Aortic & peripheral vascular disease

Arterial stiffening is a heritable trait associated with arterial dilation but not wall thickening: a longitudinal study in the twins UK cohort

Eur Heart JPublished Longitudinal cohort study

Authors' conclusion

Arterial stiffening, as measured by PWVcf, and dilation are heritable but independent of arterial wall thickening. Genetic and cardiovascular risk factors contribute differently to progression of PWV and IMT.

Study context

Population
Female twins, Twins UK cohort (mean age 57.9 ± 8.6 years)Magnetic resonance imaging (MRI) sub-sample n = 38
Participants
762 twins
Outcome
Changes in PWVcf, carotid diameter, carotid distensibility and carotid IMT, their interrelation and heritability
Follow-up
Average 4.9 ± 1.5 years
Methodological detailstwin study
  • Twin study

Main finding

As reported in the abstract

Annual increase in PWVcf
0.139 m/s per year
Annual increase in carotid diameter
0.028 mm per year
Annual change in carotid distensibility
−0.4 kPa-1 per year
Annual increase in carotid intima-media thickness (IMT)
0.011 mm per year
Heritability of progression of PWVcf
55%
Heritability of progression of carotid diameter
21%
Heritability of progression of IMT
8%

Observational data: associations, not effects.

Further findings

Predictors of progression in PWVcf and IMT (regression)

PWVcf progression predicted by baseline age, mean arterial pressure (MAP) and HR, and progression in MAP, HR and body mass index (BMI)
IMT progression predicted by progression in MAP, BMI and TG

Aortic wall thickness on MRI (sub-sample)

Aortic wall thickness increase
0.19 mm/year
Aortic wall thickening not correlated with increase in lumen diameter or PWVaorta
  • MRI sub-sample n = 38

Original publication

Arterial stiffening is a heritable trait associated with arterial dilation but not wall thickening: a longitudinal study in the twins UK cohort. Eur Heart J. Published 26 March 2018. doi:10.1093/eurheartj/ehy165

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