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Cited by 266

The DOI matches its Crossref record; 110 of the 110 references it cites were found in a registry or an index.

Arterial Stiffness and Hypertension in the Elderly

Open access
Laurent, Stéphane, Boutouyrie, Pierre·2020·Frontiers in Cardiovascular Medicine

Abstract

Hypertension prevalence increases with age. Age and high blood pressure are the two main determinants of arterial stiffness. In elderly hypertensives, large arteries stiffen and systolic and pulse pressures increase, due to wave reflections. A major reason for measuring arterial stiffness in clinical practice in elderly hypertensive patients comes from the repeated demonstration that arterial stiffness and wave reflections have a predictive value for CV events. A large body of evidence has been published during the last two decades, concerning the epidemiology, pathophysiology, and pharmacology of large arteries in hypertension in various settings of age. Particularly, two expert consensus documents have reviewed the methodological agreements for measuring arterial stiffness. The concepts of Early Vascular Ageing (EVA) and Supernormal Vascular Ageing (SUPERNOVA) help to better understand on which determinants of arterial stiffness it is possible to act, in order to limit target organ damage and cardiovascular complications. This review will address the issues of the cellular and molecular mechanisms of arterial stiffening in elderly hypertensives, the consequences of arterial stiffening on central systolic and pulse (systolic minus diastolic, PP) pressures and target organs, the methodology for measuring arterial stiffness, central pulse pressure and wave reflection, the epidemiological determinants of arterial stiffening in elderly hypertensives, the pharmacology of arterial destiffening, and how the concepts of EVA and SUPERNOVA apply to the detection of organ damage and prevention of CV complications.

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Metadata

Authors
Laurent, S., & Boutouyrie, P.
Venue
Frontiers in Cardiovascular Medicine
Published
2020-10-29
Volume
7
Pages
544302-544302
ISSN
2297-055X (ISSN-L)
OpenAlex
W3097573154
Cited by
266
References
110
FWCI
15.08
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Arterial Stiffness and Hypertension in the Elderly. https://app.cochat.ai/papers/10.3389/fcvm.2020.544302
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Laurent, S., & Boutouyrie, P. (2020). Arterial Stiffness and Hypertension in the Elderly. Frontiers in Cardiovascular Medicine. https://doi.org/10.3389/fcvm.2020.544302

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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