Arterial stiffening is a crucial factor for left ventricular diastolic dysfunction in a community-based normotensive population
Background: Left ventricular (LV) diastolic dysfunction is an important underlying hemodynamic mechanism for heart failure. Hypertension reportedly increases aortic stiffness with histological changes in the aorta assessed using aortic pulse wave velocity (PWV) that is associated with LV diastolic d...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | International Journal of Cardiology. Hypertension |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S259008622030015X |
| _version_ | 1818876258836021248 |
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| author | Maeda Mika Hideaki Kanzaki Takuya Hasegawa Hiroki Fukuda Makoto Amaki Jiyoong Kim Masanori Asakura Hiroshi Asanuma Motonobu Nishimura Masafumi Kitakaze |
| author_facet | Maeda Mika Hideaki Kanzaki Takuya Hasegawa Hiroki Fukuda Makoto Amaki Jiyoong Kim Masanori Asakura Hiroshi Asanuma Motonobu Nishimura Masafumi Kitakaze |
| author_sort | Maeda Mika |
| collection | DOAJ |
| description | Background: Left ventricular (LV) diastolic dysfunction is an important underlying hemodynamic mechanism for heart failure. Hypertension reportedly increases aortic stiffness with histological changes in the aorta assessed using aortic pulse wave velocity (PWV) that is associated with LV diastolic dysfunction. The role of hypertension per se in the relationship between aortic stiffness and LV diastolic dysfunction has not been clarified; therefore, we investigated whether this relation works for normotensive subjects. Methods: Of the 502 subjects who underwent both echocardiography and PWV measurement in a medical check-up conducted in Arita, Japan, we enrolled 262 consecutive normotensive subjects (age 52 ± 13 years). LV diastolic dysfunction was defined as abnormal relaxation and pseudonormal or restrictive patterns determined with both transmitral flow velocity and mitral annular velocity. Aortic stiffness was assessed via non-invasive brachial-ankle PWV measurement. Results: LV diastolic dysfunction was detected in 67 of the 262 (26%) normotensive subjects, and PWV was higher in subjects with LV diastolic dysfunction (15.4 ± 3.6 vs. 13.0 ± 2.7 m/s, p < 0.01). Multivariate logistic regression analyses revealed that PWV was independently associated with LV diastolic dysfunction (p = 0.02) after the adjustment for age; body mass index; blood pressure; eGFR; blood levels of BNP, glucose, and HDL cholesterol; LV mass index; and LA dimension. Conclusions: Both aortic stiffness and LV diastolic function are mutually related even in normotensive subjects, independent of the potential confounding factors. The increase in aortic stiffness may be a risk factor for LV diastolic dysfunction, irrespective of blood pressure. |
| first_indexed | 2024-12-19T13:39:32Z |
| format | Article |
| id | doaj.art-51e53d9ce1404b34ba110d2da913ce9a |
| institution | Directory Open Access Journal |
| issn | 2590-0862 |
| language | English |
| last_indexed | 2024-12-19T13:39:32Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Cardiology. Hypertension |
| spelling | doaj.art-51e53d9ce1404b34ba110d2da913ce9a2022-12-21T20:19:03ZengElsevierInternational Journal of Cardiology. Hypertension2590-08622020-09-016100038Arterial stiffening is a crucial factor for left ventricular diastolic dysfunction in a community-based normotensive populationMaeda Mika0Hideaki Kanzaki1Takuya Hasegawa2Hiroki Fukuda3Makoto Amaki4Jiyoong Kim5Masanori Asakura6Hiroshi Asanuma7Motonobu Nishimura8Masafumi Kitakaze9Division of Organ Regeneration Surgery, Department of Surgery, Tottori University, Yonago, JapanDivision of Cardiology, Department of Internal Medicine, National Cerebral and Cardiovascular Center, Suita, JapanDivision of Cardiology, Department of Internal Medicine, National Cerebral and Cardiovascular Center, Suita, JapanDivision of Cardiology, Department of Internal Medicine, National Cerebral and Cardiovascular Center, Suita, JapanDivision of Cardiology, Department of Internal Medicine, National Cerebral and Cardiovascular Center, Suita, JapanDepartment of Cardiology, Kim Cardiovascular Clinic, Osaka, JapanDepartment of Cardiovasculcar and Renal Medicine, Hyogo Ika Daigaku, Nishinomiya, JapanFaculty of Health Science, Meiji University of Integrative Medicine, Nantan, JapanDivision of Organ Regeneration Surgery, Department of Surgery, Tottori University, Yonago, JapanDivision of Cardiology, Department of Internal Medicine, National Cerebral and Cardiovascular Center, Suita, Japan; Corresponding author. Hanwa Daini Senboku Hospital, 3176 Fukaikitamachi, Naka-ku, Sakai, Osaka, 599-8271, Japan.Background: Left ventricular (LV) diastolic dysfunction is an important underlying hemodynamic mechanism for heart failure. Hypertension reportedly increases aortic stiffness with histological changes in the aorta assessed using aortic pulse wave velocity (PWV) that is associated with LV diastolic dysfunction. The role of hypertension per se in the relationship between aortic stiffness and LV diastolic dysfunction has not been clarified; therefore, we investigated whether this relation works for normotensive subjects. Methods: Of the 502 subjects who underwent both echocardiography and PWV measurement in a medical check-up conducted in Arita, Japan, we enrolled 262 consecutive normotensive subjects (age 52 ± 13 years). LV diastolic dysfunction was defined as abnormal relaxation and pseudonormal or restrictive patterns determined with both transmitral flow velocity and mitral annular velocity. Aortic stiffness was assessed via non-invasive brachial-ankle PWV measurement. Results: LV diastolic dysfunction was detected in 67 of the 262 (26%) normotensive subjects, and PWV was higher in subjects with LV diastolic dysfunction (15.4 ± 3.6 vs. 13.0 ± 2.7 m/s, p < 0.01). Multivariate logistic regression analyses revealed that PWV was independently associated with LV diastolic dysfunction (p = 0.02) after the adjustment for age; body mass index; blood pressure; eGFR; blood levels of BNP, glucose, and HDL cholesterol; LV mass index; and LA dimension. Conclusions: Both aortic stiffness and LV diastolic function are mutually related even in normotensive subjects, independent of the potential confounding factors. The increase in aortic stiffness may be a risk factor for LV diastolic dysfunction, irrespective of blood pressure.http://www.sciencedirect.com/science/article/pii/S259008622030015XNormotensionPulse wave velocityDiastolic function |
| spellingShingle | Maeda Mika Hideaki Kanzaki Takuya Hasegawa Hiroki Fukuda Makoto Amaki Jiyoong Kim Masanori Asakura Hiroshi Asanuma Motonobu Nishimura Masafumi Kitakaze Arterial stiffening is a crucial factor for left ventricular diastolic dysfunction in a community-based normotensive population International Journal of Cardiology. Hypertension Normotension Pulse wave velocity Diastolic function |
| title | Arterial stiffening is a crucial factor for left ventricular diastolic dysfunction in a community-based normotensive population |
| title_full | Arterial stiffening is a crucial factor for left ventricular diastolic dysfunction in a community-based normotensive population |
| title_fullStr | Arterial stiffening is a crucial factor for left ventricular diastolic dysfunction in a community-based normotensive population |
| title_full_unstemmed | Arterial stiffening is a crucial factor for left ventricular diastolic dysfunction in a community-based normotensive population |
| title_short | Arterial stiffening is a crucial factor for left ventricular diastolic dysfunction in a community-based normotensive population |
| title_sort | arterial stiffening is a crucial factor for left ventricular diastolic dysfunction in a community based normotensive population |
| topic | Normotension Pulse wave velocity Diastolic function |
| url | http://www.sciencedirect.com/science/article/pii/S259008622030015X |
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