Arterial distensibility in humans. Modulating mechanisms, alterations in diseases and effects of treatment.

Abstract:

:Reduction of large artery distensibility has several adverse consequences for the cardiovascular system. This paper reviews the evidence obtained by measuring distensibility through quantification of changes in arterial diameter versus blood pressure changes at large elastic and middle size muscle artery sites. Evidence is available that arterial distensibility is reduced in conditions as varied as hypercholesterolemia, hypertension, diabetes and congestive heart failure. In some conditions (e.g. hypertension) the alterations are not uniformly distributed in arteries of different structure and size whereas in others (e.g. diabetes and heart failure) they are widespread. In diabetes evidence is available that distensibility changes occur early in the course of the disease. Evidence is also available that in all above conditions treatment can improve arterial distensibility thereby reversing the initial abnormality. This appears to be due to a variable combination of structural and functional factors. Technical ability to determine their precise role in distensibility changes in humans is limited, however.

journal_name

J Hypertens

journal_title

Journal of hypertension

authors

Giannattasio C,Mancia G

doi

10.1097/00004872-200210000-00001

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

1889-99

issue

10

eissn

0263-6352

issn

1473-5598

journal_volume

20

pub_type

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