Skip to main content

The Potential Importance of Arterial Wall Properties and Blood Flow in Relation to Atherogenesis in Essential Hypertension

  • Conference paper
Biofluid Mechanics
  • 416 Accesses

Abstract

The risk of death from major cardiovascular events is related to the level of resting blood pressure. However, the mechanisms by which atherosclerosis is accelerated in patients with essential hypertension are unknown. Abnormalities of lipid metabolism or of platelet function are seemingly not a feature of hypertension. The distribution of atherosclerotic plaques in the arteries implies an important role in atherogenesis for mechanical factors such as arterial wall mass transport and blood flow and shear stress patterns [1,2]. Structural and mechanical changes in the arterial wall are features of essential hypertension [3] and may alter vascular fluid mechanics in patients with hypertension. We describe studies which we have undertaken to test this hypothesis [4]. Such alterations may be relevant to the development of atheroma.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Caro CG, Fitzgerald JM and Schroter RC: Arterial wall shear and distribution of early atheroma in man. Nature 223: 1159–1161, 1969.

    Article  ADS  Google Scholar 

  2. Svindland AD and Walloe L: Localization of early atherosclerotic lesions in carotid and coronary bifurcations in humans-a bifurcation of the high shear stress hypothesis. In: Fluid dynamics as a localizing factor for atherosclerosis. Schettler G, Nerem RM, Schmid-Schonbein H, Mori H and Diehm C (Eds) Springer-Verlag, Berlin. pp 212, 1983

    Chapter  Google Scholar 

  3. Folkow B: Physiological aspect of primary hypertension. Physiol Rev 62: 347, 1982.

    Google Scholar 

  4. Jones CJH, Singer DRJ, MacGregor GA and Cam CG: Abnormal arterial flow pattern in untreated essential hypertension: possible link with the development of atherosclerosis. Clinical Science (submitted).

    Google Scholar 

  5. Caro C, Level MJ, Parker KH and Fish PJ: Effect of cigarette smoking on the pattern of arterial flow: possible insight into the mechanisms underlying the development of atherosclerosis. Lancet II 11–13.

    Google Scholar 

  6. Levenson J, Simon A, Bouthier J, Benetos A and Safar ME: Isosorbide dinitrate and pulsatile arterial hemodynamic variables in hypertension. European Heart Journal 7: 898–903, 1986.

    Google Scholar 

  7. Griffith TM, Lewis MJ, Newby AC and Henderson AH. Endothelium-derived relaxing factor. JACC 12: 797–806, 1988.

    Article  Google Scholar 

  8. Caro CG and Lever MJ: Factors influencing arterial wall transport. Biorheology 21: 197–205, 1984.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Jones, C.J.H., Caro, C.G. (1990). The Potential Importance of Arterial Wall Properties and Blood Flow in Relation to Atherogenesis in Essential Hypertension. In: Liepsch, D.W. (eds) Biofluid Mechanics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-52338-0_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-52338-0_12

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-52730-5

  • Online ISBN: 978-3-642-52338-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics