Girerd X, Mourad J J, Boutouyrie P, Benetos A, Laurent S, Safar M
Service de Médecine Interne et Thérapeutique, INSERM U337, Hôpital Broussais, Paris.
Presse Med. 1992 Jul 22;21(26):1204-9.
The structure of arteries changes with age. Gradual disappearance of elastic fibres facilitates dilatation of the arterial lumen and increase in length of the vessels. Simultaneously, the arterial wall becomes thicker, but it is often difficult to distinguish the changes due to ageing from those caused by atherosclerosis. These structural alterations result in a greater rigidity of the arteries, which can now be evaluated by non-invasive segmental methods. This shows that ageing does not have the same functional effects on wide-caliber elastic arteries and on middle-sized muscular arteries. The increase of systolic arterial pressure observed in the elderly is a consequence of structural and functional changes in the arterial system.
动脉结构随年龄变化。弹性纤维逐渐消失有利于动脉管腔扩张和血管长度增加。同时,动脉壁变厚,但通常很难区分衰老引起的变化与动脉粥样硬化导致的变化。这些结构改变导致动脉更加僵硬,现在可以通过非侵入性节段性方法进行评估。这表明衰老对大口径弹性动脉和中等大小肌性动脉的功能影响不同。老年人收缩压升高是动脉系统结构和功能变化的结果。