Navigation Links
Arterial stiffness


Arteries stiffen as a consequence of age and atherosclerosis. The two leading causes of death in the developed world, myocardial infarction and stroke, are both a direct consequence of atherosclerosis and increased arterial stiffness is associated with an increased risk of cardiovascular events. The World Health Organisation predicts that by 2010 cardiovascular disease will also be the leading killer in the developing world and represents a major global health problem.

Arterial stiffness

Once considered by the ancient Greeks as inert conduits within which air flowed, William Harvey is generally credited with being the first to describe the circulation of the blood through arteries. The circulation of blood depends on the contraction of the heart. When the heart contracts it generates a pulse or energy wave that travels through the circulation. The speed of travel of this pulse wave (pulse wave velocity) is related to the stiffness of the arteries. Other terms that are used to described the mechanical properties of arteries include elastance, or the reciprocal (inverse) of elastance, compliance. The relationship between arterial stiffness and pulse wave velocity (PWV) was first predicted by Thomas Young in his Croonian Lecture of 1808 (Young T: On the function of the heart and arteries: The Croonian lecture. Phil Trans Roy Soc 1809;99:l-31), but is generally described by the Moens-Korteweg equation (Nichols WW, O'Rourke MF. Vascular impedance. In: McDonald's Blood Flow in Arteries: Theoretical, Experimental and Clinical Principles. 4th ed. London, UK: Edward Arnold; 1998:54–97, 243–283, 347–395.) or the Bramwell-Hill equation (Bramwell JC, Hill AV. The velocity of the pulse wave in man. Proc R Soc Lond (Biol) 1922;93:298-306).Typical values of PWV in the aorta range from approximately 5m/s to >15m/s.

Measurement of aortic PWV provides some of the strongest evidence concerning the prognostic significance of large artery stiffening. Increased aortic PWV has been shown to predict cardiovascular and in some cases all cause mortality in individuals with end stage renal failure (Blacher et al.,Circulation. 1999; 99: 2434–2439), hypertension (Laurent et al., Hypertension. 2001; 37: 1236–1241), diabetes mellitus (Cruickshank et al., Circulation. 2002; 106: 2085–2090) and in the general population (Mattace-Raso et al. Circulation. 2006;113:657-663, Hansen et al., Circulation. 2006;113:664-670.). However, at present, the role of measurement of PWV as a general clinical tool remains to be established.


'"/>


(Date:6/26/2016)... , ... June 26, 2016 , ... Brent Kasmer, a legally blind and certified personal ... personalized through a fitness app. The fitness app plans to fix the two major problems ... offer a one size fits all type program , They don’t eliminate all ...
(Date:6/25/2016)... ... June 25, 2016 , ... "With 30 hand-drawn hand gesture ... said Christina Austin - CEO of Pixel Film Studios. , ProHand Cartoon’s package ... Final Cut Pro X . Simply select a ProHand generator and drag it ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... Conventional wisdom ... of success. In terms of the latter, setting the bar too high can result ... more than just slow progress toward their goal. , Research from PsychTests.com ...
(Date:6/24/2016)... ... June 24, 2016 , ... The Pulmonary Hypertension Association (PHA) ... will receive two significant new grants to support its work to advance research ... anniversary by recognizing patients, medical professionals and scientists for their work in fighting ...
(Date:6/24/2016)... Plano, TX (PRWEB) , ... June 24, 2016 , ... ... taking part in Genome magazine’s Code Talker Award, an essay contest in which patients ... for an award to be presented at the 2016 National Society of Genetic Counselors ...
Breaking Medicine News(10 mins):
Other medicine definition