I bet your doctor doesn't have a protocol for testing your arterial stiffness and certainly not one for reducing it.
So if you have arterial stiffness what the fuck is your doctor's protocol to address the problem? Maybe something in one of these?
stiff arteries (11 posts to May 2013)
Arterial stiffness (26 posts to April 2016)
Aortic stiffness (3 posts to January 2016)
Or does your doctor incompetently not even know about testing for and correcting this problem?
Relationship of arterial stiffness and baseline vascular burden with new lacunes and microbleeds: A longitudinal cohort study
Abstract
Introduction:
Arterial stiffness may have a significant impact on the development of cerebral small vessel disease (cSVD).
Patients and methods:
We
obtained pulse wave velocity (24-h PWV) by means of ambulatory blood
pressure monitoring (ABPM) in patients with a recent small subcortical
infarct (RSSI). Patients with known cardiac or arterial embolic sources
were excluded. Lacunes, microbleeds, white matter hyperintensities and
enlarged perivascular spaces at baseline were assessed in a brain MRI
and included in a cSVD score. A follow-up MRI was obtained 2 years later
and assessed for the appearance of new lacunes or microbleeds. We
constructed both unadjusted and adjusted models, and subsequently
selected the optimal models based on the area under the curve (AUC) of
the predicted probabilities.
Results:
Ninety-two
patients (mean age 67.04 years, 69.6% men) were evaluated and 25 had
new lacunes or microbleeds during follow-up. There was a strong
correlation between 24-h PWV and age (r = 0.942, p < 0.001).
cSVD was associated with new lacunes or microbleeds when adjusted by
age, 24-h PWV, NT-proBNP and hypercholesterolemia (OR 2.453, CI95%
1.381–4.358). The models exhibiting the highest discrimination, as
indicated by their area under the curve (AUC) values, were as follows: 1
(AUC 0.854) – Age, cSVD score, 24-h PWV, Hypercholesterolemia; 2 (AUC
0.852) – cSVD score, 24-h PWV, Hypercholesterolemia; and 3 (AUC 0.843) –
Age, cSVD score, Hypercholesterolemia.
Conclusions:
cSVD score is a stronger predictor for cSVD progression than age or hemodynamic parameters in patients with a RSSI.
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