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Increased cardiovascular risk without generalized arterial dilating diathesis in persons who do not have abdominal aortic aneurysm but who are first-degree relatives of abdominal aortic aneurysm patients
Jonköping University, Sweden; Jonköping University, Sweden.
Capio Lundby Hospital, Sweden.
Lund University, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Cardiovascular Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Thoracic and Vascular Surgery.
2015 (English)In: Clinical and experimental pharmacology & physiology, ISSN 0305-1870, E-ISSN 1440-1681, Vol. 42, no 6, 576-581 p.Article in journal (Refereed) Published
Abstract [en]

There is a strong genetic predisposition towards abdominal aortic aneurysm (AAA), but it is unknown whether persons without AAA but with first-degree relatives who are AAA patients have a generalized dilating diathesis, defect arterial wall mechanics, or increased cardiovascular risk. The aim of the study was to investigate arterial diameters and wall mechanics at multiple arterial sites in these subjects and compare them with controls without a family history of AAA. This study included 118 first-degree relatives of patients with AAA and 66 controls (age: 40-80years). The abdominal aorta, common carotid artery, common femoral artery, and popliteal artery were investigated by echo-tracking ultrasound. The relatives had no arterial dilatation, but they did tend to have smaller diameters than controls. Relatives had a higher heart rate, diastolic blood pressure, and mean arterial pressure than controls. The distensibility coefficient and the compliance coefficient were decreased in all arteries in male relatives, adjusted for age and smoking; these coefficients were normalized after adjustment for mean arterial pressure and heart rate. Female relatives had a lower compliance coefficient in the abdominal aorta, adjusted for age and smoking. After adjustment for mean arterial pressure and heart rate, the difference disappeared. No general arterial dilatation in relatives without AAA was found, supporting the hypothesis that the dilating diathesis is linked to the aneurysmal manifestation in the abdominal aorta. Although the threat of aneurysmal dilatation and rupture seems to be lacking in these subjects, heart rate, blood pressure, and arterial wall stiffness were all increased, which may indicate a higher risk of developing cardiovascular morbidity and mortality.

Place, publisher, year, edition, pages
Wiley , 2015. Vol. 42, no 6, 576-581 p.
Keyword [en]
aneurysmal dilatation; arterial diameter; arterial stiffness; blood pressure
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-119793DOI: 10.1111/1440-1681.12395ISI: 000355878500003PubMedID: 25882720OAI: oai:DiVA.org:liu-119793DiVA: diva2:827264
Note

Funding Agencies|Futurum - Academy for Healthcare (Region, Jonkoping County, Sweden); Swedish Research Council [12161]; Linkoping University (Linkoping, Sweden); Swedish Heart-Lung Foundation

Available from: 2015-06-26 Created: 2015-06-26 Last updated: 2015-06-26

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Länne, Toste
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Division of Cardiovascular MedicineFaculty of Medicine and Health SciencesDepartment of Thoracic and Vascular Surgery
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