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P.24 Factors Associated with Premature Vascular Aging in Patients with Arterial Hypertension
Artery Research volume 26, page S47 (2020)
Abstract
Objectives
Identification of factors associated with premature vascular aging in patients with arterial hypertension (AH).
Methods
The study included 61 patients (29 men, 32 women) with 1–2 grade AH without cardiovascular complications, aged 40 to 60 years, of which 28 (45.9%) had type 2 diabetes. The duration of AH was 5.0 [2.0; 10.0] years, type 2 diabetes - 2.0 [1.0; 4.0] years. The assessment of vascular stiffness using cardio-ankle vascular index (CAVI) and vascular age (VA) was performed by volumetric sphygmography (VaSera-1500). All patients were divided into 2 groups: with normal VA (the passport age corresponds to the VA, n = 35) and premature vascular aging (the VA is higher than the passport age, n = 26).
Results
There were no significant differences in gender, smoking, dyslipidemia, and the presence and duration of type 2 diabetes in the comparison groups. Significantly higher values of blood pressure (BP) were observed in the group of patients with premature vascular aging - 153.7 ± 26.2/95.3 ± 13.2 versus 137.9 ± 18.6/88.4 ± 13.3 mm Hg., higher duration of AH 10.0 [4.0; 13.0] vs. 3.0 [1.0; 8.0] years, higher blood urea level 5.7 [5.3; 6.8] vs. 4.5 [3.8; 5.8] mmol/l, increased CAVI average values on the right and on the left 8.8 [8.4; 9.4] vs. 7.4 [6.7; 7.9], intima-media thickness (IMT) of CCA (0.92 ± 0.13 vs. 0.80 ± 0.09 mm) and LV mass index (LVMI), 96.1 ± 21.8 vs. 86.1 ± 20.7 g/m2.
Conclusion
Premature vascular aging in patients with AH was associated with the degree and duration of hypertension, increased IMT, vascular stiffness [1], blood urea levels and LVMI.
References
Nilsson PM. Early vascular ageing as a new model to understand hypertension and arterial disease. Cardiovasc Endocrinol 2016;5:133–6.
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This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).
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Melekhina, I.V.I., Medvedeva, E.G.E.G., Ivanova, S.V.S. et al. P.24 Factors Associated with Premature Vascular Aging in Patients with Arterial Hypertension. Artery Res 26 (Suppl 1), S47 (2020). https://doiorg.publicaciones.saludcastillayleon.es/10.2991/artres.k.201209.037
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DOI: https://doiorg.publicaciones.saludcastillayleon.es/10.2991/artres.k.201209.037