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May 23, 2018Blood PressureOpen Access

Increased arterial stiffness – similar findings in patients with inflammatory bowel disease without prior hypertension or diabetes and in patients with well-controlled hypertension

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Key result

IBD is linked to increased arterial stiffness surpassing well-controlled hypertension in older patients.

  • n=162

Why the study?

Chronic inflammatory diseases are related to earlier onset of atherosclerosis, but arterial stiffness in inflammatory bowel disease patients without hypertension or diabetes compared to well-controlled hypertension patients was unclear.

Does inflammatory bowel disease increase arterial stiffness similarly to well-controlled hypertension?

Population

89 inflammatory bowel disease patients without hypertension or diabetes and 73 age-matched well-controlled hypertension patients

Comparison

Inflammatory bowel disease patients vs well-controlled arterial hypertension patients

Design

Observational cross-sectional study

Authors

RPRadovan PrijićVPVedran PremužićMBMarko Brinar

Discussion

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Overview

Arterial stiffness may warrant monitoring in IBD; leaves open its independence from hypertension as a vascular risk marker.

Study Design

Type

Observational (n=162)

Structured PICO

Does inflammatory bowel disease increase arterial stiffness similarly to well-controlled hypertension?

P
Population
162 patients, comprising 89 with inflammatory bowel disease without prior hypertension or diabetes and 73 age-matched controls with well-controlled hypertension.
E
Exposure
Inflammatory bowel disease (IBD)
C
Comparator
Well-controlled arterial hypertension
O
Outcome
Arterial stiffness markers (pulse wave velocity [PWV] and augmentation index [AIx])surrogate

Inflammatory bowel disease is associated with increased arterial stiffness comparable to or exceeding that of well-controlled hypertension, suggesting IBD duration is a risk factor for subclinical organ damage.

Cite This Study

Prijić et al. (2018) conducted an observational in Inflammatory bowel disease (n=162). Inflammatory bowel disease vs. Well-controlled arterial hypertension was evaluated on Pulse wave velocity (PWV) and augmentation index (AIx). Inflammatory bowel disease was associated with increased arterial stiffness, with pulse wave velocity values surpassing those of well-controlled hypertensive patients in older age quartiles.

synapsesocial.com/papers/6aaf338775655d832af16a04https://doi.org/10.1080/08037051.2018.1476055
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Arterial stiffness is increased in patients with inflammatory bowel disease2012 · 99 citations
  2. 2Increased pulse wave velocity and relationship with inflammation, insulin, and insulin resistance in inflammatory bowel disease2014 · 31 citations
  3. 3Metabolic syndrome is associated with decreased circulating endothelial progenitor cells and increased arterial stiffness in systemic lupus erythematosus2015 · 35 citations
  4. 4Arterial hemodynamics in human hypertension.1986 · 153 citations
  5. 5Increased arginase activity and endothelial dysfunction in human inflammatory bowel disease2007 · 124 citations