Flow-mediated slowing of brachial-radial pulse wave velocity: Methodological aspects and clinical determinants
Autor: | Fang-Fei Wei, Jan A. Staessen, Zhenyu Zhang, Nicholas Cauwenberghs, Yenthel Heyrman, Tatiana Kuznetsova, Wen-Yi Yang, Lutgarde Thijs |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
DILATION Specialties of internal medicine 030204 cardiovascular system & hematology Radial pulse MECHANISMS 03 medical and health sciences Hyperaemia 0302 clinical medicine Internal medicine Occlusion medicine Diseases of the circulatory (Cardiovascular) system cardiovascular diseases Pulse wave velocity ARTERY Science & Technology NITRIC-OXIDE HYPERTENSION business.industry Wave velocity AMPLITUDE HUMANS General population Endothelial function Flow-mediated slowing General Medicine Stepwise regression Peripheral Vascular Disease HYPEREMIA RC581-951 Ageing RC666-701 ENDOTHELIAL DYSFUNCTION Cuff Cardiovascular System & Cardiology cardiovascular system Cardiology medicine.symptom business Life Sciences & Biomedicine 030217 neurology & neurosurgery VASODILATION circulatory and respiratory physiology |
Zdroj: | Artery Research, Vol 21 (2018) |
ISSN: | 1876-4401 |
Popis: | © 2017 Association for Research into Arterial Structure and Physiology Background Recent studies proposed that deceleration in pulse wave velocity (PWV) following reactive hyperaemia might reflect arterial distensibility and endothelial function. We therefore investigated methodological aspects and clinical determinants of new indexes of flow-mediated slowing (FMS) of PWV in a community-based sample. Methods In 71 subjects (mean age, 60.3 years; 50.7% women), we continuously assessed brachial-radial PWV using Vicorder® at baseline and after 3-min or 5-min suprasystolic upper-arm cuff occlusion. We calculated the relative change (Δ) in PWV per each 30 s intervals during 4 min of post-occlusion. We performed stepwise regression analyses to assess determinants of the PWV response. Results The peak FMS was detected at the first PWV recording obtained after occlusion. Overall, the decline in PWV during hyperaemia was significantly greater after 5-min of occlusion as compared to 3-min (effect sizes for 0–240 s intervals: −1.83% to −9.63%; P ≤ 0.037). PWV declined significantly less with higher age during the 0–60 s post-occlusion intervals (P ≤ 0.0053). On the other hand, after 120 s of post-occlusion, ΔPWV remained significantly lower in subjects with high diastolic blood pressure and oxidized LDL, and in smokers (P ≤ 0.028). Consequently, as compared to healthy reference group, participants with cardiovascular risk factors exhibited a delay in age-adjusted recovery of PWV after 5-min of occlusion (P ≤ 0.039). Conclusions Our findings confirm the use of a 5-min occlusion time for the assessment of vasomotor function by FMS. Whereas the early FMS response might deteriorate with ageing, cardiovascular risk factors such as smoking, oxidative stress and hypertension might affect recovery of PWV after reactive hyperaemia. ispartof: ARTERY RESEARCH vol:21 pages:29-37 status: published |
Databáze: | OpenAIRE |
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