Abstract
Damage of the large arteries is strongly associated with cardiovascular accidents, mainly in the cerebral, the coronary and the renal circulation [1,2]. Because such accidents are observed both in normotensive and hypertensive populations, it has been suggested that a common trigger factor, atherosclerosis, plays a major contributive role in the mechanism of the vascular alterations. However, independently of atherosclerosis, hypertensive vessels are thicker and stiffer than those of corresponding normotensive controls [2–4]. Thus the question is raised to know whether the specific alterations of hypertensive vessels play a role in cardiovascular morbidity and mortality.
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References
KANNEL WB and STOKES JLL, 1985, Hypertension as a cardiovascular risk factor. Handbook of hypertension. Epidemiology of Hypertension, B.C., Editor. Elsevier Science: Amsterdam, pp. 15–34.
NICHOLS WW and O’ROURKE MF, 1998, McDonald’s blood flow in arteries. Theoretical, experimental and clinical principles, in Fourth Edition, ARNOLD E, Editor: London, Sydney, Auckland, pp. 54–113,201–222,284–292, 347–401.
SAFAR ME, 1989. Pulse pressure in essential hypertension: clinical and therapeutical implications. J of Hypertens, 7: 769–776.
SAFAR ME, GIRERD X and LAURENT S, 1996. Structural changes of large conduit arteries in hypertension. J of Hypertens,. 14: 545–555.
GIRERD X, MOURAD J-J, COPIE X, MOULIN C, ACAR C, SAFAR M and LAURENT S, 1994. Non invasive detection of an increased vascular mass in untreated hypertensive patients. Am J Hypertens,. 7: 1076–1084.
ROMAN MJ, SABA PS, PINI R, SPITZER M, PICKERING TG, ROSEN S, ALDERMAN MH and DEVEREUX RB, 1992. Parallel cardiac and vascular adaptation in hypertension Circulation,. 86: 1909–1918.
FRANKLIN SS, GUSTIN W IV, WONG ND, LARSON MG, WEBER MA, KANNEL WB and LEVY D, 1997. Hemodynamic patterns of age-related changes in blood pressure. The Framingham heart study. Circulation,. 96: 308–315.
GLAGOV S, 1972, Hemodynamic risk factors: mechanical stress, mural architecture, medial nutrition and vulnerability of arteries to atherosclerosis, in The pathogenesis of atherosclerosis, Wissler RW and Geer JC, Editors. Williams & Wilkins CO: Baltimore, pp. 164–199.
WOLINSKI H and GLAGOV S, 1967. A lamellar unit or aortic medial structure and function in mammals. Circ Res, 111:20–99.
SCHWARTZ SM, HEIMARK RL and MAJESTY MW, 1990. Developmental mechanisms underlying pathology of arteries. Physiol Rev, 70: 1177–1198.
HYNES RO, 1987. Integrins: A family of cell surface receptors. Cell,. 48: 549–554.
KORNERBLIHTT AR, CHAN CT, FRANZBLAU C, FARIS B and CHOBANIAN AV, 1978. Cell specific alternative mRNA splicing generates polypeptide chains differing in the number of internal repeats. Nucleid Acids Res, 12: 5853–5868.
VAN ZWIETEN PA, SAFAR M, LAURENT S, PFAFFENDORF M, MAARTEN GC, HENDRIKS MGC and BRUNING TA, 1995. New insights into the role of endothelial dysfunction in hypertension J of Hypertens,. 13: 713–716.
VANHOUTTE PM and BOULANGER CM, 1995. Endothelium-dependent responses in hypertension. Hypertens Res, 18: 87–98.
BAUMBACH GL, SIEMS JE and HEISTAD DD, 1991. Effects of local reduction in pressure on distensibility and composition of cerebral arterioles. Circ Res, 68: 339–351.
CHRISTENSEN KL, 1991. Reducing pulse pressure in hypertension may normalize small artery structure. Hypertension, 18: 722–727.
LEVY BI, POITEVIN P, DURIEZ M, GUEZ DC, SCHIAVI PD and SAFAR ME, 1997. Sodium, survival and the mechanical properties of the carotid artery in stroke-prone hypertensive rats. J of Hypertens, 15:251–258.
BENETOS A, LEVY BI, LACOLLEY P, TAILLARD F, DURIEZ M, and SAFAR ME, Role of angiotensine II and bradykinine on aortic collagen following converting enzyme inhibition in spontaneously hypertensive rats. 1997, Arterioscler Thromb Vasc Biol. 17:3196–3201.
ALBALADEJO P, BOUAZIZ H, DURIEZ M, GOHLKE P, LEVY B, SAFAR M and BENETOS A, 1994. Angiotensin converting enzyme inhibition prevents the increase in aortic collagen in rats. Hypertension,. 23: 74–82.
LACOLLEY P, GHODSI N, GLAZ□ER E, CHALLANDE P, BRISSAC AM, SAFAR ME and LAURENT S, 1995. Influence of graded changes in vasomotor tone on the carotid arterial mechanics in live spontaneously hypertensive rats. Br J Pharmacol, 115: 1235–1244.
LEVY BI, DURIEZ M, PHILLIPE M, POITEVIN P and MICHEL JB, 1994. Effect of chronic dihydropyridine (Isradipine) on the large arterial walls of spontaneously hypertensive rats. Circulation,. 90: 3024–3033.
BENETOS A, POITEVIN P, PROST PL, SAFAR ME, and LEVY BI, Life survival and cardiovascular structures following selective beta-blockade in spontaneously hypertensive rats. 1994, Am J Hypertens. 7: 186–192.
LIMAS C, WESTRUM B, LIMAS CJ and COHN JN, 1980. Effect of salt on the vascular lesions of spontaneously rats. Hypertension, 2: 477–489.
DOBRIN PB, 1978. Mechanical properties of arteries. Physiol Rev, 58: 397–460.
DOBRIN PB and MRKVICKA R, 1992. Estimating the elastic modulus of non-atherosclerotic elastic arteries. J. of Hypertens., 10(suppl. 6): S7–S10.
CHAMIOT-CLERC P, COPIE X, RENAUD JF, SAFAR M and GIRERD X, 1997. Comparative reactivity and mechanical properties of human isolated internal mammary and radial arteries. Cardiovasc Res, In press.
LANGILLE BL, 1993. Remodeling of developing and mature arteries: endothelium, smooth muscles, and matrix. J of Cardiovascul Pharmacol, 21(suppl I): S11–S17.
DAVIES PF, 1995. Flow-mediated endothelial mechanotransduction. Physiol Rev, 75: 519–560.
OSOL G, 1995. Mechanotransduction by vascular smooth muscle. J Vasc Res, 32: 275–292.
LEVY BI, BENESSIANO J, HENRION D, CAPUTO L, HEYMES C, DURIEZ M, POITEVIN P, and SAMUEL JL, Chronic blockade of AT2-subtype receptors prevents the effect of angiotensin II on the rat vascular structure. 1996, J Clin Invest. 98: 418–425.
LEVY BI, MICHEL JL, SALZMANN JL, AZIZI M, POITEVIN F, SAFAR ME, and CAMILLERI JP, Effects of chronic inhibition of converting enzyme on mechanical and structural properties of arteries in rat renovascular hypertension. 1988, Cir Res. 63: 227–229.
LAURENT S, CAVIEZEL B, BECK L, GIRERD X, BILLAUD E, BOUTOUYRIE P, HOEKS A and SAFAR M, 1994. Carotid artery distensibility and distending pressure in hypertensive humans. Hypertension, 23 [part II]: 878–883.
LAURENT S, GIRERD X, MOURAD JJ, LACOLLEY P, BECK L, BOUTOUYRIE P, MIGNOT JP and SAFAR M, 1994. Elastic modulus of arterial artery wall material is not increased in hypertension. Arteriosclerosis and Thrombosis, 14: 1231–1233.
MOURAD JJ, GIRERD X, BOUTOUYRIE P, LAURENT S, SAFAR M, and LONDON G, Increased stiffness of radial artery wall material in end-stage renal disease. 1997, Hypertension. 30: 1425–1430.
LONDON G, GUERIN A, MARCHAIS S, P. B, SAFAR M, DAY M and METTVIER F, 1996. Cardiac and arterial interaction in end-stage renal disease. Kidney International, 50: 600–608.
BLACHER J, DEMUTH K, GUERIN AP, SAFAR ME, MOATTI N and LONDON GM, 1997. Influence of biochemical alterations on arterial stiffness in patients with end-stage renal disease. Arteriosclerosis,. In press.
MOURAD JJ, GIRERD X, HANON O, BOUTOUYRIE P, LAURENT S and SAFAR ME, 1997. Influence of age and gender on stiffness of carotid and radial wall material in essential hypertension. Submitted.
FISCHER GM and SWAIN ML, 1978. In vivo effects of sex hormones on aortic elastin and collagen dynamics in castrated and intact male rats. Endocrinology, 10: 92–97.
BENETOS A, GAUTHIER S, RICARD S, TOPOUCHIAN J, ASMAR R, POIRIER O, LAROSA E, GUIZE L, SAFAR M, SOUBRIER F, and CAMBIEN F, Influence of angiotensin converting enzyme and angiotensine II Type I receptor gene polymorphisms on aortic stiffness in normotensive and hypertensive patients. 1996, Circulation. 94: 698–703.
KANNEL W, WOLF PA, Mc GEE DL, DAWBER TR, MAC NAMRA P and CASTELLI WP, 1981. Systolic blood pressure, arterial rigidity and risks of strokes: the Framingham study. JAMA,. 245: 1225–1229.
BANK AJ, WILSON RF, KUBO SH, HOLTE JE, DRESING TJ and WANG H, 1995. Direct effects of smooth muscle relaxation and contraction on in vivo human brachial artery elastic properties. Circ Res, 77: 1008–1016.
SIMON AC, SAFAR ME, LEVENSON JA, KHEDER AM and LEVY BI, 1979. Systolic hypertension: hemodynamic mechanism and choice of antihypertensive treatment. Am J Cardiol,. 44:505–511.
SHEP COOPERATIVE RESEARCH GROUP, 1991. Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension: final results of the Systolic Hypertension in the Elderly Program (SHEP), J.A.M.A., 265: 3255–3264.
STAESSEN JA, FAGARD R, THIJS L, CELIS H, ARABIDZE GG, BIRKENHÄGER WH, BULPITT CJ, DE LEEUW PW, DLLERY CT, FLETCHER AE, FORETTE F, LEONETTI G, NACHEV C, O’BRIEN ET, ROSENFELD J, RODICIO JL, TUOMILEHTO J, ZANCHETTI Aand For the Systolic Hypertension in Europe (Syst-Eur) Trial Investigators, 1997. Randomised double-blind comparison of placebo and active treatment for older patients with isolated systolic hypertension. Lancet,. 350: 757–764.
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Safar, M.E. (1999). Stiffness of Wall Material in Human Hypertension. In: Levy, B.I., Tedgui, A. (eds) Biology of the Arterial Wall. Basic Science for the Cardiologist, vol 1. Springer, Boston, MA. https://doi.org/10.1007/978-0-585-38146-6_11
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DOI: https://doi.org/10.1007/978-0-585-38146-6_11
Publisher Name: Springer, Boston, MA
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