Accelerated vascular ageing after COVID-19 infection: the CARTESIAN study
European Heart Journal

Abstract
Increasing evidence suggests that COVID-19 survivors experience long-term cardiovascular complications possibly through development of vascular damage. The study aimed to investigate whether accelerated vascular ageing occurs after COVID-19 infection, and if so, identify its determinants.
This prospective, multicentric, cohort study, included 34 centres in 16 countries worldwide, in 4 groups of participants—COVID-19-negative controls (ⅰ) and three groups of individuals with recent (6 ± 3 months) exposure to SARS-CoV-2: not hospitalized (ⅱ), hospitalized in general wards (ⅲ), and hospitalized in intensive care units (ⅳ). The main outcome was carotid-femoral pulse wave velocity (PWV), an established biomarker of large artery stiffness.
2390 individuals (age 50 ± 15 years, 49.2% women) were recruited. After adjustment for confounders, all COVID-19-positive groups showed higher PWV (+0.41, +0.37, and +0.40 m/s for groups 2–4,
COVID-19 is associated with early vascular ageing in the long term, especially in women.
Contributors

Smriti Badhwar
Author

Mohsen Agharazii
Author

Fabio Anastasio
Author

Jeremy Bellien
Author

Otto Burghuber
Author

Luca Faconti
Author
King's College London London , United Kingdom of Great Britain & Northern Ireland

Jan Filipovsky
Author

Lorenzo Ghiadoni
Author

Cristina Giannattasio
Author

Bernhard Hametner
Author

Alun D Hughes
Author

Ana Jeroncic
Author

Ignatios Ikonomidis
Author

Alessandro Maloberti
Author

Christopher C Mayer
Author

Maria Lorenza Muiesan
Author

Anna Paini
Author

Chloe Park
Author

Chakravarthi Rajkumar
Author

Carlos Ramos Becerra
Author

Bart Spronck
Author

Yesim Tuncok
Author

Thomas Weber
Author

Pierre Boutouyrie
Author

Herta Almhofer
Author

Kathen Danninga
Author

Margot Algner
Author

Martin Wernhart
Author

Thomas Weber
Author

Bernhard Hametner
Author

Christopher C Mayer
Author

Otto Burghuber
Author

Mohammad Azizzadeh
Author

Marie-Kathrin Breyer
Author

Luiz Bortolotto
Author

Jose Fernando Vilela-Martin
Author

Rogério Toshiro Passos Okawa
Author

Weimar Kunz Sebba Barroso
Author

Emmanuel Gomes Ciolac
Author

Vanessa Teixeira do Amaral
Author

Bianca Fernandez
Author

Rémi Goupil
Author

Mohsen Agharazii
Author

Catherine Fortier
Author

Andrie G Panayiotou
Author

Galatia Photiou
Author

Jan Filipovský
Author

Otto Mayer
Author

Jitka Seidlerová
Author

Petr Pazdiora
Author

Jana Hirmerová
Author

Lucie Šustková
Author

Simona Bílková
Author

Július Gelžinský
Author

Veronika Kordíková
Author

Štěpán Mareš
Author

Renata Cífková
Author

Peter Wohlfahrt
Author

Jana Kavalírová
Author

Rosa Maria Bruno
Author

Pierre Boutouyrie
Author

Hakim Khettab
Author

Junior Justin
Author

Diego Moriconi
Author

Saverio Fabbri
Author

Jean Sebastien Hulot
Author

Antoine Fayol
Author

Marie Courbebaisse
Author

Beatrice Parfait
Author

David Lebeaux
Author

Gérard Friedlander
Author

Jeremy Bellien
Author

Robinson Joannides
Author

Michele Iacob
Author

Anne-Marie Leroi
Author

Athanase Benetos
Author

Ioannis Georgiopoulos
Author

Dimitrios Terentes-Printzios
Author

Georgia Christopoulou
Author

Konstantinos Tsioufis
Author

Vasiliki Gardikioti
Author

Charalambos Vlachopoulos
Author

Ignatios Ikonomidis
Author

Vaia Lambadiari
Author

Alkaternini Kountouri
Author

Konstantinos Katogiannis
Author

Ana Jerončić
Author

Mario Podrug
Author

Mirela Pavičić-Ivelja
Author

Pjero Koren
Author

Maria Lorenza Muiesan
Author

Anna Paini
Author

Massimo Salvetti
Author

Marco Cacciatore
Author

Giacomo Pucci
Author

Fabio Anastasio
Author

Elisa Scarnecchia
Author

Cristina Giannattasio
Author

Maloberti Alessandro
Author

Michela Algeri
Author

Antonella Moreo
Author

Chiara Tognola
Author

Andrea Grillo
Author

Bruno Fabris
Author

Stella Bernardi
Author

Matteo Rovina
Author

Giuliano Di Pierro
Author

Lorenzo Ghiadoni
Author

Sabina Armenia
Author

Elisabetta Bianchini
Author

Luca Zanoli
Author

Pietro Castellino
Author

Arturo Montineri
Author

Alice Sciuto
Author

Davide Grassi
Author

Jolita Badariene
Author

Ligita Ryliskyte
Author

Agne Laucyte-Cibulskiene
Author

Ligita Jancoriene
Author

Kristina Ryliskiene
Author

Agne Juceviciene
Author

Milda Kovaite
Author

Laura Balkeviciene
Author

Carlos G Ramos-Becerra
Author

Guillermos Alanis-Sánchez
Author

Pedro Martinez-Ayala
Author

Ernesto G Cardona-Muñóz
Author

David Cardona-Muller
Author

Mai Tone Lonnebakken
Author

Caroline Annette Berge
Author

Lucimere Bohn
Author

José Oliveira
Author

Emilia Alves
Author

Simao Pedro Costa
Author

Telmo Pereira
Author

Armando Caseiro
Author

Fábio Lira
Author

Maria Rosa Bernal López
Author

María Isabel Ruiz Moreno
Author

Ricardo Gómez Huelgas
Author

Almudena Lopez Sampalo
Author

Jaime Sanz Canovas
Author

Lidia Cobos Palacios
Author

Juan José Mancebo Sevilla
Author

Arzu Nazlı Zeka
Author

Ebru Özpelit
Author

Canet İncir
Author

Mustafa M Barış
Author

Yeşim Tunçok
Author

Ali Canturk
Author

Hasan Can Cimilli
Author

Leila Abid
Author

Salem Abdessalem
Author

Selma Charfeddine
Author

Amine Bahloul
Author

Rania Hammami
Author

Mahdi Walha
Author

Alun Hughes
Author

Chloe Park
Author

Alexandra Jamieson
Author

Philip J Chowienczyk
Author

Luca Faconti
Author

Bushra Farukh
Author

Riaz Akhtar
Author

Alena Shantsila
Author

Gregory Lip
Author

Alvaro N Gurovich
Author

Manuel Gomez
Author

Lee Stoner
Author

Michelle Meyer
Author

Erik Hanson
Author

Gabriel Zieff
Author

Patricia Pagan Lassalle
Author

Lauren Bates
Author




