Abstract-The harmonic content of the envelope waveform of the blood flow velocity in the ophthalmic artery was analyzed in aging and arterial hypertension. The case-control study enrolled 98 healthy men (age: 44.0Ϯ15.6 years), 100 healthy women (age: 44.5Ϯ19.1 years), which is group 1, and overall 199 hypertensive patients with increased systolic and diastolic blood pressure (in millimeters of mercury) before registration of the blood flow velocity using pulsed Doppler sonography. Group 2 was sufficiently treated (Յ140/Յ90), group 3 (Ͼ140/Յ90) and group 5 (Ͼ140/Ͼ90) were insufficiently treated, and group 4 (Ͼ140/Յ90) and group 6 (Ͼ140/Ͼ90) were untreated. Cronbach-␣ reliability of the calculated spectral coefficient and SI (SI) was 0.88 and 0.93, respectively. In control subjects, the SI was influenced by age (men: 45.1%; women: 50.2%; PϽ0.001 each) and in women additionally by mean arterial pressure (13.1%; PϽ0.001). The SI differed in subjects Ͼ43 years of age (men: 0.37Ϯ0.11; women: 0.26Ϯ0.08; PϽ0.001 each) as compared with subjects Յ43 years of age (men: 0.60Ϯ0.18; women: 0.48Ϯ0.13). All of these changes were lacking for the resistance index. In both men and women with hypertension, the SI decreases, whereas the mean arterial pressure increases, but the resistance index did not change. The SI of the ophthalmic artery allows an assessment of the ocular circulation in consideration of age and arterial blood pressure in contrast to the resistance index. Key Words: aging Ⅲ arterial hypertension Ⅲ blood flow velocity Ⅲ fast Fourier transform Ⅲ harmonic oscillation Ⅲ resistance index Ⅲ spectral index S everal parameters were used to explore differences in aging rates influenced by cardiovascular risk factors. The correlations of chronological age with arterial hypertension 1 and of age with systolic blood pressure (SBP), cholesterol plasma concentration, and consumption of cigarettes 2 were investigated.It is well known that hemodynamic characteristics of the arterial system change in dependency on age and, eg, arterial hypertension. These characteristics may be analyzed by decomposition of the complex waveforms, which are induced by systolic cardiac output, the subsequently reflected wave from the vessel periphery, and the again-reflected wave from the aortic valve. The fast Fourier transform represents a mathematical approach for analysis, which is an optimized and refined algorithm 3 based on the discrete Fourier transform. Respective examinations were performed in the cerebrovascular system, 4 in the cardiovascular and respiratory system, 5 and in other different vessel areas to measure the input impedance. 6,7 Fourier coefficients of the first to tenth harmonic oscillation have been shown to differentiate between normal and pathological vessels, 8 and already in small retinal vessels of young patients with arterial hypertension, the hemodynamics was shown impaired. 9 The goal of our study was to examine the usefulness of the harmonic content derived from the envelope waveform of the blood flow velocity of the...