of Clinical Medicine | ||||
| Verlag: | MDPI | ||||
|---|---|---|---|---|---|
| Ort der Veröffentlichung: | BASEL | ||||
| Band: | 11 | ||||
| Nummer des Zeitschriftenheftes oder des Kapitels: | 14 | ||||
| Seitenbereich: | S. 4026 | ||||
| Datum | 12 Juli 2022 | ||||
| Institutionen | Medizin > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie Medizin > Lehrstuhl für Kinder- und Jugendmedizin | ||||
| Identifikationsnummer |
| ||||
| Stichwörter / Keywords | ARTERIAL 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-Klassifikation | 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin | ||||
| Status | Veröffentlicht | ||||
| Begutachtet | Ja, diese Version wurde begutachtet | ||||
| An der Universität Regensburg entstanden | Ja | ||||
| URN der UB Regensburg | urn:nbn:de:bvb:355-epub-527556 | ||||
| Dokumenten-ID | 52755 |
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