Effect of Different Classes of Antihypertensive Drugs on Arterial Stiffness
Purpose of Review To describe the physiological aspects of blood pressure and arterial stiffness, as well as explain how these processes are related. To review the available evidence on the effect of treatment with different classes of antihypertensive drugs on improving arterial stiffness. Recent F...
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| Veröffentlicht in: | Current hypertension reports 2023-05, Vol.25 (5), p.61-70 |
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| creator | Schettini, Isabella Viana Gomes Rios, Danyelle Romana Alves Figueiredo, Roberta Carvalho |
| description | Purpose of Review
To describe the physiological aspects of blood pressure and arterial stiffness, as well as explain how these processes are related. To review the available evidence on the effect of treatment with different classes of antihypertensive drugs on improving arterial stiffness.
Recent Findings
Specific classes of antihypertensive drugs may have effects directly on improving arterial stiffness independent of lowering blood pressure.
Summary
The maintenance of normal blood pressure levels is essential for the homeostasis of the whole organism; the increase in blood pressure is directly related to the increased risk of cardiovascular diseases. Hypertension is characterized by structural and functional changes in blood vessels and is associated with a more accelerated progression of arterial stiffness. Randomized clinical trials have shown that some specific classes of antihypertensive drugs can improve arterial stiffness independently of their effect on lowering brachial blood pressure. These studies show that calcium channel blockers (CCBs), angiotensin II receptor blockers (ARBs), and angiotensin-converting enzyme (ACE) inhibitors have been shown to have a better effect on arterial stiffness compared to diuretics and beta-blockers in individuals with arterial hypertension and other cardiovascular risk factors. More real-world studies are needed to assess whether this effect on arterial stiffness can improve the prognosis of patients with hypertension. |
| doi_str_mv | 10.1007/s11906-023-01238-4 |
| format | Article |
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To describe the physiological aspects of blood pressure and arterial stiffness, as well as explain how these processes are related. To review the available evidence on the effect of treatment with different classes of antihypertensive drugs on improving arterial stiffness.
Recent Findings
Specific classes of antihypertensive drugs may have effects directly on improving arterial stiffness independent of lowering blood pressure.
Summary
The maintenance of normal blood pressure levels is essential for the homeostasis of the whole organism; the increase in blood pressure is directly related to the increased risk of cardiovascular diseases. Hypertension is characterized by structural and functional changes in blood vessels and is associated with a more accelerated progression of arterial stiffness. Randomized clinical trials have shown that some specific classes of antihypertensive drugs can improve arterial stiffness independently of their effect on lowering brachial blood pressure. These studies show that calcium channel blockers (CCBs), angiotensin II receptor blockers (ARBs), and angiotensin-converting enzyme (ACE) inhibitors have been shown to have a better effect on arterial stiffness compared to diuretics and beta-blockers in individuals with arterial hypertension and other cardiovascular risk factors. More real-world studies are needed to assess whether this effect on arterial stiffness can improve the prognosis of patients with hypertension.</description><identifier>ISSN: 1522-6417</identifier><identifier>EISSN: 1534-3111</identifier><identifier>DOI: 10.1007/s11906-023-01238-4</identifier><identifier>PMID: 36892734</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Angiotensin Receptor Antagonists - pharmacology ; Angiotensin-Converting Enzyme Inhibitors - adverse effects ; Antihypertensive Agents - adverse effects ; Antihypertensive Agents: Mechanisms of Drug Action (M Ernst ; Antihypertensives ; Blood pressure ; Blood Pressure - physiology ; Calcium Channel Blockers - pharmacology ; Calcium Channel Blockers - therapeutic use ; Cardiology ; Drugs ; Family Medicine ; General Practice ; Humans ; Hypertension ; Hypotension ; Internal Medicine ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Nephrology ; Primary Care Medicine ; Section Editor ; Topical Collection on Antihypertensive Agents: Mechanisms of Drug Action ; Vascular Stiffness</subject><ispartof>Current hypertension reports, 2023-05, Vol.25 (5), p.61-70</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-354e27895adeb09cece86fa27c729c81fb1fde170631fe5795dea0c4a64124383</citedby><cites>FETCH-LOGICAL-c375t-354e27895adeb09cece86fa27c729c81fb1fde170631fe5795dea0c4a64124383</cites><orcidid>0000-0002-3180-6619</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11906-023-01238-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11906-023-01238-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36892734$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schettini, Isabella Viana Gomes</creatorcontrib><creatorcontrib>Rios, Danyelle Romana Alves</creatorcontrib><creatorcontrib>Figueiredo, Roberta Carvalho</creatorcontrib><title>Effect of Different Classes of Antihypertensive Drugs on Arterial Stiffness</title><title>Current hypertension reports</title><addtitle>Curr Hypertens Rep</addtitle><addtitle>Curr Hypertens Rep</addtitle><description>Purpose of Review
To describe the physiological aspects of blood pressure and arterial stiffness, as well as explain how these processes are related. To review the available evidence on the effect of treatment with different classes of antihypertensive drugs on improving arterial stiffness.
Recent Findings
Specific classes of antihypertensive drugs may have effects directly on improving arterial stiffness independent of lowering blood pressure.
Summary
The maintenance of normal blood pressure levels is essential for the homeostasis of the whole organism; the increase in blood pressure is directly related to the increased risk of cardiovascular diseases. Hypertension is characterized by structural and functional changes in blood vessels and is associated with a more accelerated progression of arterial stiffness. Randomized clinical trials have shown that some specific classes of antihypertensive drugs can improve arterial stiffness independently of their effect on lowering brachial blood pressure. These studies show that calcium channel blockers (CCBs), angiotensin II receptor blockers (ARBs), and angiotensin-converting enzyme (ACE) inhibitors have been shown to have a better effect on arterial stiffness compared to diuretics and beta-blockers in individuals with arterial hypertension and other cardiovascular risk factors. More real-world studies are needed to assess whether this effect on arterial stiffness can improve the prognosis of patients with hypertension.</description><subject>Angiotensin Receptor Antagonists - pharmacology</subject><subject>Angiotensin-Converting Enzyme Inhibitors - adverse effects</subject><subject>Antihypertensive Agents - adverse effects</subject><subject>Antihypertensive Agents: Mechanisms of Drug Action (M Ernst</subject><subject>Antihypertensives</subject><subject>Blood pressure</subject><subject>Blood Pressure - physiology</subject><subject>Calcium Channel Blockers - pharmacology</subject><subject>Calcium Channel Blockers - therapeutic use</subject><subject>Cardiology</subject><subject>Drugs</subject><subject>Family Medicine</subject><subject>General Practice</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypotension</subject><subject>Internal Medicine</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Nephrology</subject><subject>Primary Care Medicine</subject><subject>Section Editor</subject><subject>Topical Collection on Antihypertensive Agents: Mechanisms of Drug Action</subject><subject>Vascular Stiffness</subject><issn>1522-6417</issn><issn>1534-3111</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kMtOwzAQRS0EglL4ARYoEhs2AY8fcbysSnmISiyAteW64xKUJsVOkPh7XFpAYsFqRjPnXnsuISdAL4BSdRkBNC1yynhOgfEyFztkAJKLnAPA7rpnLC8EqANyGOMrpSzJ1D454EWpmeJiQO4n3qPrstZnV1VqAzZdNq5tjBjXw1HTVS8fKwwdNrF6x-wq9Iu0abJRGoXK1tljl4QNxnhE9rytIx5v65A8X0-exrf59OHmbjya5o4r2eVcCmSq1NLOcUa1Q4dl4S1TTjHtSvAz8HMERQsOHqXSco6WOmHTJUzwkg_J-cZ3Fdq3HmNnllV0WNe2wbaPJplL0IVQRULP_qCvbR-a9LtEaQZaMiUTxTaUC22MAb1ZhWppw4cBatZRm03UJkVtvqI2IolOt9b9bInzH8l3tgngGyCmVbPA8Pv2P7afutuIZA</recordid><startdate>20230501</startdate><enddate>20230501</enddate><creator>Schettini, Isabella Viana Gomes</creator><creator>Rios, Danyelle Romana Alves</creator><creator>Figueiredo, Roberta Carvalho</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3180-6619</orcidid></search><sort><creationdate>20230501</creationdate><title>Effect of Different Classes of Antihypertensive Drugs on Arterial Stiffness</title><author>Schettini, Isabella Viana Gomes ; Rios, Danyelle Romana Alves ; Figueiredo, Roberta Carvalho</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-354e27895adeb09cece86fa27c729c81fb1fde170631fe5795dea0c4a64124383</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Angiotensin Receptor Antagonists - pharmacology</topic><topic>Angiotensin-Converting Enzyme Inhibitors - adverse effects</topic><topic>Antihypertensive Agents - adverse effects</topic><topic>Antihypertensive Agents: Mechanisms of Drug Action (M Ernst</topic><topic>Antihypertensives</topic><topic>Blood pressure</topic><topic>Blood Pressure - physiology</topic><topic>Calcium Channel Blockers - pharmacology</topic><topic>Calcium Channel Blockers - therapeutic use</topic><topic>Cardiology</topic><topic>Drugs</topic><topic>Family Medicine</topic><topic>General Practice</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypotension</topic><topic>Internal Medicine</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Nephrology</topic><topic>Primary Care Medicine</topic><topic>Section Editor</topic><topic>Topical Collection on Antihypertensive Agents: Mechanisms of Drug Action</topic><topic>Vascular Stiffness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schettini, Isabella Viana Gomes</creatorcontrib><creatorcontrib>Rios, Danyelle Romana Alves</creatorcontrib><creatorcontrib>Figueiredo, Roberta Carvalho</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Current hypertension reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schettini, Isabella Viana Gomes</au><au>Rios, Danyelle Romana Alves</au><au>Figueiredo, Roberta Carvalho</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Different Classes of Antihypertensive Drugs on Arterial Stiffness</atitle><jtitle>Current hypertension reports</jtitle><stitle>Curr Hypertens Rep</stitle><addtitle>Curr Hypertens Rep</addtitle><date>2023-05-01</date><risdate>2023</risdate><volume>25</volume><issue>5</issue><spage>61</spage><epage>70</epage><pages>61-70</pages><issn>1522-6417</issn><eissn>1534-3111</eissn><abstract>Purpose of Review
To describe the physiological aspects of blood pressure and arterial stiffness, as well as explain how these processes are related. To review the available evidence on the effect of treatment with different classes of antihypertensive drugs on improving arterial stiffness.
Recent Findings
Specific classes of antihypertensive drugs may have effects directly on improving arterial stiffness independent of lowering blood pressure.
Summary
The maintenance of normal blood pressure levels is essential for the homeostasis of the whole organism; the increase in blood pressure is directly related to the increased risk of cardiovascular diseases. Hypertension is characterized by structural and functional changes in blood vessels and is associated with a more accelerated progression of arterial stiffness. Randomized clinical trials have shown that some specific classes of antihypertensive drugs can improve arterial stiffness independently of their effect on lowering brachial blood pressure. These studies show that calcium channel blockers (CCBs), angiotensin II receptor blockers (ARBs), and angiotensin-converting enzyme (ACE) inhibitors have been shown to have a better effect on arterial stiffness compared to diuretics and beta-blockers in individuals with arterial hypertension and other cardiovascular risk factors. More real-world studies are needed to assess whether this effect on arterial stiffness can improve the prognosis of patients with hypertension.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36892734</pmid><doi>10.1007/s11906-023-01238-4</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-3180-6619</orcidid></addata></record> |
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| subjects | Angiotensin Receptor Antagonists - pharmacology Angiotensin-Converting Enzyme Inhibitors - adverse effects Antihypertensive Agents - adverse effects Antihypertensive Agents: Mechanisms of Drug Action (M Ernst Antihypertensives Blood pressure Blood Pressure - physiology Calcium Channel Blockers - pharmacology Calcium Channel Blockers - therapeutic use Cardiology Drugs Family Medicine General Practice Humans Hypertension Hypotension Internal Medicine Medicine Medicine & Public Health Metabolic Diseases Nephrology Primary Care Medicine Section Editor Topical Collection on Antihypertensive Agents: Mechanisms of Drug Action Vascular Stiffness |
| title | Effect of Different Classes of Antihypertensive Drugs on Arterial Stiffness |
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