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. 2026 Mar 9;153(10):769–785. doi: 10.1161/CIRCULATIONAHA.125.072393

Figure 2.

Figure 2.

Schematic depicting typical pressure wave forms in segments of the cardiovascular system for normal versus stiffened aorta and conduit arteries. Aortic stiffening causes increased pulse pressure. In a normal aorta, pressure is dampened by the layers of elastin allowing distension during systole and recoil during diastole. The distension reduces the work of the heart; the recoil during diastole generates the perfusion pressure for coronary circulation. This trampoline-like mechanism is lost as the aorta stiffens with calcification, resulting in increased pulse pressure throughout the vasculature. Modified from Thompson et al.12 Used with permission.