A. Woodiwiss's research while affiliated with University of the Witwatersrand and other places

Publications (13)

Conference Paper
Background Nesfatin-1 comprises a peptide that is involved in appetite suppression, energy homeostasis and fluid regulation, and was recently documented to participate in a range of cardiometabolic pathways (1,2). There is currently a need for the identification of novel biomarkers in the elucidation of CVD risk and its stratification in persons wi...
Conference Paper
Background In the non-rheumatoid arthritis (RA) population, arterial stiffness contributes to cardiovascular disease risk beyond brachial blood pressure and other established cardiovascular risk factors. The increased cardiovascular disease risk in RA is now well documented. In this regard, how RA impacts on arterial stiffness remains uncertain. O...
Conference Paper
Objective: Decreases in brachial blood pressure (BP) may occur for several hours following a bout of exercise. Although aortic backward waves predict cardiovascular damage independent of brachial BP, whether decreases in aortic backward waves also occur post-exercise; the extent to which these changes exceed brachial BP changes; and the best metho...
Article
Obesity causes an increased blood pressure (BP). This effect may be diminished in communities of African descent. However, the impact of obesity on ambulatory or aortic BP, which are enhanced in groups of African ancestry, has not been assessed. We aimed to determine the extent to which obesity is related to variations in office, ambulatory and aor...
Article
Objective: Although the pro-fibrotic inflammatory substance galectin-3 predicts outcomes in the general population, the mechanisms responsible for this effect are uncertain. As galectin-3 expression contributes to aortic stiffness in preclinical studies, we aimed to determine whether circulating galectin-3 concentrations are associated with carotid...
Article
Objective: Although aortic augmentation index (AIx) and pressure (Pa) are inherited, AIx and Pa are poor measures of reflected (backward) wave function. As wave reflection predicts outcomes beyond brachial BP, we aimed to determine the intra-familial aggregation and heritability of indices of aortic wave reflection derived from wave separation anal...
Article
Objective: Aortic blood pressure (BP) predicts outcomes and is associated with end-organ measures independent of brachial BP. Whether this is accounted for by the impact of aortic forward or backward waves on variations in aortic-to-brachial BP amplification is uncertain. We aimed to determine whether brachial BP-independent relations between aorti...
Article
Background Leptin and particularly adiponectin are likely involved in the pathophysiology of rheumatoid arthritis (RA) and therefore potential new therapeutic targets. In the general population, leptin enhances and adiponectin reduces cardiovascular metabolic risk. Hence, adiponectin inhibition would be expected to result in increased cardiovascula...
Article
Background The very early steps in atherosclerosis comprise adhesion of monocytes to the endothelium and monocyte transmigration through the endothelial barrier into the intima. These processes are effectuated by adhesion molecules and monocyte chemoattractant protein-1 (MCP-1), a molecule that plays a unique and crucial role in early atheroscleros...

Citations

... Their development is based on the premise that central or aortic BP reflects the true load on the target organ. In fact, several studies have suggested that central BP is associated with the macrovascular damage, specifically cardiac and carotid damage, but is not so closely related to the microvascular lesion [2,4,6,[15][16][17][18]. Kollias et al. analyzed four studies that showed similar correlations of urine albumin excretion with brachial SBP and central BP (three in an office setting and one with ABPM) [2]. ...
... All patients with either prehypertension or hypertension should have blood sampled, preferably while fasting, to measure creatinine and calculate the estimated glomerular filtration rate (eGFR), urea, glucose, glycated haemoglobin A 1c (HbA 1c ), electrolytes, lipid profile (total cholesterol, triglycerides, high density lipoprotein cholesterol (HDL cholesterol) [33], low density lipoprotein cholesterol (LDL cholesterol) [34]), thyroid function tests (free thyroxine (FT4) and thyroxine stimulating hormone (TSH), urate and liver function tests (LFTs: total protein (TProt), albumin, total bilirubin (TBili), alkaline phosphatase (ALP), aspartate aminotransferase (AST), alanine aminotransferase (ALT) and gamma glutamyl transpeptidase (GGT)). The measurement of these analytes permits evaluation of kidney, thyroid and liver function, the identification of dyslipidaemia, glucose intolerance, metabolic syndrome and cardiovascular risk stratification. ...