Brachial-ankle pulse wave velocity as an index of central arterial stiffness.
Shoko Tsuchikura,Tetsuo Shoji,Eiji Kimoto,Kayo Shinohara,Sawako Hatsuda,Hidenori Koyama,Masanori Emoto,Yoshiki Nishizawa +7 more
TLDR
In this paper, an automated device for brachial-ankle pulse wave velocity (baPWV) is used, although information is limited whether it reflects the stiffness of central or peripheral arteries.Abstract:
Aim: Stiffness of the central arteries plays an important role in the pathophysiology of cardiovascular disease, and pulse wave velocity (PWV) of the aorta has been used as the standard measure of central arterial stiffness. An automated device for brachial-ankle (ba) PWV is available, although information is limited whether baPWV reflects the stiffness of central or peripheral arteries. We therefore addressed this question in the present study.Methods: The subjects were 2,806 consecutive participants in our non-invasive vascular laboratory, excluding those with an ankle-brachial index (ABI) lower than 0.95. PWV measurements were simultaneously performed using an automated device for the ba, heart-femoral (hf, aorta), heart-carotid (hc), heart-brachial (hb), and femoral-ankle (fa) segments. Correlational analyses were performed (1) among these PWV values, (2) between PWV and individual risk factors, and (3) between PWV and the Framingham risk score (FRS), a surrogate index for integrated cardiovascular risk.Results: The correlation of baPWV was the highest with hfPWV (r=0.796) and the lowest with hcPWV (r=0.541). Among the known factors preferentially affecting central arterial stiffness, higher age, diabetes mellitus, and chronic kidney disease (CKD) were also closely associated with increased baPWV. Finally, FRS was more closely correlated with hfPWV (r=0.613) and baPWV (r=0.609) than with hbPWV (r=0.523), hcPWV (r=0.509), and faPWV (r=0.393).Conclusion: These results indicate that baPWV is an index of arterial stiffness showing similar characteristics to those of aortic PWV.read more
Citations
More filters
Journal ArticleDOI
Arterial stiffness measured as pulse wave velocity is highly correlated with coronary atherosclerosis in asymptomatic patients
Chiu-Shong Liu,Chia Ing Li,Chuen Ming Shih,Wen-Yuan Lin,Chih Hsueh Lin,Shih-Wei Lai,Tsai-Chung Li,Tsai-Chung Li,Cheng-Chieh Lin +8 more
TL;DR: Ba-PWV correlated well with coronary atherosclerosis and lifestyle modification is an efficacious therapeutic intervention for preventing the progression of arterial stiffness and should be included in community screening programs.
Journal ArticleDOI
High serum uric acid is associated with increased cardio-ankle vascular index (CAVI) in healthy Japanese subjects: A cross-sectional study
Daiji Nagayama,Takashi Yamaguchi,Atsuhito Saiki,Haruki Imamura,Yuta Sato,Noriko Ban,Hidetoshi Kawana,Ayako Nagumo,Kohji Shirai,Ichiro Tatsuno +9 more
TL;DR: An independent correlation between SUA and CAVI was demonstrated, and observed gender difference in the SUA range for increase in CAVI may suggest the need to set different target SUA levels for men and women in anti-hyperuricemic treatment for atherosclerosis prevention.
Journal ArticleDOI
Association of age-related changes in circulating intermediary lipid metabolites, inflammatory and oxidative stress markers, and arterial stiffness in middle-aged men
TL;DR: The results suggest that age-related increases in lysoPC16:0 may contribute to lipid peroxidation, thereby activating proinflammatory phenotypes and arterial stiffness.
Journal ArticleDOI
Arterial path length estimation on brachial-ankle pulse wave velocity: validity of height-based formulas.
TL;DR: The results suggest that other methodological considerations apart from the arterial path length estimation contribute to higher absolute baPWV values, which are still significantly higher than other PWV measures even when the actual path length is used to calculate.
Journal ArticleDOI
State of the Art Review: Brachial-Ankle PWV.
Hirofumi Tomiyama,Kazuki Shiina +1 more
TL;DR: It is demonstrated that the brachial-ankle PWV is a useful marker to predict future cardiovascular events in Japanese subjects without a previous history of cardiovascular disease, independent of the conventional model for the risk assessment.
References
More filters
Journal Article
K/DOQI clinical practice guidelines for chronic kidney disease: Evaluation, classification, and stratification
Andrew S. Levey,Josef Coresh,Kline Bolton,Bruce Culleton,Kathy Schiro Harvey,T. Alp Ikizler,Cynda Ann Johnson,Annamaria T. Kausz,Paul L. Kimmel,John W. Kusek,Adeera Levin,Kenneth L. Minaker,Robert Nelson,Helmut G. Rennke,Michael Steffes,Beth Witten,Ronald J. Hogg,Susan Furth,Kevin V. Lemley,Ronald J. Portman,George Schwartz,Joseph Lau,Ethan M Balk,Ronald D. Perrone,Tauqeer Karim,Lara Rayan,Inas Al-Massry,Priscilla Chew,Brad C. Astor,Deirdre De Vine,Garabed Eknoyan,Nathan W. Levin,Sally Burrows-Hudson,William F. Keane,Alan S. Kliger,Derrick Latos,Donna Mapes,Edith Oberley,Kerry Willis,George R. Bailie,Gavin J. Becker,Jerrilynn Burrowes,David Churchill,Allan J. Collins,William Couser,Dick DeZeeuw,Alan Garber,Thomas Golper,Frank A. Gotch,Antonio M. Gotto,Joel W. Greer,Richard H. Grimm,Ramon G. Hannah,Jaime Herrera Acosta,Ronald J. Hogg,Lawrence G. Hunsicker,Michael J. Klag,Saulo Klahr,Caya Lewis,Edmund G. Lowrie,Arthur J. Matas,Sally McCulloch,Maureen Michael,Joseph V. Nally,John M. Newmann,Allen R. Nissenson,Keith Norris,William F. Owen,Thakor G. Patel,Glenda Payne,Rosa A. Rivera-Mizzoni,David A. Smith,Robert A. Star,Theodore Steinman,Fernando Valderrábano,John Walls,Jean Pierre Wauters,Nanette Wenger,Josephine P. Briggs +78 more
TL;DR: In the early 1990s, the National Kidney Foundation (K/DOQI) developed a set of clinical practice guidelines to define chronic kidney disease and to classify stages in the progression of kidney disease.
Journal ArticleDOI
Revised equations for estimated GFR from serum creatinine in Japan.
Seiichi Matsuo,Enyu Imai,Masaru Horio,Yoshinari Yasuda,Kimio Tomita,Kosaku Nitta,Kunihiro Yamagata,Yasuhiko Tomino,Hitoshi Yokoyama,Akira Hishida +9 more
TL;DR: In this paper, the authors used the modified isotope dilution mass spectrometry (IDMS)-traceable 4-variable modified modification of Diet in Renal Disease (MDRD) study equation to estimate the glomerular filtration rate (GFR) for Japanese patients.
Journal ArticleDOI
Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients.
Stéphane Laurent,Pierre Boutouyrie,Roland Asmar,Isabelle Gautier,Brigitte Laloux,Louis Guize,Pierre Ducimetière,Athanase Benetos +7 more
TL;DR: This study provides the first direct evidence that aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in patients with essential hypertension.
Journal ArticleDOI
Impact of Aortic Stiffness on Survival in End-Stage Renal Disease
Jacques Blacher,Alain P. Guerin,Bruno Pannier,Sylvain J. Marchais,Michel E. Safar,Gérard M. London +5 more
TL;DR: These results provide the first direct evidence that in patients with ESRD, increased aortic stiffness determined by measurement of aorta pulse-wave velocity is a strong independent predictor of all-cause and mainly cardiovascular mortality.
Journal ArticleDOI
Aortic pulse-wave velocity and its relationship to mortality in diabetes and glucose intolerance: an integrated index of vascular function?
TL;DR: Aortic PWV is a powerful independent predictor of mortality in both type 2 diabetes and glucose-tolerance–tested population samples and may represent a useful integrated index of vascular status and hence cardiovascular risk.