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
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Aging and Arterial Stiffness
Hae Young Lee,Byung Hee Oh +1 more
TL;DR: Vascular aging is an independent risk factor for cardiovascular disease, from atherosclerosis to target organ damage, including coronary artery disease, stroke and heart failure, and various strategies, especially controlling hypertension, show benefit in preventing, delaying or attenuating vascular aging.
Journal ArticleDOI
Comparison between carotid-femoral and brachial-ankle pulse wave velocity as measures of arterial stiffness.
Hirofumi Tanaka,Masanori Munakata,Yuhei Kawano,Mitsuru Ohishi,Tetsuo Shoji,Jun Sugawara,Hirofumi Tomiyama,Akira Yamashina,Hisayo Yasuda,Toshitami Sawayama,Toshio Ozawa +10 more
TL;DR: It is indicated that cfPWV and baPWVs are indices of arterial stiffness that exhibit similar extent of associations with cardiovascular disease risk factors and clinical events.
Journal ArticleDOI
Pulse wave velocity is associated with β-amyloid deposition in the brains of very elderly adults
Timothy M. Hughes,Lewis H. Kuller,Emma Barinas-Mitchell,Rachel H. Mackey,Eric McDade,William E. Klunk,Howard J. Aizenstein,Ann D. Cohen,Beth E. Snitz,Chester A. Mathis,Steven T. DeKosky,Oscar L. Lopez +11 more
TL;DR: Arterial stiffness was highest in individuals with both high Aβ deposition and WMH, which has been suggested to be a “double hit” contributing to the development of symptomatic dementia.
Journal ArticleDOI
Combined resistance and endurance exercise training improves arterial stiffness, blood pressure, and muscle strength in postmenopausal women.
Arturo Figueroa,Song Y. Park,Song Y. Park,Dae Y. Seo,Marcos A. Sanchez-Gonzalez,Yeong H. Baek +5 more
TL;DR: The findings indicate that a 12-week moderate-intensity combined circuit RE and EE training improves arterial stiffness, hemodynamics, and muscle strength in previously sedentary postmenopausal women.
Journal ArticleDOI
An Anatomically Detailed Arterial Network Model for One-Dimensional Computational Hemodynamics
Pablo J. Blanco,Sansuke M. Watanabe,Marco Aurelio R. F. Passos,Pedro A. Lemos,Raúl A. Feijóo +4 more
TL;DR: The present model features excellent descriptive and predictive capabilities in both patient-generic and patient-specific cases, presenting a new step toward integrating an unprecedented anatomical description, morphometric, and simulations data to help in understanding complex arterial blood flow phenomena and related cardiovascular diseases.
References
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Journal ArticleDOI
Cut-off value of the ankle-brachial pressure index at which the accuracy of brachial-ankle pulse wave velocity measurement is diminished.
Koki Motobe,Hirofumi Tomiyama,Yutaka Koji,Minoru Yambe,Zaydun Gulinisa,Tomio Arai,Hiroaki Ichihashi,Tsuneyuki Nagae,Shin Ishimaru,Akira Yamashina +9 more
TL;DR: The cutoff value of the ankle-brachial pressure index (ABI) at which the accuracy of brachial-ankle pulse wave velocity (baPWV) measurement is diminished seems to be the marker of diminished baPWv accuracy.
Journal ArticleDOI
Withdrawal of hormonal therapy for 4 weeks decreases arterial compliance in postmenopausal women
Tamara K. Waddell,C. Rajkumar,James D. Cameron,Garry L. Jennings,Anthony M. Dart,Bronwyn A. Kingwell +5 more
TL;DR: It is suggested that hormonal modulation of distal arterial vascular tone may account for short-term changes in arterial compliance associated with estrogen-containing hormonal therapy.
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Regional Arterial Stiffness Associated with Ischemic Heart Disease in Type 2 Diabetes Mellitus
Sawako Hatsuda,Tetsuo Shoji,Kayo Shinohara,Eiji Kimoto,Katsuhito Mori,Shinya Fukumoto,Hidenori Koyama,Masanori Emoto,Yoshiki Nishizawa +8 more
TL;DR: In this paper, the arterial stiffness of the central artery may be more closely associated with ischemic heart disease (IHD) than stiffness of peripheral arteries in type 2 diabetes mellitus.
Journal ArticleDOI
Limitation of Brachial-Ankle Pulse Wave Velocity in Assessing the Risk of Stroke: Importance of Instantaneous Blood Pressure
TL;DR: The baPWV was most affected by the instantaneous systolic blood pressure, and was significantly higher in stroke patients than control subjects, but was not independently associated with increased risk of stroke or specific subtypes of ischemic stroke or neuroradiological findings.