Arterial stiffness and cardiovascular events: the Framingham Heart Study.

Abstract:

BACKGROUND:Various measures of arterial stiffness and wave reflection have been proposed as cardiovascular risk markers. Prior studies have not assessed relations of a comprehensive panel of stiffness measures to prognosis in the community. METHODS AND RESULTS:We used proportional hazards models to analyze first-onset major cardiovascular disease events (myocardial infarction, unstable angina, heart failure, or stroke) in relation to arterial stiffness (pulse wave velocity [PWV]), wave reflection (augmentation index, carotid-brachial pressure amplification), and central pulse pressure in 2232 participants (mean age, 63 years; 58% women) in the Framingham Heart Study. During median follow-up of 7.8 (range, 0.2 to 8.9) years, 151 of 2232 participants (6.8%) experienced an event. In multivariable models adjusted for age, sex, systolic blood pressure, use of antihypertensive therapy, total and high-density lipoprotein cholesterol concentrations, smoking, and presence of diabetes mellitus, higher aortic PWV was associated with a 48% increase in cardiovascular disease risk (95% confidence interval, 1.16 to 1.91 per SD; P=0.002). After PWV was added to a standard risk factor model, integrated discrimination improvement was 0.7% (95% confidence interval, 0.05% to 1.3%; P<0.05). In contrast, augmentation index, central pulse pressure, and pulse pressure amplification were not related to cardiovascular disease outcomes in multivariable models. CONCLUSIONS:Higher aortic stiffness assessed by PWV is associated with increased risk for a first cardiovascular event. Aortic PWV improves risk prediction when added to standard risk factors and may represent a valuable biomarker of cardiovascular disease risk in the community.

journal_name

Circulation

journal_title

Circulation

authors

Mitchell GF,Hwang SJ,Vasan RS,Larson MG,Pencina MJ,Hamburg NM,Vita JA,Levy D,Benjamin EJ

doi

10.1161/CIRCULATIONAHA.109.886655

subject

Has Abstract

pub_date

2010-02-02 00:00:00

pages

505-11

issue

4

eissn

0009-7322

issn

1524-4539

pii

CIRCULATIONAHA.109.886655

journal_volume

121

pub_type

杂志文章
  • Value of programmed ventricular stimulation after tetralogy of fallot repair: a multicenter study.

    abstract:BACKGROUND:Studies have consistently shown that ventricular tachycardia (VT) and sudden cardiac death (SCD) complicate the long-term outcome after tetralogy of Fallot repair, yet the diagnostic and predictive value of electrophysiological testing in this population is uncertain. METHODS AND RESULTS:A multicenter cohor...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1161/01.CIR.0000126495.11040.BD

    authors: Khairy P,Landzberg MJ,Gatzoulis MA,Lucron H,Lambert J,Marçon F,Alexander ME,Walsh EP

    更新日期:2004-04-27 00:00:00

  • Transgenic mouse model of ventricular preexcitation and atrioventricular reentrant tachycardia induced by an AMP-activated protein kinase loss-of-function mutation responsible for Wolff-Parkinson-White syndrome.

    abstract:BACKGROUND:We identified a gene (PRKAG2) that encodes the gamma-2 regulatory subunit of AMP-activated protein kinase (AMPK) with a mutation (Arg302Gln) responsible for familial Wolff-Parkinson-White (WPW) syndrome. The human phenotype consists of ventricular preexcitation, conduction abnormalities, and cardiac hypertro...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000151291.32974.D5

    authors: Sidhu JS,Rajawat YS,Rami TG,Gollob MH,Wang Z,Yuan R,Marian AJ,DeMayo FJ,Weilbacher D,Taffet GE,Davies JK,Carling D,Khoury DS,Roberts R

    更新日期:2005-01-04 00:00:00

  • Applications of percutaneous transluminal coronary angioplasty in cardiac transplantation. Preliminary results in five patients.

    abstract::Atherosclerotic coronary artery disease is the major cause of late cardiac transplant failure secondary to silent ischemia and infarction. To increase the longevity of cardiac homografts, we performed percutaneous transluminal coronary angioplasty (PTCA) in five male patients (aged 45 +/- 7 years, mean +/- SEM); 17 le...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Vetrovec GW,Cowley MJ,Newton CM,Lewis SA,DiSciascio G,Thompson JA,Hastillo A,Lower R,Hess M

    更新日期:1988-11-01 00:00:00

  • In vivo cell seeding with anti-CD34 antibodies successfully accelerates endothelialization but stimulates intimal hyperplasia in porcine arteriovenous expanded polytetrafluoroethylene grafts.

    abstract:BACKGROUND:The patency of AV expanded polytetrafluoroethylene (ePTFE) grafts for hemodialysis is impaired by intimal hyperplasia (IH) at the venous outflow tract. The absence of a functional endothelial monolayer on the prosthetic grafts is an important stimulus for IH. In the present study, we evaluated the feasibilit...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.504407

    authors: Rotmans JI,Heyligers JM,Verhagen HJ,Velema E,Nagtegaal MM,de Kleijn DP,de Groot FG,Stroes ES,Pasterkamp G

    更新日期:2005-07-05 00:00:00

  • Retrograde coronary artery flow in aortic valve disease.

    abstract::Retrograde coronary artery flow was observed angiographically in 43 patients with aortic stenosis and/or regurgitation. In the 24 patients with pure or predominant aortic stenosis, retrograde flow was seen in all 24 during end-systole. In the eight patients with pure aortic regurgitation, retrograde flow was seen main...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.54.3.494

    authors: Carroll RJ,Falsetti HL

    更新日期:1976-09-01 00:00:00

  • Aortic valve replacement and concomitant mitral valve regurgitation in the elderly: impact on survival and functional outcome.

    abstract:BACKGROUND:The impact of mitral regurgitation (MR) on elderly patients (> or = 70 years) undergoing isolated aortic valve replacement (AVR) is not clearly defined. This study investigates the long-term effects of preoperative, moderate MR on survival and functional outcome in elderly AVR patients. METHODS AND RESULTS:...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.526046

    authors: Barreiro CJ,Patel ND,Fitton TP,Williams JA,Bonde PN,Chan V,Alejo DE,Gott VL,Baumgartner WA

    更新日期:2005-08-30 00:00:00

  • Incidence and prognosis of resistant hypertension in hypertensive patients.

    abstract:BACKGROUND:Despite a recent American Heart Association (AHA) consensus statement emphasizing the importance of resistant hypertension, the incidence and prognosis of this condition are largely unknown. METHODS AND RESULTS:This retrospective cohort study in 2 integrated health plans included patients with incident hype...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.068064

    authors: Daugherty SL,Powers JD,Magid DJ,Tavel HM,Masoudi FA,Margolis KL,O'Connor PJ,Selby JV,Ho PM

    更新日期:2012-04-03 00:00:00

  • Comparative effects of nicardipine, a new calcium antagonist, on size of myocardial infarction after coronary artery occlusion in dogs.

    abstract::To examine whether nicardipine, a dihydropyridine derivative, limits size of myocardial infarction, and to compare the protective effects of nicardipine administered before and early and late after coronary artery occlusion, 99mTc-labeled albumin microspheres were injected into the left atrium during 5 min temporary c...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.74.2.420

    authors: Endo T,Nejima J,Fujita S,Kiuchi K,Iida N,Kikuchi K,Hayakawa H,Okumura H

    更新日期:1986-08-01 00:00:00

  • Cardiac effects of acute ethanol ingestion unmasked by autonomic blockade.

    abstract::We assessed the effects of ethanol and autonomic blockade on left ventricular function in nine normal subjects, age 20--35 years, using M-mode echocardiography and systolic time intervals. On day 1, measurements were made of heart rate, mean velocity of circumferential fiber shortening, and left ventricular pre-ejecti...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.59.1.120

    authors: Child JS,Kovick RB,Levisman JA,Pearce ML

    更新日期:1979-01-01 00:00:00

  • Outcomes and long-term survival for patients undergoing mitral valve repair versus replacement: effect of age and concomitant coronary artery bypass grafting.

    abstract:BACKGROUND:A paucity of literature is available on the effects of age and coronary artery bypass grafting (CABG) on the outcomes of patients undergoing mitral valve (MV) repair versus replacement. METHODS AND RESULTS:A matched study was performed using prospectively collected data from the Emory cardiovascular databas...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000079169.15862.13

    authors: Thourani VH,Weintraub WS,Guyton RA,Jones EL,Williams WH,Elkabbani S,Craver JM

    更新日期:2003-07-22 00:00:00

  • Mitochondrial Dysfunction in Heart Failure With Preserved Ejection Fraction.

    abstract::Heart failure with preserved ejection fraction (HFpEF) is a complex syndrome with an increasingly recognized heterogeneity in pathophysiology. Exercise intolerance is the hallmark of HFpEF and appears to be caused by both cardiac and peripheral abnormalities in the arterial tree and skeletal muscle. Mitochondrial abno...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.118.036259

    authors: Kumar AA,Kelly DP,Chirinos JA

    更新日期:2019-03-12 00:00:00

  • The relationship between enzymatic and histologic estimates of the extent of myocardial infarction in conscious dogs with permanent coronary occlusion.

    abstract::Relationships between enzyme estimates (EE) and histologic measurements of infarct size (HIS) were analyzed in 14 conscious dogs with permanent occlusion of the circumflex coronary artery. EE were derived from serial CPK, CPK-MM, CPK-MB, and CPK-BB. Estimates were obtained using methods of Shell et al., Norris et al.,...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.55.3.438

    authors: Roe CR,Cobb FR,Starmer CF

    更新日期:1977-03-01 00:00:00

  • Concealed intraventricular conduction in the His bundle electrogram.

    abstract::Multiple areas of concealed intraventricular conduction are deduced on the basis of aftereffects observed in His bundle recordings. Electrocardiograms and His bundle recordings are presented from two patients with unstable bilateral bundle branch block, the instability of which depended on the interval at which ventri...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.53.5.776

    authors: Cohen HC,D'Cruz I,Pick A

    更新日期:1976-05-01 00:00:00

  • Severe aortic stenosis in patients 60 years of age or older: left ventricular function and 10-year survival after valve replacement.

    abstract::From 1962-1977, 99 patients, mean age 65 +/- 0.5 years (range 60-81 years) underwent valve replacement for severe calcific aortic valve stenosis. Ninety-three percent of the patients were in New York Heart Association functional class III or IV. The aortic valve gradient was 76 +/- 3 mm Hg and the aortic valve area in...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Murphy ES,Lawson RM,Starr A,Rahimtoola SH

    更新日期:1981-08-01 00:00:00

  • Effect of continuous positive airway pressure on intrathoracic and left ventricular transmural pressures in patients with congestive heart failure.

    abstract:BACKGROUND:Continuous positive airway pressure (CPAP) can improve cardiac function in patients with congestive heart failure (CHF). We hypothesized that this effect might be related to CPAP-induced increases in intrathoracic pressure, which would reduce left ventricular transmural pressure (LVPtm) during systole, there...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.91.6.1725

    authors: Naughton MT,Rahman MA,Hara K,Floras JS,Bradley TD

    更新日期:1995-03-15 00:00:00

  • Effects of carvedilol on left ventricular remodeling after acute myocardial infarction: the CAPRICORN Echo Substudy.

    abstract:BACKGROUND:The CAPRICORN trial has shown that carvedilol improved outcome in patients with left ventricular dysfunction after acute myocardial infarction treated with ACE inhibitors. The aim of this substudy was to determine the effects of carvedilol on left ventricular remodeling in this patient group. METHODS AND RE...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.CIR.0000108928.25690.94

    authors: Doughty RN,Whalley GA,Walsh HA,Gamble GD,López-Sendón J,Sharpe N,CAPRICORN Echo Substudy Investigators.

    更新日期:2004-01-20 00:00:00

  • Enzymatically degraded, nonoxidized LDL induces human vascular smooth muscle cell activation, foam cell transformation, and proliferation.

    abstract:BACKGROUND:Enzymatic, nonoxidative modification transforms LDL to an atherogenic molecule (E-LDL) that activates complement and macrophages and is present in early atherosclerotic lesions. METHODS AND RESULTS:We report on the atherogenic effects of E-LDL on human vascular smooth muscle cells (SMC). E-LDL accumulated i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.15.1799

    authors: Klouche M,Rose-John S,Schmiedt W,Bhakdi S

    更新日期:2000-04-18 00:00:00

  • Surgical alternatives to the Fontan procedure incorporating a hypoplastic right ventricle.

    abstract:BACKGROUND:Frequently the definitive operation for patients with a right ventricle (RV) that is too small to support full cardiac output is a modified Fontan operation. However, other surgical options exist that incorporate a small RV in the atriopulmonary pathway when biventricular repair is not feasible because of RV...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Gentles TL,Keane JF,Jonas RA,Marx GE,Mayer JE Jr

    更新日期:1994-11-01 00:00:00

  • Anatomic features in victims of sudden coronary death. Coronary artery pathology.

    abstract::Study of the detailed pathology of the myocardium and coronary arteries in ambulatory subjects dying suddenly of coronary heart disease shows that they can be divided into two groups. In one group, there is atherosclerosis with a new vascular event involving coronary thrombosis, which initiates acute myocardial ischem...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Davies MJ

    更新日期:1992-01-01 00:00:00

  • Arterial neovascularization and inflammation in vulnerable patients: early and late signs of symptomatic atherosclerosis.

    abstract:BACKGROUND:Atherosclerosis is complicated by cardiovascular events such as myocardial infarction, stroke, or peripheral arterial occlusive disease. Inflammation and pathological neovascularization are thought to precipitate plaque rupture or erosion, both causes of arterial thrombosis and cardiovascular events. We test...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000146787.16297.E8

    authors: Fleiner M,Kummer M,Mirlacher M,Sauter G,Cathomas G,Krapf R,Biedermann BC

    更新日期:2004-11-02 00:00:00

  • Renal function and urate metabolism in late survivors with cyanotic congenital heart disease.

    abstract::Diminished glomerular filtration rate, proteinuria, and large hypercellular congested glomeruli with segmental sclerosis are found in late survivors with cyanotic congenital heart disease (CCHD). Hyperuricemia is common, acute gouty arthritis is less common than uric acid levels would predict, and overt tophaceous dep...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.73.3.396

    authors: Ross EA,Perloff JK,Danovitch GM,Child JS,Canobbio MM

    更新日期:1986-03-01 00:00:00

  • Early dual versus mono antiplatelet therapy for acute non-cardioembolic ischemic stroke or transient ischemic attack: an updated systematic review and meta-analysis.

    abstract:BACKGROUND:Emerging studies suggest that early administration of dual antiplatelet therapy may be better than monotherapy for prevention of early recurrent stroke and cardiovascular outcomes in acute ischemic stroke and transient ischemic attack (TIA). We performed a meta-analysis of randomized, controlled trials evalu...

    journal_title:Circulation

    pub_type: 杂志文章,meta分析,评审

    doi:10.1161/CIRCULATIONAHA.113.003187

    authors: Wong KS,Wang Y,Leng X,Mao C,Tang J,Bath PM,Markus HS,Gorelick PB,Liu L,Lin W,Wang Y

    更新日期:2013-10-08 00:00:00

  • Tissue Doppler imaging consistently detects myocardial contraction and relaxation abnormalities, irrespective of cardiac hypertrophy, in a transgenic rabbit model of human hypertrophic cardiomyopathy.

    abstract:BACKGROUND:Hypertrophic cardiomyopathy (HCM) is diagnosed clinically by the presence of left ventricular hypertrophy (LVH). However, LVH is absent in a significant number of genotype-positive patients. Because myocyte dysfunction and disarray are the primary abnormalities in HCM, we reasoned that tissue Doppler imaging...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.12.1346

    authors: Nagueh SF,Kopelen HA,Lim DS,Zoghbi WA,Quiñones MA,Roberts R,Marian AJ

    更新日期:2000-09-19 00:00:00

  • Hyperkalemia enhances the effect of adenosine on IK,ADO in rabbit isolated AV nodal myocytes and on AV nodal conduction in guinea pig isolated heart.

    abstract:BACKGROUND:The atrioventricular (AV) node is insensitive to changes in extracellular potassium concentration, [K+]o, because of the absence of the inward rectifier potassium current (IK1). However, we propose that in the presence of adenosine, elevated [K+]o should increase the adenosine-activated inward rectifier pota...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.2.312

    authors: Martynyuk AE,Morey TE,Belardinelli L,Dennis DM

    更新日期:1999-01-19 00:00:00

  • Fetal, infant, and childhood growth and adult blood pressure: a longitudinal study from birth to 22 years of age.

    abstract:BACKGROUND:People who are small at birth tend to have higher blood pressure in later life. However, it is not clear whether it is fetal growth restriction or the accelerated postnatal growth that often follows it that leads to higher blood pressure. METHODS AND RESULTS:We studied blood pressure in 346 British men and ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc0902.104677

    authors: Law CM,Shiell AW,Newsome CA,Syddall HE,Shinebourne EA,Fayers PM,Martyn CN,de Swiet M

    更新日期:2002-03-05 00:00:00

  • Metalloproteinase inhibition reduces constrictive arterial remodeling after balloon angioplasty: a study in the atherosclerotic Yucatan micropig.

    abstract:BACKGROUND:Arterial remodeling after balloon angioplasty has been recognized as a major determinant of restenosis. Perturbation of collagen metabolism might be important. After balloon injury, matrix metalloproteinase (MMP) expression is upregulated. We investigated the effect of Batimastat, a nonspecific MMP inhibitor...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.25.2962

    authors: de Smet BJ,de Kleijn D,Hanemaaijer R,Verheijen JH,Robertus L,van Der Helm YJ,Borst C,Post MJ

    更新日期:2000-06-27 00:00:00

  • Weekend versus weekday admission and mortality after acute pulmonary embolism.

    abstract:BACKGROUND:Optimal management of acute pulmonary embolism (PE) requires medical expertise, diagnostic testing, and therapies that may not be available consistently throughout the entire week. We sought to assess whether associations exist between weekday or weekend admission and mortality and length of hospital stay fo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.108.824292

    authors: Aujesky D,Jiménez D,Mor MK,Geng M,Fine MJ,Ibrahim SA

    更新日期:2009-02-24 00:00:00

  • Influence of racial disparities in procedure use on functional status outcomes among patients with coronary artery disease.

    abstract:BACKGROUND:Although black cardiac patients receive fewer revascularization procedures than whites, it is unclear whether this has a detrimental impact on outcomes. The objective of our study was to compare 6-month functional status and angina outcomes among blacks and whites with documented coronary disease and to asse...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000157731.66268.E1

    authors: Kaul P,Lytle BL,Spertus JA,DeLong ER,Peterson ED

    更新日期:2005-03-15 00:00:00

  • Myocardial protective effects of adenosine. Infarct size reduction with pretreatment and continued receptor stimulation during ischemia.

    abstract:BACKGROUND:We hypothesized that 1) endogenous adenosine released during ischemia conferred an inherent cardioprotection, and 2) a pretreatment dose of adenosine before ischemia would provide additional protection independent of hemodynamic effects. METHODS AND RESULTS:Thirty-six anesthetized New Zealand White rabbits ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.86.3.986

    authors: Toombs CF,McGee S,Johnston WE,Vinten-Johansen J

    更新日期:1992-09-01 00:00:00

  • Carotid intimal-medial thickness is related to cardiovascular risk factors measured from childhood through middle age: The Muscatine Study.

    abstract:BACKGROUND:Higher carotid intimal-medial thickness (IMT) is associated with cardiovascular risk factors and is predictive of coronary artery disease and stroke in older adults. Carotid IMT was measured in young and middle-aged adults to determine its relationship with risk factors measured (1) in childhood, (2) current...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc4601.099486

    authors: Davis PH,Dawson JD,Riley WA,Lauer RM

    更新日期:2001-12-04 00:00:00