Editorial Comment Retinal vessel narrowing: an early predictor of future arteriosclerosis? Athanase Benetos See original paper on page 587 or several decades, fundoscopy was one of the most the present data suggest that the negative long-term prog- reliable clinical tools for assessing the vascular nostic effect of RAN on the cardiovascular system may be F impact of major cardiovascular risk factors such as related to accelerated arterial aging. diabetes mellitus and hypertension. However, in most Only a few longitudinal studies to date have assessed the European countries, this examination is no longer part of determinants of arterial stiffening over a long period of medical routine because of the subjectivity of the evaluation time. These latter studies were able to demonstrate that and the fact that other methodological approaches have hemodynamic and biological parameters can accelerate the since been developed such as carotid echography, aortic annual increase in arterial stiffness measured by PWV, pulse wave velocity (PWV), and so forth, providing more which include frequent conditions such as diabetes, meta- accurate information on structural and functional vascular bolic syndrome, obesity, chronic elevation in BP and alterations. Interestingly, in these last years, and owing to increased heart rate [8–10]. Genetic determinants
Journal of Hypertension – Wolters Kluwer Health
Published: Mar 1, 2018
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