New non-invasive indexes of arterial stiffness are significantly correlated with severity and complexity of coronary atherosclerosis

Background: Endothelial dysfunction and increased arterial stiffness gradually develop before the manifestation of catastrophic cardiovascular events. Therefore, detection and assessment of vascular function are required to address pre-existing pathological conditions. However, the currently availab...

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Main Authors: Hiroshi Doi, Tomoaki Ishigami, Rie Nakashima-Sasaki, Tabito Kino, Lin Chen, Kentaro Arakawa, Sae Teranaka, Shintaro Minegishi, Kaito Abe, Toshiyuki Ishikawa, Teruyasu Sugano, Kouichi Tamura
Format: Article
Language:English
Published: Taylor & Francis Group 2019-02-01
Series:Clinical and Experimental Hypertension
Online Access:http://dx.doi.org/10.1080/10641963.2018.1465072
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author Hiroshi Doi
Tomoaki Ishigami
Rie Nakashima-Sasaki
Tabito Kino
Lin Chen
Kentaro Arakawa
Sae Teranaka
Shintaro Minegishi
Kaito Abe
Toshiyuki Ishikawa
Teruyasu Sugano
Kouichi Tamura
author_facet Hiroshi Doi
Tomoaki Ishigami
Rie Nakashima-Sasaki
Tabito Kino
Lin Chen
Kentaro Arakawa
Sae Teranaka
Shintaro Minegishi
Kaito Abe
Toshiyuki Ishikawa
Teruyasu Sugano
Kouichi Tamura
author_sort Hiroshi Doi
collection DOAJ
description Background: Endothelial dysfunction and increased arterial stiffness gradually develop before the manifestation of catastrophic cardiovascular events. Therefore, detection and assessment of vascular function are required to address pre-existing pathological conditions. However, the currently available diagnostic devices and methods are insufficient due to variability among investigators and the time-consuming nature of manual procedures. Methods: Recently, novel devices were developed for the detection of both arterial stiffness and endothelial dysfunction in a single blood pressure measurement using a cuff-oscillometric technique (AVE-1500, Shisei Datum, Japan). API (arterial pressure volume index) is defined as the reciprocal of the slope of the tangent of the brachial artery pressure-volume curve, and AVI (arterial velocity pulse index) is defined as the ratio of the difference between the ejection and reflection waves. In the present study, we performed retrospective, cross-sectional analyses of subjects (n = 102; mean age = 70.5 ± 10.4 years) with detailed coronary angiographic examinations and clinical background parameters. Results: After adjusting for various variables using multiple linear regression analyses, we found that API, but not AVI, was significantly correlated with coronary artery severity and complexity scores. Conclusions: We propose that API may be a new vascular index useful for monitoring and assessing the severity and complexity of atherosclerosis in subjects with coronary artery disease and for evaluating atherosclerotic diseases.
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spelling doaj.art-d31fa1384572404c87e17cec2953962d2023-09-19T15:19:27ZengTaylor & Francis GroupClinical and Experimental Hypertension1064-19631525-60062019-02-0141218719310.1080/10641963.2018.14650721465072New non-invasive indexes of arterial stiffness are significantly correlated with severity and complexity of coronary atherosclerosisHiroshi Doi0Tomoaki Ishigami1Rie Nakashima-Sasaki2Tabito Kino3Lin Chen4Kentaro Arakawa5Sae Teranaka6Shintaro Minegishi7Kaito Abe8Toshiyuki Ishikawa9Teruyasu Sugano10Kouichi Tamura11Yokohama City University Graduate School of MedicineYokohama City University Graduate School of MedicineYokohama City University Graduate School of MedicineYokohama City University Graduate School of MedicineYokohama City University Graduate School of MedicineYokohama City University Graduate School of MedicineYokohama City University Graduate School of MedicineYokohama City University Graduate School of MedicineYokohama City University Graduate School of MedicineYokohama City University Graduate School of MedicineYokohama City University Graduate School of MedicineYokohama City University Graduate School of MedicineBackground: Endothelial dysfunction and increased arterial stiffness gradually develop before the manifestation of catastrophic cardiovascular events. Therefore, detection and assessment of vascular function are required to address pre-existing pathological conditions. However, the currently available diagnostic devices and methods are insufficient due to variability among investigators and the time-consuming nature of manual procedures. Methods: Recently, novel devices were developed for the detection of both arterial stiffness and endothelial dysfunction in a single blood pressure measurement using a cuff-oscillometric technique (AVE-1500, Shisei Datum, Japan). API (arterial pressure volume index) is defined as the reciprocal of the slope of the tangent of the brachial artery pressure-volume curve, and AVI (arterial velocity pulse index) is defined as the ratio of the difference between the ejection and reflection waves. In the present study, we performed retrospective, cross-sectional analyses of subjects (n = 102; mean age = 70.5 ± 10.4 years) with detailed coronary angiographic examinations and clinical background parameters. Results: After adjusting for various variables using multiple linear regression analyses, we found that API, but not AVI, was significantly correlated with coronary artery severity and complexity scores. Conclusions: We propose that API may be a new vascular index useful for monitoring and assessing the severity and complexity of atherosclerosis in subjects with coronary artery disease and for evaluating atherosclerotic diseases.http://dx.doi.org/10.1080/10641963.2018.1465072
spellingShingle Hiroshi Doi
Tomoaki Ishigami
Rie Nakashima-Sasaki
Tabito Kino
Lin Chen
Kentaro Arakawa
Sae Teranaka
Shintaro Minegishi
Kaito Abe
Toshiyuki Ishikawa
Teruyasu Sugano
Kouichi Tamura
New non-invasive indexes of arterial stiffness are significantly correlated with severity and complexity of coronary atherosclerosis
Clinical and Experimental Hypertension
title New non-invasive indexes of arterial stiffness are significantly correlated with severity and complexity of coronary atherosclerosis
title_full New non-invasive indexes of arterial stiffness are significantly correlated with severity and complexity of coronary atherosclerosis
title_fullStr New non-invasive indexes of arterial stiffness are significantly correlated with severity and complexity of coronary atherosclerosis
title_full_unstemmed New non-invasive indexes of arterial stiffness are significantly correlated with severity and complexity of coronary atherosclerosis
title_short New non-invasive indexes of arterial stiffness are significantly correlated with severity and complexity of coronary atherosclerosis
title_sort new non invasive indexes of arterial stiffness are significantly correlated with severity and complexity of coronary atherosclerosis
url http://dx.doi.org/10.1080/10641963.2018.1465072
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