Reference values of aortic pulse wave velocity in the elderly

Alecu, Cosmin; Labat, Carlos; Kearney‐Schwartz, Anna; Fay, Renaud; Salvi, Paolo; Joly, Laure; Lacolley, Patrick; Vespignani, Hervé; Bénétos, Athanase

doi:10.1097/hjh.0b013e32830e4932

Cited by 54 publications

(42 citation statements)

References 23 publications

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“…12,27 Both use electrocardiogram-gated sequential tonometric measurements to asses aortic (carotid-femoral) PWV and are widely used in clinical and research practice. [23][24][25] Survival studies in adults indicate that PWV measured by applanation tonometry has a good clinical predictive value. 20 Involving more than 1000 children, our research group has furthermore confirmed the applicability of the PP device to mass screening of children of different age groups.…”

Section: Discussionmentioning

confidence: 99%

“…They are easily applied in adults and children and have a fair reproducibility. [22][23][24][25][26] PP and SC devices have been validated invasively in adults. 12,27 It is claimed that, in children, PWV measurements by applanation tonometry may be difficult to carry out as they are time consuming and require some degree of patient cooperation.…”

Section: Introductionmentioning

confidence: 99%

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Measurement of pulse wave velocity in children and young adults: a comparative study using three different devices

et al. 2011

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To estimate the value of pulse wave velocity (PWV) in pediatric cardiovascular disease, prospective studies are needed. Various instruments based on different measurement principles are proposed for use in children, hence the need to test the comparability of these devices in this younger population. The objective of this study was to compare PWV measured by oscillometry (Vicorder (VIC)) with the gold standard of applanation tonometry (PulsePen (PP), Sphygmocor (SC)). PWV was measured in 98 children and young adults (age: 16.7(6.3-26.6) years (median(range)) with the above three devices at the same visit under standardized conditions. Mean PWV measured by VIC was significantly lower than that measured by SC and PP. There was no difference following path length correction of the VIC measurement (using the distance between the jugular notch and the center of the femoral cuff), (PP: 6.12(1.00), SC: 5.94(0.91), VIC: 6.14(0.75) m s À1 ). Velocities measured by the three devices showed highly significant correlations. Bland-Altman analysis revealed excellent concordance between all three devices, however, there was a small but significant proportional error in the VIC measurements showing a trend toward lower PWV measured by VIC at higher PWV values. Our study provides data on the three most frequently used instruments in pediatrics. Following path length correction of the VIC, all three devices provided comparable results. Thus, our work allows extrapolating data between previously established normal PWV values for children and forthcoming studies using these instruments to assess children at long-term risk of cardiovascular disease. The small proportional error of VIC needs additional technical development to improve the accuracy of the measurements.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Measurement of pulse wave velocity in children and young adults: a comparative study using three different devices

et al. 2011

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“…Our results establish reference values for less healthy adult men and women separately, whereas in healthy people, we defined the same values for men and women. The effect of gender on reference values has been analyzed for Caucasian (Alecu et al 2008;Boutouyrie and BMI body mass index, WC waist circumference, HC hip circumference, WHR waist-to-hip ratio, SBP systolic blood pressure, DBP diastolic blood pressure, PP pulse pressure, MBP mean blood pressure, PWV pulse wave velocity, HDL-C high-density lipoprotein cholesterol, LDL-C low-density lipoprotein cholesterol, TC total cholesterol, TGL triglycerides Vermeersch 2010; Reusz et al 2010) but not for African (Shiburi et al 2006) populations. In two of these studies, values were defined separated by gender, (Alecu et al 2008;Reusz et al 2010) but not in the other one because they found a small effect of gender on PWV values (Boutouyrie and Vermeersch 2010).…”

Section: Discussionmentioning

confidence: 99%

“…The effect of gender on reference values has been analyzed for Caucasian (Alecu et al 2008;Boutouyrie and BMI body mass index, WC waist circumference, HC hip circumference, WHR waist-to-hip ratio, SBP systolic blood pressure, DBP diastolic blood pressure, PP pulse pressure, MBP mean blood pressure, PWV pulse wave velocity, HDL-C high-density lipoprotein cholesterol, LDL-C low-density lipoprotein cholesterol, TC total cholesterol, TGL triglycerides Vermeersch 2010; Reusz et al 2010) but not for African (Shiburi et al 2006) populations. In two of these studies, values were defined separated by gender, (Alecu et al 2008;Reusz et al 2010) but not in the other one because they found a small effect of gender on PWV values (Boutouyrie and Vermeersch 2010). However, this adjustment is needed for practical use considering the gender-related pattern of CV morbidity and mortality (Lerner and Kannel 1986;Anderson et al 1991;Li et al 2006;Shaw et al 2008;Maas and Appelman 2010;Claassen et al 2012;Yang and Kozloski 2012).…”

Section: Discussionmentioning

confidence: 99%

“…In this regard, several studies using different methods of measurement defined reference values for specific groups, including Caucasian children and teenagers (Alecu et al 2008;Boutouyrie and Vermeersch 2010;Reusz et al 2010). Among these studies, the most comprehensive one culminated with defining reference values of PWV for a European population (Boutouyrie and Vermeersch 2010).…”

Section: Introductionmentioning

confidence: 99%

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Age- and gender-specific reference values of pulse wave velocity for African adults: preliminary results

Magalhães

Capingana

Silva

et al. 2013

AGE

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Pulse wave velocity (PWV) is an independent predictor of cardiovascular (CV) risk. Higher PWV values have been observed in Africans; however, there are no established age-and gender-adjusted reference values for this population. Therefore, PWV was measured using a validated device (Complior SP) in 544 subjects recruited from an occupational cohort of employees of a public university in Angola. Since high blood pressure (BP) is an important factor influencing PWV, a subsample of 301 normotensive subjects (aged 22-72 years) was selected for this study. A subset of 131 individuals without CV risk factors was considered the healthy group (HG), while the entire group (n = 301) comprised the less healthy group (LHG). Predictors of PWV were evaluated using multiple regression analyses and age-and gender-specific percentile tables and curves were constructed. Age and PWV means were 36±9.7 years and 6.6±1.0 m/s in the HG, respectively, and 39.9±10.2 years and 7.3± 1.3 m/s in the LHG. Age and plasma uric acid (UA) were the only significant PWV predictors in the HG, while age, mean BP (MBP), and gender showed significant prediction of PWV in the multiple regression analysis in the LHG. Age-and gender-adjusted reference values of PWV were provided for healthy and less healthy normotensive Africans. Considering the small sample size of our cohort, these preliminary results should be used cautiously until data on robust sample of the general population can be obtained.

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Validation and reproducibility of aortic pulse wave velocity as assessed with velocity‐encoded MRI

Grotenhuis

Westenberg

Steendijk

et al. 2009

Magnetic Resonance Imaging

184

181

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Purpose: To validate magnetic resonance imaging (MRI) assessment of aortic pulse wave velocity (PWV MRI ) with PWV determined from invasive intra-aortic pressure measurements (PWV INV ) and to test the reproducibility of the measurement by MRI. Materials and Methods:PWV MRI was compared with PWV INV in 18 nonconsecutive patients scheduled for catheterization for suspected coronary artery disease. Reproducibility of PWV MRI was tested in 10 healthy volunteers who underwent repeated measurement of PWV MRI at a single occasion. Velocity-encoded MRI was performed on all participants to assess PWV MRI in the total aorta (Ao total ), the proximal aorta (Ao prox ), and the distal aorta (Ao dist ). Conclusion: MRI assessment of aortic pulse wave velocity shows good agreement with invasive pressure measurements and can be determined with high reproducibility. Results

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Reference values of aortic pulse wave velocity in the elderly

Cited by 54 publications

References 23 publications

Measurement of pulse wave velocity in children and young adults: a comparative study using three different devices

Measurement of pulse wave velocity in children and young adults: a comparative study using three different devices

Age- and gender-specific reference values of pulse wave velocity for African adults: preliminary results

Validation and reproducibility of aortic pulse wave velocity as assessed with velocity‐encoded MRI

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