Relationship Between Determinants of Arterial Stiffness Assessed by Diastolic and Suprasystolic Pulse Oscillometry
Identifieur interne : 004193 ( Pmc/Curation ); précédent : 004192; suivant : 004194Relationship Between Determinants of Arterial Stiffness Assessed by Diastolic and Suprasystolic Pulse Oscillometry
Auteurs : Andrej Teren ; Frank Beutner ; Kerstin Wirkner ; Markus Löffler ; Markus ScholzSource :
- Medicine [ 0025-7974 ] ; 2016.
Abstract
Supplemental Digital Content is available in the text
Url:
DOI: 10.1097/MD.0000000000002963
PubMed: 26962797
PubMed Central: 4998878
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Medicine (Baltimore)</journal-id>
<journal-id journal-id-type="iso-abbrev">Medicine (Baltimore)</journal-id>
<journal-id journal-id-type="publisher-id">MEDI</journal-id>
<journal-title-group><journal-title>Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">0025-7974</issn>
<issn pub-type="epub">1536-5964</issn>
<publisher><publisher-name>Wolters Kluwer Health</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26962797</article-id>
<article-id pub-id-type="pmc">4998878</article-id>
<article-id pub-id-type="doi">10.1097/MD.0000000000002963</article-id>
<article-id pub-id-type="art-access-id">02963</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>3400</subject>
</subj-group>
<subj-group><subject>Research Article</subject>
<subject>Observational Study</subject>
</subj-group>
</article-categories>
<title-group><article-title>Relationship Between Determinants of Arterial Stiffness Assessed by Diastolic and Suprasystolic Pulse Oscillometry</article-title>
<subtitle>Comparison of Vicorder and Vascular Explorer</subtitle>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Teren</surname>
<given-names>Andrej</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Beutner</surname>
<given-names>Frank</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Wirkner</surname>
<given-names>Kerstin</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Löffler</surname>
<given-names>Markus</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Scholz</surname>
<given-names>Markus</given-names>
</name>
<degrees>PhD</degrees>
</contrib>
</contrib-group>
<contrib-group><contrib contrib-type="editor"><name><surname>Baltatu.</surname>
<given-names>Ovidiu C.</given-names>
</name>
</contrib>
</contrib-group>
<aff>From the LIFE-Leipzig Research Center for Civilization Diseases (AT, FB, KW, ML, MS) and Institute for Medical Informatics, Statistics and Epidemiology (ML, MS), University of Leipzig and Department of Internal Medicine/Cardiology, Heart Center of the University Leipzig (AT, FB), Leipzig, Germany.</aff>
<author-notes><corresp>Correspondence: Andrej Teren, Department Internal Medicine/Cardiology, Heart Center University of Leipzig, Strümpellstr. 39, 04289 Leipzig, Germany (e-mail: <email>ateren@life.uni-leipzig.de</email>
).</corresp>
</author-notes>
<pub-date pub-type="collection"><month>3</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub"><day>11</day>
<month>3</month>
<year>2016</year>
</pub-date>
<volume>95</volume>
<issue>10</issue>
<elocation-id>e2963</elocation-id>
<history><date date-type="received"><day>8</day>
<month>11</month>
<year>2015</year>
</date>
<date date-type="rev-recd"><day>4</day>
<month>2</month>
<year>2016</year>
</date>
<date date-type="accepted"><day>4</day>
<month>2</month>
<year>2016</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.</copyright-statement>
<copyright-year>2016</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0"><license-p>This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0, where it is permissible to download, share and reproduce the work in any medium, provided it is properly cited. The work cannot be changed in any way or used commercially. <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0">http://creativecommons.org/licenses/by-nc-nd/4.0</ext-link>
</license-p>
</license>
</permissions>
<self-uri xlink:type="simple" xlink:href="medi-95-e02963.pdf"></self-uri>
<abstract abstract-type="toc"><p>Supplemental Digital Content is available in the text</p>
</abstract>
<abstract><title>Abstract</title>
<p>Pulse wave velocity (PWV) and augmentation index (AI) are independent predictors of cardiovascular health. However, the comparability of multiple oscillometric modalities currently available for their assessment was not studied in detail. In the present study, we aimed to evaluate the relationship between indices of arterial stiffness assessed by diastolic and suprasystolic oscillometry.</p>
<p>In total, 56 volunteers from the general population (23 males; median age 70 years [interquartile range: 65–72 years]) were recruited into observational feasibility study to evaluate the carotid-femoral/aortic PWV (cf/aoPWV), brachial-ankle PWV (baPWV), and AI assessed by 2 devices: Vicorder (VI) applying diastolic, right-sided oscillometry for the determination of all 3 indices, and Vascular explorer (VE) implementing single-point, suprasystolic brachial oscillometry (SSBO) pulse wave analysis for the assessment of cfPWV and AI. Within- and between-device correlations of measured parameters were analyzed. Furthermore, agreement of repeated measurements, intra- and inter-observer concordances were determined and compared for both devices.</p>
<p>In VI, both baPWV and cfPWV inter-correlated well and showed good level of agreement with bilateral baPWV measured by VE (baPWV[VI]–baPWV[VE]R: overall concordance correlation coefficient [OCCC] = 0.484, mean difference = 1.94 m/s; cfPWV[VI]–baPWV[VE]R: OCCC = 0.493, mean difference = 1.0 m/s). In contrast, SSBO-derived aortic PWA (cf/aoPWA[VE]) displayed only weak correlation with cfPWV(VI) (<italic>r</italic>
= 0.196; <italic>P</italic>
= 0.04) and ipsilateral baPWV (cf/aoPWV[VE]R–baPWV[VE]R: <italic>r</italic>
= 0.166; <italic>P</italic>
= 0.08). cf/aoPWA(VE) correlated strongly with AI(VE) (right-sided: <italic>r</italic>
= 0.725, <italic>P</italic>
< 0.001). AI exhibited marginal between-device agreement (right-sided: OCCC = 0.298, mean difference: 6.12%). All considered parameters showed good-to-excellent repeatability giving OCCC > 0.9 for 2-point-PWV modes and right-sided AI(VE). Intra- and inter-observer concordances were similarly high except for AI yielding a trend toward better reproducibility in VE (interobserver–OCCC[VI] vs [VE] = 0.774 vs 0.844; intraobserver–OCCC[VI] vs [VE] = 0.613 vs 0.769).</p>
<p>Both diastolic oscillometry-derived PWV modes, and AI measured either with VI or VE, are comparable and reliable alternatives for the assessment of arterial stiffness. Aortic PWV assessed by SSBO in VE is not related to the corresponding indices determined by traditional diastolic oscillometry.</p>
</abstract>
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