Short-Term Repeatability of Noninvasive Aortic Pulse Wave Velocity Assessment: Comparison Between Methods and Devices

Grillo, Andrea; Parati, Gianfranco; Rovina, Matteo; Moretti, Francesco; Salvi, Lucia; Gao, Lan; Baldi, Corrado; Sorropago, Giovanni; Faini, Andrea; Millasseau, Sandrine; Scalise, Filippo; Carretta, Renzo; Salvi, Paolo

doi:10.1093/ajh/hpx140

Cited by 55 publications

(49 citation statements)

References 31 publications

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“…Subsequently, rates of carotid-femoral pulse wave velocity (cfPWV) increase have been reported to be accelerated with advancing age in men more than women, leading to a sex-based difference in cfPWV after the age of 50 years [23]. The lack of difference in aPWV between sexes in this study might be due to the algorithm to estimate aPWV by using the Mobil-O-Graph, instead of direct measurement [24]. Finally, these volunteers were almost healthy medical staffs and were not randomly selected from the general population.…”

Section: Discussionmentioning

confidence: 97%

Cuff-Based Oscillometric Measurements of Central Hemodynamics: Factors Influencing Central Augmentation Pressure in Normotensive Japanese Individuals

Obayashi

Kobayashi

Kohno

et al. 2018

Pulse

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Background: Recently, new devices using oscillometric cuff have been developed to derive central blood pressure (BP) waveform from brachial BP waveform. Late systolic pressure augmentation of central BP waveform is a marker of central hemodynamics. Mobil-O-Graph, a cuff-based oscillometric device, can assess central augmentation pressure (AP) together with central BP. Central AP measurement using the Mobil-O-Graph in the European population was reported to be associated with age and sex. However, factors influencing central AP in the Asian population have not been shown. Objectives and Methods: We enrolled 110 normotensive volunteers (50 men; age range, 21‒76 years). Central BP and AP were measured using the Mobil-O-Graph on the left arm with the subjects in the seated position after resting for at least 5 min. We compared central hemodynamics between the sexes. We investigated factors influencing central AP in uni- and multivariate linear regression analyses and age-related change in central AP using the Mobil-O-Graph in healthy Japanese individuals. Results: Central AP were lower in men than in women (5.5 ± 2.8 vs. 11.0 ± 4.7 mm Hg, p < 0.001). The central AP in the total cohort was positively correlated with age (r = 0.325, p < 0.001) and inversely correlated with height (r = −0.601, p < 0.001) in the Pearson correlations. In multivariate regression analysis, the parameters influencing central AP (R² = 0.467) were age (β = 0.097, p < 0.001), sex (β = −2.890, p = 0.010), and height (β = −0.153, p = 0.031). The central AP (10.0 ± 4.8 mm Hg) in the ≥50-year-old group significantly increased compared with those in the 20- to 39-year-old group (6.7 ± 4.2 mm Hg, p < 0.05). Conclusions: Age, sex, and height influenced central AP, as assessed using the Mobil-O-Graph. Age-related increase in central AP was observed in normotensive Japanese individuals. Brachial cuff-based waveform recordings using the Mobil-O-Graph are feasible for the estimation of central AP in the Asian population.

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Section: Discussionmentioning

confidence: 97%

Cuff-Based Oscillometric Measurements of Central Hemodynamics: Factors Influencing Central Augmentation Pressure in Normotensive Japanese Individuals

Obayashi

Kobayashi

Kohno

et al. 2018

Pulse

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“…Despite the fact that central blood pressure (CBP) and the pulse wave velocity (PWV – an excellent arterial stiffness surrogate) [14, 15] are linked to the increased cardiovascular risk there have been few studies conducted regarding the influence of CBP and PWV on the progression of CKD in hypertensive patients especially with non-proteinuric kidney diseases, or with only mild proteinuria.…”

Section: Introductionmentioning

confidence: 99%

Different Relevance of Peripheral, Central or Nighttime Blood Pressure Measurements in the Prediction of Chronic Kidney Disease Progression in Patients with Mild or No-Proteinuria

Kuczera¹,

Kwiecień²,

Adamczak³

et al. 2018

Kidney Blood Press Res

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Background/Aims: Arterial hypertension is one of the leading factors aggravating the course of chronic kidney disease (CKD). It seems that the novel parameters used in the assessment of the blood pressure (BP) load (i.e. central blood pressure, nighttime blood pressure) may be more precise in predicting the cardiovascular risk and the progression of CKD in comparison with the traditional peripheral blood pressure measurements in the office conditions. The aim of the study was to assess the impact of the central, or nighttime blood pressure on the progression of CKD in patients with mild or no-proteinuria (autosomal, dominant polycystic kidney disease or IgA nephropathy). Methods: In each of the enrolled 46 patients with CKD stage 3 or 4, serum creatinine concentration was assessed, eGFR (MDRD) was calculated, also central blood pressure and pulse wave velocity (PWV) was assessed and the 24-hour ambulatory blood pressure monitoring (ABPM) was conducted at the beginning of the study and then repeated after one-year observation period. Results: During the observation period mean eGFR decreased from 44.1 (33.2-50.6) mL/min to 36.7 (29.7-46.3) mL/min. No significant differences were observed in the peripheral blood pressure or central blood pressure parameters. After one-year observation period the values of diastolic blood pressure dipping during the night significantly decreased from 16 (13-19) mmHg to 12 (10-15) mmHg; p< 0.05. The values of systolic dipping during the night or the mean BP values recorded in ABPM did not change significantly. Additionally, no significant differences in the PWV values were found. In the multivariate regression model the change of serum creatinine concentration was explained by the initial diastolic dipping values. Conclusion: 1. In patients with CKD stages 3 or 4 and mild or no- proteinuria, peripheral and central blood pressure did not change significantly during a one-year observation period despite the significant decline of eGFR and seems not to participate in the CKD progression. 2. Reduced magnitude of the diastolic dipping, which reflects the increase of diastolic blood pressure load during the nighttime, may play an important role in the pathogenesis of deterioration of kidney function in these patients.

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“…Second, although the correlation and the agreement between the two methods are satisfactory, they are still imperfect. This is mainly attributed to the different methodologies and technologies used, but also to the imperfect reproducibility of the reference cfPWV assessed by either the Complior or the SphygmoCor device 25 . Third, the associations between cfPWV, baPWV, and carotid damage are at least in part driven by their strong association with age as a part of pathophysiology.…”

Section: Discussionmentioning

confidence: 99%

Automated pulse wave velocity assessment using a professional oscillometric office blood pressure monitor

Kyriakoulis

Gravvani

Anagnostopoulos

et al. 2020

J of Clinical Hypertension

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Stiffness of the large arteries is closely associated with aging and hypertension and is an independent predictor of cardiovascular morbidity and mortality. 1-5 Carotid-femoral pulse wave velocity (cfPWV) is the gold standard for measuring large artery stiffness 1 and several studies have established the additive value of cfPWV in terms of risk stratification. 5,6 The European Society of Cardiology/European Society of Hypertension has endorsed cfPWV for assessing hypertension-mediated organ damage. 1 However, wide use of cfPWV measurement is impractical due to considerable technological and methodological heterogeneity in its assessment and other issues related to device cost, observer time, and experience, patient inconvenience in femoral pulse acquisition, etc, and thus, it is not recommended for routine use. 1 In the last years, there is accumulating evidence regarding the automated measurement of brachial-ankle pulse wave velocity

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Short-Term Repeatability of Noninvasive Aortic Pulse Wave Velocity Assessment: Comparison Between Methods and Devices

Abstract: Our study shows that the short-term repeatability of PWV measures is good but not homogenous across different devices and at different PWV values. These findings, obtained in patients at high cardiovascular risk, may be relevant when evaluating the prognostic importance of PWV.

Cited by 55 publications

References 31 publications

Cuff-Based Oscillometric Measurements of Central Hemodynamics: Factors Influencing Central Augmentation Pressure in Normotensive Japanese Individuals

Cuff-Based Oscillometric Measurements of Central Hemodynamics: Factors Influencing Central Augmentation Pressure in Normotensive Japanese Individuals

Different Relevance of Peripheral, Central or Nighttime Blood Pressure Measurements in the Prediction of Chronic Kidney Disease Progression in Patients with Mild or No-Proteinuria

Automated pulse wave velocity assessment using a professional oscillometric office blood pressure monitor

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