Do antihypertensive drugs improve arterial stiffness?
This review summarizes the current evidence regarding the effects of various antihypertensive drug classes on arterial stiffness, an independent predictor of cardiovascular morbidity and mortality.
In this review, we discuss the possible pathophysiological mechanisms and the role of arterial stiffness as a biomarker, a blood pressure-independent predictor of cardiovascular morbidity and mortality. The effects of different antihypertensive drug classes on noninvasively assessed markers of arterial stiffness are also discussed. Current evidence will be reviewed regarding the effect of drugs on arterial stiffness, including the peripheral and central effects of angiotensin-converting enzyme inhibitors, angiotensin receptor antagonists, dihydropyridine calcium channel blockers, beta blockers (including vasodilating beta blockers), diuretics, and mineralocorticoid antagonists.
Dudenbostel et al. (Wed,) studied this question.
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