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Peripheral Arterial Stiffness in Primary Aldosteronism
被引:26
作者:

Rosa, J.
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Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic
Charles Univ Prague, Univ Hosp Kralovske Vinohrady, Dept Internal Med 3, Fac Med 3, Prague 12808, Czech Republic Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic

Somloova, Z.
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Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic

Petrak, O.
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Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic

Strauch, B.
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Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic

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Senitko, M.
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Univ Mississippi, Med Ctr, Dept Med, University, MS 38677 USA Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic

Zelinka, T.
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Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic

Holaj, R.
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Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic

Widimsky, J., Jr.
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Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic
机构:
[1] Charles Univ Prague, Gen Fac Hosp, Dept Internal Med 3, Fac Med 1, U Nemocnice 2, Prague 12808, Czech Republic
[2] Charles Univ Prague, Univ Hosp Kralovske Vinohrady, Dept Internal Med 3, Fac Med 3, Prague 12808, Czech Republic
[3] Univ Mississippi, Med Ctr, Dept Med, University, MS 38677 USA
关键词:
Peripheral arterial stiffness;
Primary aldosteronism;
Peripheral pulse wave velocity;
INTIMA-MEDIA THICKNESS;
CARDIOVASCULAR EVENTS;
CAROTID-ARTERY;
HYPERTENSION;
SODIUM;
ASSOCIATION;
PREVALENCE;
D O I:
10.33549/physiolres.932344
中图分类号:
Q4 [生理学];
学科分类号:
071003 ;
摘要:
Aldosterone overproduction increases arterial wall stiffness by accumulation of different types of collagen fibres and growth factors. Our previous studies showed that central (aortic) arterial stiffness is increased in primary aldosteronism (PA) independently of concomitant hypertension and that these changes might be reversible after successful adrenalectomy. There is limited data available on the potential impact of mineralocorticoid overproduction on the deterioration of peripheral arterial stiffness. The current study was thus aimed at investigating the effect of aldosterone overproduction on peripheral arterial stiffness assessed by peripheral (femoral-ankle) pulse wave velocity (PWV) in PA patients compared with essential hypertension (EH) patients. Forty-nine patients with confirmed PA and 49 patients with EH were matched for age, blood pressure, body mass index, lipid profile, and fasting glucose. PWV was obtained using the Sphygmocor applanation tonometer. Both peripheral and central PWV were significantly higher in PA patients compared to EH patients, while clinical blood pressures were similar. Plasma aldosterone level was the main predictor of peripheral PWV in PA. Our data indicate aldosterone overproduction in PA does not preferentially affect central arterial system. Fibroproliferative effect of higher aldosterone levels lead to alteration of central-elastic as well as peripheral-muscular arteries with subsequent increase in its stiffness.
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页码:461 / 468
页数:8
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