胸腹降主动脉瘤患者的中心主动脉血压和脉波特征:特征、动态及预后意义

A. P. Gurevich, I. V. Emelyanov, M. V. Ionov, A. G. Vanyurkin, M. A. Chernyavskiy, A. O. Konradi
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引用次数: 0

摘要

主动脉瘤(Aortic动脉瘤,AA)是最可怕的心血管疾病之一,临床表现微妙,并发症风险高。发生AA的易感因素有年龄、动脉高血压(HTN)、动脉粥样硬化和炎症性主动脉疾病。这些都与血管硬度的变化有关。当AA患者血压(BP)脉搏波升高时,HTN会导致主动脉壁张力增加。中央血压和血管硬度的指标是特别感兴趣的。它们是心血管事件的独立危险因素,但在AA患者中研究甚少。本文综述了非手术性AA患者以及血管内AA修复后AA与血管僵硬度和中央血流动力学指标的关系。在这里,我们讨论单个标记物对AA进展和手术治疗结果的预测准确性和适用性,以及未解决的问题和进一步研究的前景。
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Central aortic blood pressure and pulse wave characteristics in patients with decscending thoracic and abdominal aortic aneurysm: features, dynamics, and prognostic significance
Aortic aneurysm (AA) is one of the most formidable cardiovascular diseases, characterized by subtle clinical manifestations and a high risk of complications. Predisposing factors in the development of AA are age, arterial hypertension (HTN), atherosclerosis, and inflammatory aortic diseases. Those are associated with changes in vascular stiffness. HTN causes increased tension in the aortic wall when the pulse wave of blood pressure (BP) rises in patients with AA. Indicators of central BP and vascular stiffness are of particular interest. They present as independent risk factors for cardiovascular events but are poorly studied among patients with AA. The purpose of the review is to summarize the ideas about the relationship of AA with the indicators of vascular stiffness and central hemodynamics in patients with non-operated AA, as well as after endovascular AA repair. Here we discuss the predictive accuracy and applicability of individual markers concerning AA progression and surgical treatment outcomes, as well as unresolved issues and prospects for further research.
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来源期刊
Arterial Hypertension (Russian Federation)
Arterial Hypertension (Russian Federation) Medicine-Cardiology and Cardiovascular Medicine
CiteScore
0.90
自引率
0.00%
发文量
38
期刊介绍: The main aims of the Journal include collecting and generalizing the knowledge in hypertensiology; education and professional development of cardiologists and medical doctors of other specialties, who deal with different issues regarding diagnostics, management and prevention of hypertension in both clinical practice and research. The Journal also calls attention to the most urgent and up-to-date questions in hypertensiology, cardiology and related sciences. There are additional objectives, such as increasing the availability, accessibility and recognition of Russian medical scientific achievements at the international level by improving the quality of the publication and the way they are presented; enabling the exchange of opinions and information between scientists and their wider communication. The main criteria for publication selection fit with the mentioned objectives and include currency, singularity, scientific and practical novelty, applied relevance etc.
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