Advanced Levels of Chronic Venous Insufficiency are Related to an Increased in Arterial Stiffness
Chronic venous insufficiency (CVI) is characterized by progressive inflammatory changes. Inflammatory damage occurs in the veins, adjacent tissues, and can lead to structural changes in the arteries. The aim of this study is to analyze whether the degree of CVI is associated with arterial stiffness....
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| Veröffentlicht in: | Annals of vascular surgery 2023-10, Vol.96, p.365-373 |
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| container_title | Annals of vascular surgery |
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| creator | Nogueira, João Flávio Lima Teixeira-Viana, Flávia Costa Barboza-Silva, Bruna Lorena Mendes-Pinto, Daniel Rodrigues-Machado, Maria da Glória |
| description | Chronic venous insufficiency (CVI) is characterized by progressive inflammatory changes. Inflammatory damage occurs in the veins, adjacent tissues, and can lead to structural changes in the arteries. The aim of this study is to analyze whether the degree of CVI is associated with arterial stiffness.
Cross-sectional study including patients with CVI classified by clinical, etiological, anatomical, and pathophysiological classification (CEAP) 1 to 6. We performed correlation between the degree of CVI, central and peripheral arterial pressure, and arterial stiffness measured by brachial artery oscillometry.
We evaluated 70 patients, 53 of whom were women with a mean age of 54.7 years. Patients with advanced degrees of venous insufficiency CEAP 4,5,6, had higher levels of systolic, diastolic, central, and peripheral arterial pressures compared to those with early stages (CEAP 1,2,3). The CEAP 4,5,6 group had higher arterial stiffness indices than the CEAP 1,2,3 group: pulse wave velocity (PWV) 9.3 m/s vs. 7.0 m/s, P |
| doi_str_mv | 10.1016/j.avsg.2023.03.013 |
| format | Article |
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Cross-sectional study including patients with CVI classified by clinical, etiological, anatomical, and pathophysiological classification (CEAP) 1 to 6. We performed correlation between the degree of CVI, central and peripheral arterial pressure, and arterial stiffness measured by brachial artery oscillometry.
We evaluated 70 patients, 53 of whom were women with a mean age of 54.7 years. Patients with advanced degrees of venous insufficiency CEAP 4,5,6, had higher levels of systolic, diastolic, central, and peripheral arterial pressures compared to those with early stages (CEAP 1,2,3). The CEAP 4,5,6 group had higher arterial stiffness indices than the CEAP 1,2,3 group: pulse wave velocity (PWV) 9.3 m/s vs. 7.0 m/s, P < 0.001; augmentation pressure (AP) 8.0 mm Hg vs. 6.3 mm Hg; P = 0.04. There was a positive correlation between the degree of venous insufficiency measured by the venous clinical severity score, villalta score and CEAP classification, and the arterial stiffness indices (Spearman's coefficient = 0.62 for PWV and CEAP, P < 0.01). The factors influencing PWV were age, peripheral systolic arterial pressure (SAPp), and AP.
There is a correlation between the degree of venous disease and arterial structural changes characterized by arterial pressure and stiffness indices. Degenerative changes secondary to venous insufficiency are associated with impairment of the arterial system, which has implications for the development of cardiovascular disease.</description><identifier>ISSN: 0890-5096</identifier><identifier>EISSN: 1615-5947</identifier><identifier>DOI: 10.1016/j.avsg.2023.03.013</identifier><identifier>PMID: 37003361</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><ispartof>Annals of vascular surgery, 2023-10, Vol.96, p.365-373</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-b068c8f2e1d124e60f17d5a1fa324337ce92b260bad8d1bfee4ee2f71feb06a3</citedby><cites>FETCH-LOGICAL-c356t-b068c8f2e1d124e60f17d5a1fa324337ce92b260bad8d1bfee4ee2f71feb06a3</cites><orcidid>0000-0002-9834-4041 ; 0000-0002-9950-1707</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0890509623001802$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37003361$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nogueira, João Flávio Lima</creatorcontrib><creatorcontrib>Teixeira-Viana, Flávia Costa</creatorcontrib><creatorcontrib>Barboza-Silva, Bruna Lorena</creatorcontrib><creatorcontrib>Mendes-Pinto, Daniel</creatorcontrib><creatorcontrib>Rodrigues-Machado, Maria da Glória</creatorcontrib><title>Advanced Levels of Chronic Venous Insufficiency are Related to an Increased in Arterial Stiffness</title><title>Annals of vascular surgery</title><addtitle>Ann Vasc Surg</addtitle><description>Chronic venous insufficiency (CVI) is characterized by progressive inflammatory changes. Inflammatory damage occurs in the veins, adjacent tissues, and can lead to structural changes in the arteries. The aim of this study is to analyze whether the degree of CVI is associated with arterial stiffness.
Cross-sectional study including patients with CVI classified by clinical, etiological, anatomical, and pathophysiological classification (CEAP) 1 to 6. We performed correlation between the degree of CVI, central and peripheral arterial pressure, and arterial stiffness measured by brachial artery oscillometry.
We evaluated 70 patients, 53 of whom were women with a mean age of 54.7 years. Patients with advanced degrees of venous insufficiency CEAP 4,5,6, had higher levels of systolic, diastolic, central, and peripheral arterial pressures compared to those with early stages (CEAP 1,2,3). The CEAP 4,5,6 group had higher arterial stiffness indices than the CEAP 1,2,3 group: pulse wave velocity (PWV) 9.3 m/s vs. 7.0 m/s, P < 0.001; augmentation pressure (AP) 8.0 mm Hg vs. 6.3 mm Hg; P = 0.04. There was a positive correlation between the degree of venous insufficiency measured by the venous clinical severity score, villalta score and CEAP classification, and the arterial stiffness indices (Spearman's coefficient = 0.62 for PWV and CEAP, P < 0.01). The factors influencing PWV were age, peripheral systolic arterial pressure (SAPp), and AP.
There is a correlation between the degree of venous disease and arterial structural changes characterized by arterial pressure and stiffness indices. Degenerative changes secondary to venous insufficiency are associated with impairment of the arterial system, which has implications for the development of cardiovascular disease.</description><issn>0890-5096</issn><issn>1615-5947</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kEFrGzEQhUVJqR23fyCHomMu62ikXe0u9GJM2hgMgdb0KrTSqJFZa11pbfC_j1y7OQYeDMO892A-Qu6AzYGBfNjO9TH9mXPGxZxlgfhApiChKqq2rG_IlDUtKyrWygm5TWnLGPCmbD6RiagZE0LClOiFPepg0NI1HrFPdHB0-RKH4A39jWE4JLoK6eCcNx6DOVEdkf7EXo85Mg5Uh3w3EXXKuw90EUeMXvf01-idC5jSZ_LR6T7hl-uckc33x83yqVg__1gtF-vCiEqORcdkYxrHESzwEiVzUNtKg9OCl0LUBlvecck6bRsLnUMsEbmrwWGOajEj95fafRz-HjCNaueTwb7XAfMXitetaJsGKpmt_GI1cUgpolP76Hc6nhQwdSartupMVp3JKpYFIoe-XvsP3Q7tW-Q_ymz4djFkinj0GFX6hwytj2hGZQf_Xv8rVaKK_Q</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Nogueira, João Flávio Lima</creator><creator>Teixeira-Viana, Flávia Costa</creator><creator>Barboza-Silva, Bruna Lorena</creator><creator>Mendes-Pinto, Daniel</creator><creator>Rodrigues-Machado, Maria da Glória</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9834-4041</orcidid><orcidid>https://orcid.org/0000-0002-9950-1707</orcidid></search><sort><creationdate>20231001</creationdate><title>Advanced Levels of Chronic Venous Insufficiency are Related to an Increased in Arterial Stiffness</title><author>Nogueira, João Flávio Lima ; Teixeira-Viana, Flávia Costa ; Barboza-Silva, Bruna Lorena ; Mendes-Pinto, Daniel ; Rodrigues-Machado, Maria da Glória</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-b068c8f2e1d124e60f17d5a1fa324337ce92b260bad8d1bfee4ee2f71feb06a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nogueira, João Flávio Lima</creatorcontrib><creatorcontrib>Teixeira-Viana, Flávia Costa</creatorcontrib><creatorcontrib>Barboza-Silva, Bruna Lorena</creatorcontrib><creatorcontrib>Mendes-Pinto, Daniel</creatorcontrib><creatorcontrib>Rodrigues-Machado, Maria da Glória</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of vascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nogueira, João Flávio Lima</au><au>Teixeira-Viana, Flávia Costa</au><au>Barboza-Silva, Bruna Lorena</au><au>Mendes-Pinto, Daniel</au><au>Rodrigues-Machado, Maria da Glória</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Advanced Levels of Chronic Venous Insufficiency are Related to an Increased in Arterial Stiffness</atitle><jtitle>Annals of vascular surgery</jtitle><addtitle>Ann Vasc Surg</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>96</volume><spage>365</spage><epage>373</epage><pages>365-373</pages><issn>0890-5096</issn><eissn>1615-5947</eissn><abstract>Chronic venous insufficiency (CVI) is characterized by progressive inflammatory changes. Inflammatory damage occurs in the veins, adjacent tissues, and can lead to structural changes in the arteries. The aim of this study is to analyze whether the degree of CVI is associated with arterial stiffness.
Cross-sectional study including patients with CVI classified by clinical, etiological, anatomical, and pathophysiological classification (CEAP) 1 to 6. We performed correlation between the degree of CVI, central and peripheral arterial pressure, and arterial stiffness measured by brachial artery oscillometry.
We evaluated 70 patients, 53 of whom were women with a mean age of 54.7 years. Patients with advanced degrees of venous insufficiency CEAP 4,5,6, had higher levels of systolic, diastolic, central, and peripheral arterial pressures compared to those with early stages (CEAP 1,2,3). The CEAP 4,5,6 group had higher arterial stiffness indices than the CEAP 1,2,3 group: pulse wave velocity (PWV) 9.3 m/s vs. 7.0 m/s, P < 0.001; augmentation pressure (AP) 8.0 mm Hg vs. 6.3 mm Hg; P = 0.04. There was a positive correlation between the degree of venous insufficiency measured by the venous clinical severity score, villalta score and CEAP classification, and the arterial stiffness indices (Spearman's coefficient = 0.62 for PWV and CEAP, P < 0.01). The factors influencing PWV were age, peripheral systolic arterial pressure (SAPp), and AP.
There is a correlation between the degree of venous disease and arterial structural changes characterized by arterial pressure and stiffness indices. Degenerative changes secondary to venous insufficiency are associated with impairment of the arterial system, which has implications for the development of cardiovascular disease.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>37003361</pmid><doi>10.1016/j.avsg.2023.03.013</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-9834-4041</orcidid><orcidid>https://orcid.org/0000-0002-9950-1707</orcidid></addata></record> |
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| title | Advanced Levels of Chronic Venous Insufficiency are Related to an Increased in Arterial Stiffness |
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