(Hypertension. 1995;26:485-490.)
© 1995 American Heart Association, Inc.
Articles |
Assessment of Arterial Distensibility by Automatic Pulse Wave Velocity Measurement
Validation and Clinical Application Studies
From Hôpital Broussais, Med I, INSERM U337 (A.B., B.P., A.-M.B.); INSERM U141 (R.T., B.I.L.); and Institut de Recherche et Formation Cardiovasculaire (R.A., J.T., P.L.), Paris, France.
Abstract Pulse wave velocity is widely used as an index of arterial distensibility. The aim of this study was to evaluate the accuracy of a new automatic device to measure it and then to analyze the major determinants of pulse wave velocity by application of this device in a large population. We evaluated the accuracy of on-line and computerized measurement of pulse wave velocity using an algorithm based on the time-shifted and repeated linear correlation calculation between the initial rise in pressure waveforms compared with the reference method (manual calculation) in 56 subjects. The results, analyzed according to the recommendations of Bland and Altman, showed a mean difference of -0.20±0.45 m/s for the mean carotid-femoral pulse wave velocity values (reference method, 11.05±2.58 m/s; automatic device, 10.85±2.44 m/s). The inter-reproducibility and intrareproducibility of measurements by each method were analyzed with the use of the repeatability coefficient according to the British Standards Institution. The interobserver repeatability coefficient was 0.947 for the manual method and 0.890 for the automatic, and intraobserver repeatability coefficients were 0.938 and 0.935, respectively. We evaluated the major determinants of the carotid-femoral pulse wave velocity measured by the automatic method in a separate study performed in 418 subjects of both sexes without any cardiovascular treatment or complication (18 to 77 years of age; 98 to 222 mm Hg systolic and 62 to 130 mm Hg diastolic pressure). Multiple regression analysis between pulse wave velocity and clinical parameters (age, sex, weight, height, smoking, arterial blood pressure, heart rate) and biological plasma parameters (total cholesterol, high-density lipoprotein cholesterol, glycemia) showed that pulse wave velocity correlated positively and independently with age and systolic pressure (r2=.47; P<.001) according to the equation Pulse Wave Velocity=0.07 Systolic Pressure (mm Hg)+0.09 Age (y)-4.3 (m/s). Similar results were obtained in the normotensive and hypertensive subgroups when analyzed separately. Pulse wave velocity can be easily and automatically determined. Its measurement is accurate and highly reproducible, and its major determinants are well established. It is of great interest to evaluate in large populations the therapeutic and epidemiological applications of an arterial parameter as evaluated by aortic pulse wave velocity.
Key Words: arteries • pulse • algorithms
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A.F.C. Schut, J.A.M.J.L. Janssen, J. Deinum, J.M. Vergeer, A. Hofman, S.W.J. Lamberts, B.A. Oostra, H.A.P. Pols, J.C.M. Witteman, and C.M. van Duijn Polymorphism in the Promoter Region of the Insulin-like Growth Factor I Gene Is Related to Carotid Intima-Media Thickness and Aortic Pulse Wave Velocity in Subjects With Hypertension Stroke, July 1, 2003; 34(7): 1623 - 1627. [Abstract] [Full Text] [PDF]
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M. Karamanoglu, P. Lantelme, C. Mestre, and H. Milon Errors in Estimating Propagation Distances in Pulse Wave Velocity * Response Hypertension, June 1, 2003; e8(6): . [Full Text] [PDF]
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S. Laurent, S. Katsahian, C. Fassot, A.-I. Tropeano, I. Gautier, B. Laloux, and P. Boutouyrie Aortic Stiffness Is an Independent Predictor of Fatal Stroke in Essential Hypertension Stroke, May 1, 2003; 34(5): 1203 - 1206. [Abstract] [Full Text] [PDF]
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W. B. White, D. Duprez, R. St Hillaire, S. Krause, B. Roniker, J. Kuse-Hamilton, and M. A. Weber Effects of the Selective Aldosterone Blocker Eplerenone Versus the Calcium Antagonist Amlodipine in Systolic Hypertension Hypertension, May 1, 2003; 41(5): 1021 - 1026. [Abstract] [Full Text] [PDF]
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M Kidawa, M Krzeminska-Pakula, J Z Peruga, and J D Kasprzak Arterial dysfunction in syndrome X: results of arterial reactivity and pulse wave propagation tests Heart, April 1, 2003; 89(4): 422 - 426. [Abstract] [Full Text] [PDF]
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J. J. Oliver and D. J. Webb Noninvasive Assessment of Arterial Stiffness and Risk of Atherosclerotic Events Arterioscler Thromb Vasc Biol, April 1, 2003; 23(4): 554 - 566. [Abstract] [Full Text] [PDF]
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 K. K. Naka, A. C. Tweddel, D. Parthimos, A. Henderson, J. Goodfellow, and M. P. Frenneaux Arterial distensibility: acute changes following dynamic exercise in normal subjects Am J Physiol Heart Circ Physiol, March 1, 2003; 284(3): H970 - H978. [Abstract] [Full Text] [PDF]
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M. Zureik, J.-M. Bureau, M. Temmar, C. Adamopoulos, D. Courbon, K. Bean, P.-J. Touboul, A. Benetos, and P. Ducimetiere Echogenic Carotid Plaques Are Associated With Aortic Arterial Stiffness in Subjects With Subclinical Carotid Atherosclerosis Hypertension, March 1, 2003; 41(3): 519 - 527. [Abstract] [Full Text] [PDF]
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A. Mahmud and J. Feely Effect of Smoking on Arterial Stiffness and Pulse Pressure Amplification Hypertension, January 1, 2003; 41(1): 183 - 187. [Abstract] [Full Text] [PDF]
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C. S. Hayward, A. P. Avolio, M. F. O'Rourke, P. Lantelme, C. Mestre, M. Lievre, A. Gressard, and H. Milon Arterial Pulse Wave Velocity and Heart Rate * Response: Heart Rate and Pulse Wave Velocity Hypertension, December 1, 2002; e9(6): . [Full Text] [PDF]
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P. Lantelme, C. Mestre, M. Lievre, A. Gressard, and H. Milon Heart Rate: An Important Confounder of Pulse Wave Velocity Assessment Hypertension, June 1, 2002; 39(6): 1083 - 1087. [Abstract] [Full Text] [PDF]
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M. E. Safar, J. Blacher, B. Pannier, A. P. Guerin, S. J. Marchais, P.-M. Guyonvarc'h, and G. M. London Central Pulse Pressure and Mortality in End-Stage Renal Disease Hypertension, March 1, 2002; 39(3): 735 - 738. [Abstract] [Full Text] [PDF]
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R. Tatchum-Talom, C. Martel, and A. Marette Influence of estrogen on aortic stiffness and endothelial function in female rats Am J Physiol Heart Circ Physiol, February 1, 2002; 282(2): H491 - H498. [Abstract] [Full Text] [PDF]
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P. Boutouyrie, A. I. Tropeano, R. Asmar, I. Gautier, A. Benetos, P. Lacolley, and S. Laurent Aortic Stiffness Is an Independent Predictor of Primary Coronary Events in Hypertensive Patients: A Longitudinal Study Hypertension, January 1, 2002; 39(1): 10 - 15. [Abstract] [Full Text] [PDF]
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M. ZUREIK, A. BENETOS, C. NEUKIRCH, D. COURBON, K. BEAN, F. THOMAS, and P. DUCIMETIERE Reduced Pulmonary Function Is Associated with Central Arterial Stiffness in Men Am. J. Respir. Crit. Care Med., December 15, 2001; 164(12): 2181 - 2185. [Abstract] [Full Text] [PDF]
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S. Meaume, A. Benetos, O.F. Henry, A. Rudnichi, and M.E. Safar Aortic Pulse Wave Velocity Predicts Cardiovascular Mortality in Subjects >70 Years of Age Arterioscler Thromb Vasc Biol, December 1, 2001; 21(12): 2046 - 2050. [Abstract] [Full Text] [PDF]
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 E. Suzuki, A. Kashiwagi, Y. Nishio, K. Egawa, S. Shimizu, H. Maegawa, M. Haneda, H. Yasuda, S. Morikawa, T. Inubushi, et al. Increased Arterial Wall Stiffness Limits Flow Volume in the Lower Extremities in Type 2 Diabetic Patients Diabetes Care, December 1, 2001; 24(12): 2107 - 2114. [Abstract] [Full Text] [PDF]
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R. G. Asmar, G. M. London, M. E. O'Rourke, and M. E. Safar Improvement in Blood Pressure, Arterial Stiffness and Wave Reflections With a Very-Low-Dose Perindopril/Indapamide Combination in Hypertensive Patient: A Comparison With Atenolol Hypertension, October 1, 2001; 38(4): 922 - 926. [Abstract] [Full Text] [PDF]
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P. Albaladejo, X. Copie, P. Boutouyrie, B. Laloux, A. D. Declere, H. Smulyan, and A. Benetos Heart Rate, Arterial Stiffness, and Wave Reflections in Paced Patients Hypertension, October 1, 2001; 38(4): 949 - 952. [Abstract] [Full Text] [PDF]
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M. Kosch, A. Levers, M. Barenbrock, F. Matzkies, R. M. Schaefer, K. Kisters, K.-H. Rahn, and M. Hausberg Acute effects of haemodialysis on endothelial function and large artery elasticity Nephrol. Dial. Transplant., August 1, 2001; 16(8): 1663 - 1668. [Abstract] [Full Text] [PDF]
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A. Mahmud and J. Feely Acute Effect of Caffeine on Arterial Stiffness and Aortic Pressure Waveform Hypertension, August 1, 2001; 38(2): 227 - 231. [Abstract] [Full Text] [PDF]
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S. Laurent, P. Boutouyrie, R. Asmar, I. Gautier, B. Laloux, L. Guize, P. Ducimetiere, and A. Benetos Aortic Stiffness Is an Independent Predictor of All-Cause and Cardiovascular Mortality in Hypertensive Patients Hypertension, May 1, 2001; 37(5): 1236 - 1241. [Abstract] [Full Text] [PDF]
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H. Smulyan, R. G. Asmar, A. Rudnicki, G. M. London, and M. E. Safar Comparative effects of aging in men and women on the properties of the arterial tree J. Am. Coll. Cardiol., April 1, 2001; 37(5): 1374 - 1380. [Abstract] [Full Text] [PDF]
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F. Selzer, K. Sutton-Tyrrell, S. Fitzgerald, R. Tracy, L. Kuller, and S. Manzi Vascular Stiffness in Women With Systemic Lupus Erythematosus Hypertension, April 1, 2001; 37(4): 1075 - 1082. [Abstract] [Full Text] [PDF]
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N. M. van Popele, D. E. Grobbee, M. L. Bots, R. Asmar, J. Topouchian, R. S. Reneman, A. P. G. Hoeks, D. A. M. van der Kuip, A. Hofman, and J. C. M. Witteman Association Between Arterial Stiffness and Atherosclerosis : The Rotterdam Study Stroke, February 1, 2001; 32(2): 454 - 460. [Abstract] [Full Text] [PDF]
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A. Benetos, K. Okuda, M. Lajemi, M. Kimura, F. Thomas, J. Skurnick, C. Labat, K. Bean, and A. Aviv Telomere Length as an Indicator of Biological Aging : The Gender Effect and Relation With Pulse Pressure and Pulse Wave Velocity Hypertension, February 1, 2001; 37(2): 381 - 385. [Abstract] [Full Text] [PDF]
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N. M. van Popele, W. J. W. Bos, N. A. M. de Beer, D. A. M. van der Kuip, A. Hofman, D. E. Grobbee, and J. C. M. Witteman Arterial Stiffness as Underlying Mechanism of Disagreement Between an Oscillometric Blood Pressure Monitor and a Sphygmomanometer Hypertension, October 1, 2000; 36(4): 484 - 488. [Abstract] [Full Text] [PDF]
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