title: Aortic function: from the research laboratory to the clinic.
abstract: For many years, much of the pioneering research on aortic function was carried out by a small group of investigators frequently working away from the clinical environment in the research laboratory. The evaluation of aortic function using aortic pulse wave velocity, aortic distensibility, or other practical indices had yet to reach clinical threshold. It was necessary for the clinicians to take over and to apply these indices to the clinic. In this Odyssey, the work by the basic scientist was important to define the fundamental mechanisms of aortic function; however, it was the vision of the clinical investigator who recognized the importance of aortic function and introduced it into clinical practice. In the near future, the clinical investigator will introduce aortic function in daily clinical practice as the measurement of left ventricular function is used today. A close collaboration between the clinical and the basic investigator will be necessary in order to define the molecular mechanisms related to aortic wall synthesis and degradation of collagen and elastin. Application of these findings by the clinical investigator may help to delay or prevent aortic dysfunction related to aging or other conditions and diseases.
authors.affiliation: Division of Cardiovascular Medicine, The Ohio State University, 473 W. 12th Avenue, Columbus, OH 43210, USA. kdboudoulas@osumc.edu
authors.forename: Konstantinos Dean
authors.initials: KD
authors.lastname: Boudoulas
authors.forename: Charalambos
authors.initials: C
authors.lastname: Vlachopoulos
authors.forename: Subha V
authors.initials: SV
authors.lastname: Raman
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Sparks
authors.forename: Filippos
authors.initials: F
authors.lastname: Triposciadis
authors.forename: Christodoulos
authors.initials: C
authors.lastname: Stefanadis
authors.forename: Harisios
authors.initials: H
authors.lastname: Boudoulas
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001011:Aorta / Q000033:anatomy & histology / Q000502:physiology*; D001018:Aortic Diseases / Q000209:etiology / Q000503:physiopathology; D002637:Chest Pain / Q000209:etiology / Q000503:physiopathology; D004548:Elasticity / Q000502:physiology; D004562:Electrocardiography; D006801:Humans; D018810:Magnetic Resonance Angiography; D008875:Middle Aged; D009929:Organ Size / Q000502:physiology; D011312:Pressure; D011379:Prognosis; D059289:Vascular Stiffness / Q000502:physiology; D055815:Young Adult