Key result
Carbohydrate metabolism correlates with PWV while lipid disorders link to IMT in vascular aging.
Cross-Sectional (n=136)
Arterial stiffness (pulse wave velocity) is more closely linked to carbohydrate metabolism disorders, while structural vascular changes (intima-media thickness and plaques) are more associated with lipid disorders.
Aim.To study interrelationship between cardiovascular risk factors and cellular and vascular aging processes. Material and methods. Totally 136 patients were included having no signs of cardiovascular diseases, diabetes 2nd type and receiving no drug therapy, but with one or several risk factors for cardiovascular diseases (smoking, arterial hypertension, obesity, dyslipidemia, fasting hyperglycemia). The telomere length and telomerase activity was measured by polymerase chain reaction. The thickness of intima-media complex (TIMC) and presence of atherosclerotic plaques (ASP) were measured by duplex scanning of right and left carotid arteries. Pulse wave velocity (PWV) was measured by applanation tonometry. Biochemical tests done by standard. Results.PWV significantly correlated with age, body mass index, glycosilated hemoglobin level, fasting glycemia and telomere length. Presence of ASP and increased TIMC significantly correlated with age, body mass index, arterial hypertension, dyslipidemia.Conclusion.Increase of arterial wall stiffness and subclinical atherosclerotic disease have different causes. The level of PWV more linked with carbohydrate metabolism disorder, and TIMC and ASP are linked with lipid disorders.
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Kruglikova et al. (2014) conducted a cross-sectional in Cardiovascular risk factors (n=136). Cardiovascular risk factors was evaluated on Pulse wave velocity, thickness of intima-media complex, and presence of atherosclerotic plaques. Cardiovascular risk factors showed distinct associations with vascular aging: pulse wave velocity correlated with carbohydrate metabolism, while intima-media thickness correlated with lipid disorders.
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