Update on the Use of Pulse Wave Velocity to Measure Age-Related Vascular Changes

IF 3.9 2区医学 Q1 PERIPHERAL VASCULAR DISEASE Current Hypertension Reports Pub Date : 2023-12-30 DOI:10.1007/s11906-023-01285-x

Andrea G. Marshall, Kit Neikirk, Jeremiah Afolabi, Naome Mwesigwa, Bryanna Shao, Annet Kirabo, Anilkumar K. Reddy, Antentor Hinton

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Abstract

Purpose of Review

Pulse wave velocity (PWV) is an important and well-established measure of arterial stiffness that is strongly associated with aging. Age-related alterations in the elastic properties and integrity of arterial walls can lead to cardiovascular disease. PWV measurements play an important role in the early detection of these changes, as well as other cardiovascular disease risk factors, such as hypertension. This review provides a comprehensive summary of the current knowledge of the effects of aging on arterial stiffness, as measured by PWV.

Recent Findings

This review highlights recent findings showing the applicability of PWV analysis for investigating heart failure, hypertension, and other cardiovascular diseases, as well as cerebrovascular diseases and Alzheimer’s disease. It also discusses the clinical implications of utilizing PWV to monitor treatment outcomes, various challenges in implementing PWV assessment in clinical practice, and the development of new technologies, including machine learning and artificial intelligence, which may improve the usefulness of PWV measurements in the future.

Summary

Measuring arterial stiffness through PWV remains an important technique to study aging, especially as the technology continues to evolve. There is a clear need to leverage PWV to identify interventions that mitigate age-related increases in PWV, potentially improving CVD outcomes and promoting healthy vascular aging.

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使用脉搏波速度测量与年龄有关的血管变化的最新进展

综述目的脉搏波速度（PWV）是衡量动脉僵化程度的一个重要且行之有效的指标，它与衰老密切相关。与年龄相关的动脉壁弹性特性和完整性的改变可导致心血管疾病。脉搏波速度测量在早期发现这些变化以及高血压等其他心血管疾病风险因素方面发挥着重要作用。本综述全面总结了目前通过脉搏波速度测量老化对动脉僵化影响的知识。最近的研究结果本综述重点介绍了最近的研究结果，这些结果表明脉搏波速度分析适用于调查心力衰竭、高血压和其他心血管疾病，以及脑血管疾病和阿尔茨海默病。报告还讨论了利用脉搏波速度监测治疗效果的临床意义、在临床实践中实施脉搏波速度评估所面临的各种挑战，以及包括机器学习和人工智能在内的新技术的发展，这些技术可能会在未来提高脉搏波速度测量的实用性。显然有必要利用脉搏波速度来确定干预措施，以减轻与年龄相关的脉搏波速度增加，从而改善心血管疾病的预后并促进血管健康老化。

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来源期刊

Current Hypertension Reports 医学-外周血管病

CiteScore

10.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of hypertension. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antihypertensive therapies, associated metabolic disorders, and therapeutic trials. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.