Aortic Elasticity and Cardiovascular Risk Stratification: A Narrative Review on the Current Understanding

N. Mileva, T. Velikova, Toni Velikov, Dobrin Vassilev
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Abstract

Cardiovascular risk stratification is a cornerstone of preventive cardiology, aiming to identify individuals at a higher risk for adverse events. In line with this, aortic elastic properties have gained recognition as crucial indicators of vascular health and predictors of cardiovascular outcomes. This narrative review delves into the significance of aortic stiffness, compliance, and distensibility in risk assessment, shedding light on their associations with cardiovascular diseases, such as hypertension, atherosclerosis, and coronary artery disease. This review aims to provide an overview of the current knowledge regarding aortic elastic properties and their role in cardiovascular risk stratification. The exploration of potential mechanisms and clinical implications outlines the need for further research to establish precise links between aortic elasticity and cardiovascular risk. Furthermore, the integration of advanced imaging, genetic factors, and personalized medicine is suggested to refine risk assessment strategies and enhance patient care. Ultimately, this review underscores the importance of aortic elastic properties in cardiovascular risk prediction, opening avenues for future research and clinical application.
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主动脉弹性与心血管风险分层:关于当前认识的叙述性综述
心血管风险分层是预防性心脏病学的基石,旨在识别不良事件风险较高的人群。因此,主动脉弹性特性已被视为血管健康的重要指标和心血管预后的预测因素。这篇叙述性综述深入探讨了主动脉僵硬度、顺应性和扩张性在风险评估中的意义,阐明了它们与高血压、动脉粥样硬化和冠状动脉疾病等心血管疾病的关联。本综述旨在概述目前有关主动脉弹性特性及其在心血管风险分层中作用的知识。对潜在机制和临床影响的探讨概述了进一步研究的必要性,以建立主动脉弹性与心血管风险之间的精确联系。此外,还建议将先进的成像技术、遗传因素和个性化医疗结合起来,以完善风险评估策略并加强对患者的护理。最终,这篇综述强调了主动脉弹性特性在心血管风险预测中的重要性,为未来的研究和临床应用开辟了道路。
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