1978
DOI: 10.1136/hrt.40.7.709
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Hypertension and arterial development. Long-term considerations.

Abstract: A considerable body of evidence supports the view that haemodynamic factors, acting during growth and development, affect the ultimate form of the larger arteries. Many of the changes induced in vessels by high pressure or flow are adaptive and effectively minimise alterations in vessel function, but these changes may predispose to degenerative disease. 'Early intervention' in arterial disease implies intervention in the first and second decades of life.

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Cited by 56 publications
(21 citation statements)
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References 49 publications
(38 reference statements)
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“…There is evidence in animals and human beings that changes of afterload in early life can alter the structure and compliance of the larger arteries. 24 The fetal circulation of the compromised group have changes of regional resistance that may cause redistribution of cardiac output. Cerebral blood flow may be increased, and flow to the trunk may decrease; that is, the so-called ''brain-sparing effect''.…”
Section: Discussionmentioning
confidence: 99%
“…There is evidence in animals and human beings that changes of afterload in early life can alter the structure and compliance of the larger arteries. 24 The fetal circulation of the compromised group have changes of regional resistance that may cause redistribution of cardiac output. Cerebral blood flow may be increased, and flow to the trunk may decrease; that is, the so-called ''brain-sparing effect''.…”
Section: Discussionmentioning
confidence: 99%
“…Intimal thickening at 6 weeks is enough to halve the normal tension imposed on wall elements, assuming that the elastic properties of the neointima match those of the media. Given the putative role of wall tension in stimulating both developmental and pathological medial growth, 33 this decrease in tension may ultimately offset the effects of other growth stimuli that have resulted from the injury.…”
Section: Neointimal Proliferationmentioning
confidence: 99%
“…The foramen sets a limit to the maximum size of the vessel and so should reflect the extent of blood flow through it. The size of the blood vessel, and consequently the foramen, is affected by rheological properties of blood in the vessel -stretch and shear stress (Berry, 1978;Birchard, 1997;Ward et al, 2000). Stretch is related to the radial force exerted on a vessel wall due to the balance between blood pressure and the mechanical properties of the wall.…”
Section: Introductionmentioning
confidence: 99%