Prevention & lipidsResearch article

Accelerated vascular ageing: an early prognostic signal for risk stratification and prevention

Eur J Prev CardiolPublished

  • Narrative review

Authors' conclusion

Despite a robust prognostic signal, clinical adoption has been constrained by fragmented biomarkers, heterogeneous measurement approaches, and absence of outcome-based decision pathways.

Main finding

As reported in the abstract

Prognostic value of accelerated vascular ageing biomarkers (arterial stiffness, central pressures, wave reflection indices)
  • Biomarkers of arterial stiffness, central pressures and wave reflection consistently predict adverse outcomes independently of brachial BP, often preceding overt disease
  • Durable modification of structural arterial stiffening by lifestyle and pharmacologic interventions remains limited
  • Incremental value of composite vascular ageing metrics over pulse wave velocity remains uncertain

Original publication

Accelerated vascular ageing: an early prognostic signal for risk stratification and prevention. Eur J Prev Cardiol. Published 3 June 2026. doi:10.1093/eurjpc/zwag301

Summarised from the published abstract; every number is checked against it