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ARTERIAL WALL REMODELLING AND STIFFNESS IN HYPERTENSION: HETEROGENEOUS ASPECTS
Author(s) -
London GM,
Safar ME
Publication year - 1996
Publication title -
clinical and experimental pharmacology and physiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 103
eISSN - 1440-1681
pISSN - 0305-1870
DOI - 10.1111/j.1440-1681.1996.tb03033.x
Subject(s) - cardiology , medicine , arterial stiffness , ageing , lumen (anatomy) , arterial wall , pathological , blood pressure , pathophysiology of hypertension , muscle hypertrophy , essential hypertension
SUMMARY1 Hypertension is associated with hypertrophy and decreased operating distensibility of the large artery wall. Because similar pathological and functional changes are observed with ageing, hypertension is often looked upon as an accelerated form of aging. 2 Considering the decrease in arterial distensibility observed with both ageing and hypertension, whether the change is due to age, an increase in distending pressure or to hypertensioninduced changes in large artery structural properties may be much debated. 3 The purpose of the present review is to study the effects of aging and hypertension on structural (lumen diameter and arterial wall thickness) and functional (distensibility) properties of large central and medium‐sized arteries in humans. 4 From clinical studies in subjects with hypertension with or without advanced renal disease, it is suggested that age‐ and hypertension‐induced structural arterial changes are quite heterogeneous, depending on the topography of the vessel and on the severity of the underlying disease.