Approach to High Risk Patients

Early Prevention: The Correlation Beetwen Arterial Rigidity and Cardiovascular Risk in Hypertensive Patients and Its Social Impact

“…However, if hypertension acts as a mechanical factor with deleterious consequences on the arterial wall, the totality of the blood pressure curve should be considered to evaluate the risk (Erbel et al, 2014). Recent fi ndings in hypertensive populations ilustrate that increased pulse pressure is an independent predictor of myocardial infarction, congestive heart failure and cardiovascular death, even in hypertensive patients undergoing successful antihypertensive drug therapy; and also increased aortic pulse wave velocity is an independent predictor of cardiovascular mortality in individuals with essential hypertension (Bhatt et al, 2006;Iurciuc et al, 2011;Iurciuc et al, 2017). Currently, increased pulse pressure and increased pulse wave velocity may be considered either as simple markers of an underlying vascular disease or as strong cardiovascular risk factors.…”

“…Arterial stiff ness and wave refl ection are now well accepted as the most important determinants of increasing systolic and pulse pressures in aging societies, thus aff ording a major contribution to stroke and myocardial infarction (Amaricai & Poenaru, 2015;Iurciuc et al, 2017;Mancia, 2007). A major reason for measuring arterial stiff ness in hypertensive patients comes from the demonstration that arterial stiff ness has a predictive value for cardiovascular events, beyond classical cardiovascular risk factors (Iurciuc et al, 2011;Iurciuc et al, 2010). Aortic stiff ening also gives direct evidence of target organ damage, and improves the determination of the overall cardiovascular risk of asymptomatic hypertensive subjects (Volpe et al, 2012).…”

The Impact of Medical Physical Training and a Structured Personalized Exercise Training Program on Hemodynamic Parameters and Arterial Stiffness in Pregnant Women

“…In individuals who are not pregnant, arterial stiffness typically intensifies as one moves from the aorta to the peripheral arteries, which is essential for minimizing the energy carried by the forward wave to the microcirculation [6]. Over the years, many studies have associated the severity and occurrence of arterial stiffness with various pathologies with cardiovascular impact [7] or even with health outcomes on longer-term follow-up [8]. Studies have shown that aortic stiffness is consistently elevated in pregnancy-associated hypertension compared to healthy pregnant women [9].…”