Analysis of vascular aging phenotypes in a high cardiovascular risk population

Changes in the vascular system associated with aging contribute to conditions such as hypertension and atherosclerosis. In this study, we explored the prevalence and survival effects of vascular aging phenotypes in a Russian population, a group with a very high cardiovascular risk according to the SCORE2 scale. A cohort of 618 participants from three metro areas underwent carotid-femoral pulse wave velocity (cfPWV) assessment between 2012 and 2018, with biannual follow-ups to record cardiovascular events and mortality. We compared our data with findings from previously published European cohorts to evaluate methods for classifying vascular aging phenotypes. Our findings indicate that definitions designed for low- and medium-risk populations are of limited use in high-risk groups. Moreover, the association between elevated cfPWV and increased overall mortality suggests a potential selection pressure on vascular aging phenotypes. These insights advance the development of predictive biomarkers for cardiovascular risk in populations with high rates of cardiovascular disease.

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Publication Details

Journal
Scientific Reports
Published
2025-06-06
DOI
https://doi.org/10.1038/s41598-025-04988-0
Primary Topic
Cardiovascular Health and Disease Prevention
Type
article
Field-Weighted Citation Impact
0.00

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article

Analysis of vascular aging phenotypes in a high cardiovascular risk population

Anna Aleksandrovna Kostareva, Е. V. Shlyakhto, Sofia Kibkalo, А. С. Алиева et al.
Scientific Reports
Cardiovascular Health and Disease Prevention
article

Analysis of vascular aging phenotypes in a high cardiovascular risk population

Anna Aleksandrovna Kostareva, Е. V. Shlyakhto, Sofia Kibkalo, А. С. Алиева, О. P. Rotar, А. О. Конради, M. Boyarinova, Kristina Tolkunova, Dmitrii Usoltsev, Mykyta Artomov, Е. Yu. Vasilyeva, Е. П. Колесова, Anastasia Erina, N. A. Paskar, E. Moguchaya
article en

Abstract

Changes in the vascular system associated with aging contribute to conditions such as hypertension and atherosclerosis. In this study, we explored the prevalence and survival effects of vascular aging phenotypes in a Russian population, a group with a very high cardiovascular risk according to the SCORE2 scale. A cohort of 618 participants from three metro areas underwent carotid-femoral pulse wave velocity (cfPWV) assessment between 2012 and 2018, with biannual follow-ups to record cardiovascular events and mortality. We compared our data with findings from previously published European cohorts to evaluate methods for classifying vascular aging phenotypes. Our findings indicate that definitions designed for low- and medium-risk populations are of limited use in high-risk groups. Moreover, the association between elevated cfPWV and increased overall mortality suggests a potential selection pressure on vascular aging phenotypes. These insights advance the development of predictive biomarkers for cardiovascular risk in populations with high rates of cardiovascular disease.

Scientific ReportsVol. 15(1)
Broad Institute (US), Nationwide Children's Hospital (US), ITMO University (RU), Federal Almazov North-West Medical Research Centre (RU), The Ohio State University (US)
Ministry of Science and Higher Education of the Russian Federation
Openalex Percentile: Top 77%
Cardiovascular Health and Disease Prevention
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