Reported April 7,
2003
New Predictor for Stroke
Death
PARIS (Ivanhoe Newswire) --
For the first time, researchers
say they have found a risk
factor linked to fatal strokes.
Their study shows the stiffness
of the aorta can indicate the
risk of a fatal stroke
regardless of other risk
factors.
The aorta is the major artery
that carries blood from the
heart to the rest of the body.
An increased stiffness in the
aorta can lead to elevated blood
pressure. Researchers from Paris
conducted a study to determine
if arterial stiffness is a risk
factor for fatal strokes.
The study included 1,715
patients with mild high blood
pressure but no apparent signs
of cardiovascular disease. The
patients were followed for
nearly eight years. All of the
patients had some arterial
stiffness, which was measured by
determining how long it took a
pulse wave to move from the
heart to other parts of the
body. Those with stiffer
arteries had higher numbers.
Over the study period,
researchers say 157 participants
died including 25 from strokes
and 35 from a coronary event.
Researchers looked at the risk
for fatal stroke as it compared
to the arterial stiffness
measurement. They report a
72-percent increase in the risk
for a fatal stroke for each four
meters per second in the
measurement of arterial
stiffness. This risk remained
even after adjusting for other
risk factors including age,
elevated cholesterol, diabetes,
smoking and high blood pressure.
Researchers say there are
several explanations for this
association between arterial
stiffness and a fatal stroke.
First, the stiffness could
increase the difference between
the upper and lower numbers of a
blood pressure reading in turn
increasing the risk of a stroke.
They say another possibility is
that the stiffness measurement
may indicate damage to the
artery wall. Authors of the
study say large clinical trials
are needed to see if relieving
arterial stiffness could prevent
stroke deaths.
This article was reported by
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SOURCE: To be published in an
upcoming issue of Stroke