Abstract
AbstractThe increase in cardiovascular risk associated with metabolic syndrome (MS) seems higher in women than in men. We examined hemodynamics during head-up tilt in 252 men and 250 women without atherosclerosis, diabetes, or antihypertensive medication, mean age 48 years, using whole-body impedance cardiography and radial pulse wave analysis. MS was defined according to Alberti et al. 2009. Men and women with MS presented with corresponding elevations of systolic and diastolic blood pressure (10-14%, p ≤ 0.001) versus controls. Supine pulse wave velocity (16–17%, p < 0.001) and systemic vascular resistance (7–9%, p ≤ 0.026), and upright cardiac output (6–11%, p ≤ 0.008) were higher in both MS groups than controls. Elevation of supine aortic characteristic impedance was higher in women than in men with MS (16% vs. 8%, p = 0.026), and in contrast to men, no upright impedance reduction was observed in women. When upright, women but not men with MS showed faster return of reflected pressure wave (p = 0.036), and smaller decrease in left cardiac work (p = 0.035) versus controls. The faster upright return of reflected pressure, lower upright decrease in left cardiac work, and higher elevation of aortic characteristic impedance may contribute to the greater increase in MS-related cardiovascular risk in women than in men.
Funder
Sydäntutkimussäätiö
Sigrid Juséliuksen Säätiö
Päivikki ja Sakari Sohlbergin Säätiö
Paavo Nurmen Säätiö
Finnish Cultural Foundation | Pirkanmaan Rahasto
Emil Aaltosen Säätiö
Aarne Koskelon Säätiö
Ida Montinin Säätiö
Aarne ja Aili Turusen Säätiö
Competitive State Research Financing of the Expert Responsibility Area of Tampere University Hospital, 9U049
Publisher
Springer Science and Business Media LLC
Cited by
12 articles.
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