Pulse wave velocity and its gender-related associations with cardiovascular risk factors in a high cardiovascular risk population

Zemtsovskaja, Galina; Abina, Jelena; Meigas, Kalju; Pilt, Kristjan; Viigimaa, Margus

doi:10.5114/amsad.2018.76919

Cited by 8 publications

(9 citation statements)

References 27 publications

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“…To the best of our knowledge, this is the first study that demonstrates differences in cf-PWV between genders in nearly all homogeneous patients in terms of classic comorbidities such as hypertension, diabetes mellitus, metabolic syndrome, chronic obstructive pulmonary diseases, and heart failure among Polish geriatric patients and shows differences in the impact of individual risk factors on the cfPWV value in gender groups. There are some studies that have assessed the relationship between arterial stiffness and gender, but most of them have been conducted in the younger population [23][24][25][26][27]. No significant difference was found for PWV, arterial age, and augmentation index in an analysis of gender and arterial stiffness among smokers (mean age 38).…”

Section: Resultsmentioning

confidence: 96%

Relationship between the Central and Regional Pulse Wave Velocity in the Assessment of Arterial Stiffness Depending on Gender in the Geriatric Population

Jannasz

Sondej

Targowski

et al. 2023

Sensors

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Artery stiffness is a risk factor for cardiovascular disease (CVD). The measurement of pulse wave velocity (PWV) between the carotid artery and the femoral artery (cfPWV) is considered the gold standard in the assessment of arterial stiffness. A relationship between cfPWV and regional PWV has not been established. The aim of this study was to evaluate the influence of gender on arterial stiffness measured centrally and regionally in the geriatric population. The central PWV was assessed by a SphygmoCor XCEL, and the regional PWV was assessed by a new device through the photoplethysmographic measurement of multi-site arterial pulse wave velocity (MPPT). The study group included 118 patients (35 males and 83 females; mean age 77.2 ± 8.1 years). Men were characterized by statistically significantly higher values of cfPWV than women (cfPWV 10.52 m/s vs. 9.36 m/s; p = 0.001). In the measurement of regional PWV values using MPPT, no such relationship was found. Gender groups did not statistically differ in the distribution of atherosclerosis risk factors. cfPWV appears to be more accurate than regional PWV in assessing arterial stiffness in the geriatric population.

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Section: Resultsmentioning

confidence: 96%

Relationship between the Central and Regional Pulse Wave Velocity in the Assessment of Arterial Stiffness Depending on Gender in the Geriatric Population

Jannasz

Sondej

Targowski

et al. 2023

Sensors

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“…Classical risk factors for the development of AF include hypertension, advanced age, diabetes mellitus, coronary heart disease, and lipid metab-olism disorders [5][6][7]. Importantly, these are also recognized risk factors for ischemic stroke [8][9][10]. Researchers have observed that patients with recurring IS often show evidence of untreated AF [11].…”

Section: Introductionmentioning

confidence: 99%

Atrial fibrillation risk factors in patients with ischemic stroke

2021

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Introduction: Atrial fibrillation (AF) is the most common heart arrhythmia. The condition is known to increase the risk of ischemic stroke (IS). Classical risk factors for the development of AF include advanced age, hypertension, diabetes mellitus, coronary heart disease and lipid metabolism disorders. Importantly, these are also recognized risk factors for ischemic stroke. Therefore, the purpose of this study was to investigate AF risk factors in patients with IS. Material and methods: This is single-centre retrospective study which included 696 patients with acute ischemic stroke and nonvalvular atrial fibrillation and 1678 patients with acute ischemic stroke without atrial fibrillation. Results: In this study we found-based on a univariable and multivariable logistic regression model-that compared to the patients with IS without AF, the group of patients which suffered from IS with nonvalvular atrial fibrillation (NVAF) had a higher proportion of patients who smoked cigarettes (OR = 15.742, p < 0.01; OR = 41.1, p < 0.01), had hypertension (OR = 5.161, p < 0.01; OR = 5.666, p < 0.01), history of previous stroke (OR = 3.951, p < 0.01; OR = 4.792, p < 0.01), dyslipidemia (OR = 2.312, p < 0.01; OR = 1.592, p < 0.01), coronary heart disease (OR = 2.306, p < 0.01; OR = 1.988, p < 0.01), a greater proportion of female patients (OR = 1.717, p < 0.01; OR = 2.095, p < 0.01), higher incidence of diabetes mellitus (OR = 1.341, p < 0.01; OR = 1.261, p = 0.106) and more patients in old age (OR = 1.084, p < 0.01; OR = 1.101, p < 0.01). Conclusions: Our study demonstrates a need for thorough and systematic monitoring of post-ischemic stroke patients in whom AF has not been detected and who display other important risk factors. Regardless of the stroke, these factors may be responsible for development of AF.

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“…Age could increase the risk of death among patients with cerebrovascular diseases and affect the functional prognosis among the surviving patients. Zemtsovskaia et al [ 8 ] also found that aging showed the strongest association with cardiovascular (CV) risk levels, indicative of increased arterial stiffness. The increase in NIHSS score was not positively correlated with the risk of death, but with the rate of disability.…”

Section: Discussionmentioning

confidence: 99%

Long-term prognosis of patients with stroke associated with middle cerebral artery occlusion. Single-centre registration study

Chen¹,

Sun²,

Wei³

et al. 2019

Arch Med Sci

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Introduction: Large artery intracranial occlusive disease including middle cerebral artery (MCA) is a major contributor to the incidence of stroke in China. The data on the prognosis of symptomatic atherosclerotic MCA occlusions (MCAO) are limited. We aimed to investigate the related factors of unfavorable outcomes in patients with stroke associated with MCAO. Material and methods: A total of 119 patients with MCAO symptom were enrolled in this retrospective longitudinal cohort study. All patients met inclusion criteria of cerebral angiography by CT angiography or magnetic resonance angiography. Stroke severity was assessed on admission using the National Institutes of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRS). Results: We showed an average follow-up time of 46.8 months, within which 20 cases (19.6%) died and 14 cases (13.7%) had stroke recurrence. Using mRS as an evaluation index, the patients were divided into an unfavourable outcome group (mRS > 2, 48 cases) and a favourable outcome group (mRS ≤ 2, 54 cases). Logistic regression analysis suggests that age and NIHSS score were independent risk factors for a poor outcome value. Coexisting other cerebral vascular occlusion was an independent risk factor for stroke recurrence. Age was an independent risk factor for death. Conclusions: The prognosis of patients with MCAO was generally optimistic, with higher survival rate and longer survival time. As compared, elder age and higher NIHSS score both tend to be associated with worse prognosis of survival. MCAO patients with other extracranial or intracranial vascular occlusion have higher risk of recurrent stroke. Death rate increases with age among the MCAO patients.

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Pulse wave velocity and its gender-related associations with cardiovascular risk factors in a high cardiovascular risk population

Cited by 8 publications

References 27 publications

Relationship between the Central and Regional Pulse Wave Velocity in the Assessment of Arterial Stiffness Depending on Gender in the Geriatric Population

Relationship between the Central and Regional Pulse Wave Velocity in the Assessment of Arterial Stiffness Depending on Gender in the Geriatric Population

Atrial fibrillation risk factors in patients with ischemic stroke

Long-term prognosis of patients with stroke associated with middle cerebral artery occlusion. Single-centre registration study

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