Evaluation of different metrics as an index for the assessment of arterial stiffness

Elevated intravascular pressure is a contributing factor to increased arterial stiffness, and is a risk factor for cardiovascular morbidity and mortality. Assessment of arterial stiffness is of importance in evaluating cardiovascular risk. Pulse wave velocity (PWV) has been broadly used in the asses...

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Main Authors: Camille Leblanc, Hilary R Strong, Reza Tabrizchi
Format: Article
Language:English
Published: Taylor & Francis Group 2018-05-01
Series:Clinical and Experimental Hypertension
Subjects:
Online Access:http://dx.doi.org/10.1080/10641963.2017.1384484
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author Camille Leblanc
Hilary R Strong
Reza Tabrizchi
author_facet Camille Leblanc
Hilary R Strong
Reza Tabrizchi
author_sort Camille Leblanc
collection DOAJ
description Elevated intravascular pressure is a contributing factor to increased arterial stiffness, and is a risk factor for cardiovascular morbidity and mortality. Assessment of arterial stiffness is of importance in evaluating cardiovascular risk. Pulse wave velocity (PWV) has been broadly used in the assessment of arterial stiffness. We compared three different metrics of arterial stiffness to PWV. Hemodynamic recordings were carried out in anesthetized hypertensive and normotensive rats (n = 25; 13–14 weeks old). Four parameters were calculated (PWV, elastic modulus (Einc), stiffness index (β), and pressure-strain modulus (Ep)) as metrics of arterial stiffness. Hypertensive in comparison to normotensive rats had significantly higher systolic and diastolic blood pressures. Metric for arterial stiffness were significantly (p < 0.002) higher in hypertensive animals: PWV (8.46 ± 2.01 vs. 6.39 ± 1.28 m/s), Ep (0.246 ± 0.019 vs. 0.137 ± 0.010 dyn/cm2 × 10–6), Einc (17.5 ± 1.8 vs. 10.1 ± 0.9 dyn/cm2 × 10–6), and β (2.43 ± 0.11 vs. 1.98 ± 0.08) (mean±SE). Bland-Altman analysis revealed β as the only metric aligned with PWV in hypertensive state. We find in state of reduced arterial compliance associated with high systemic pressure, β but not Einc or Ep is an index of arterial stiffness showing agreement with PWV.
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spelling doaj.art-3859312711b847ccb5167727aab397112023-09-19T15:19:26ZengTaylor & Francis GroupClinical and Experimental Hypertension1064-19631525-60062018-05-0140439039710.1080/10641963.2017.13844841384484Evaluation of different metrics as an index for the assessment of arterial stiffnessCamille Leblanc0Hilary R Strong1Reza Tabrizchi2Memorial University of NewfoundlandMemorial University of NewfoundlandMemorial University of NewfoundlandElevated intravascular pressure is a contributing factor to increased arterial stiffness, and is a risk factor for cardiovascular morbidity and mortality. Assessment of arterial stiffness is of importance in evaluating cardiovascular risk. Pulse wave velocity (PWV) has been broadly used in the assessment of arterial stiffness. We compared three different metrics of arterial stiffness to PWV. Hemodynamic recordings were carried out in anesthetized hypertensive and normotensive rats (n = 25; 13–14 weeks old). Four parameters were calculated (PWV, elastic modulus (Einc), stiffness index (β), and pressure-strain modulus (Ep)) as metrics of arterial stiffness. Hypertensive in comparison to normotensive rats had significantly higher systolic and diastolic blood pressures. Metric for arterial stiffness were significantly (p < 0.002) higher in hypertensive animals: PWV (8.46 ± 2.01 vs. 6.39 ± 1.28 m/s), Ep (0.246 ± 0.019 vs. 0.137 ± 0.010 dyn/cm2 × 10–6), Einc (17.5 ± 1.8 vs. 10.1 ± 0.9 dyn/cm2 × 10–6), and β (2.43 ± 0.11 vs. 1.98 ± 0.08) (mean±SE). Bland-Altman analysis revealed β as the only metric aligned with PWV in hypertensive state. We find in state of reduced arterial compliance associated with high systemic pressure, β but not Einc or Ep is an index of arterial stiffness showing agreement with PWV.http://dx.doi.org/10.1080/10641963.2017.1384484arterial stiffnesselastic modulushigh intravascular pressurepressure strain moduluspulse wave velocitystiffness index
spellingShingle Camille Leblanc
Hilary R Strong
Reza Tabrizchi
Evaluation of different metrics as an index for the assessment of arterial stiffness
Clinical and Experimental Hypertension
arterial stiffness
elastic modulus
high intravascular pressure
pressure strain modulus
pulse wave velocity
stiffness index
title Evaluation of different metrics as an index for the assessment of arterial stiffness
title_full Evaluation of different metrics as an index for the assessment of arterial stiffness
title_fullStr Evaluation of different metrics as an index for the assessment of arterial stiffness
title_full_unstemmed Evaluation of different metrics as an index for the assessment of arterial stiffness
title_short Evaluation of different metrics as an index for the assessment of arterial stiffness
title_sort evaluation of different metrics as an index for the assessment of arterial stiffness
topic arterial stiffness
elastic modulus
high intravascular pressure
pressure strain modulus
pulse wave velocity
stiffness index
url http://dx.doi.org/10.1080/10641963.2017.1384484
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