From the Cardiovascular Engineering, Inc, Norwood, MA.
Hypertension. 2021 Mar 3;77(3):768-780. doi: 10.1161/HYPERTENSIONAHA.120.14515. Epub 2021 Feb 1.
Aortic stiffness increases markedly with age and is associated with excess risk for various adverse clinical outcomes, including heart disease, dementia, and kidney disease. Although evidence for adverse effects of aortic stiffening is overwhelming, integration of direct and indirect measures of aortic stiffness into routine clinical assessment has lagged behind the science. This brief review will examine recent evidence supporting the value of stiffness as an important new risk factor for hypertension and cardiovascular disease and will offer suggestions for incorporating stiffness measures into routine clinical practice.
主动脉僵硬度随年龄显著增加,并与各种不良临床结局(包括心脏病、痴呆和肾脏疾病)的风险增加相关。尽管主动脉僵硬度的不良影响证据确凿,但直接和间接测量主动脉僵硬度的方法在常规临床评估中的应用仍落后于科学发展。这篇简短的综述将探讨支持僵硬度作为高血压和心血管疾病重要新危险因素的最新证据,并为将僵硬度测量纳入常规临床实践提供建议。