Arterial Compliance, Systolic Pressure and Heart Rate in Elderly Women at Rest and on Exercise

Sebban, C.; Berthaux, P; Lenoir, H.; Eugene, M.; Venet, Richard; Memin, Y; Fuente, Xavier de la; Reisner, Colin

doi:10.1159/000212483

Cited by 5 publications

(5 citation statements)

References 23 publications

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“…In our study, positive correlations were found between PWV and diastolic and mean blood pressure (4,(10)(11)(12)(13) . Reduced arterial elasticity in increased blood pressure appears to be caused by structural changes, including smooth muscle hypertrophy, changes of extracellular matrix, and increased collagen levels of the vessel wall (14) .…”

Section: Discussionsupporting

confidence: 61%

“…Age is the most important factor that contributes to increased aortic PWV in our study. At the same time, many studies have investigated the effects of different factors, such as sex, weight, height, blood pressure, heart rate, inflammatory markers, such as C-reactive protein, and also age on PWV (4,(10)(11)(12) . Since the most important factor is age, decrease arterial elasticity caused by decrease in elastin fiber and increase in collagenous material are related with advanced age (4) .…”

Section: Discussionmentioning

confidence: 99%

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Decreased Arterial Elasticity Assessed by Pulse Wave Velocity in Patients with Behçet’s Disease

Bulut¹,

Arslantaş²

2019

Kosuyolu Heart Journal

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Introduction: Behçet's disease (BD) is a rare chronic disorder. The predominant histopathological lesion is vasculitis. Pulse wave velocity (PWV) is a marker of aortic stiffness and inversely related to arterial distensibility, elasticity, or relative arterial compliance. The aim of the present study was to investigate the arterial elasticity using PWV in patients with BD. Patients and Methods: A total of 25 patients with BD (21 male) and 21 healthy subjects (10 male) without known traditional cardiovascular risk factors, such as hypertension, diabetes mellitus, and hyperlipidemia, were studied. The mean time of disease duration was 3.6 ± 2.5 (1-10) years. Arterial elasticity was assessed by automatic carotid-femoral (aortic) PWV measurement by the Complior Colson (France) device. PWV is calculated by the following formula: Pulse wave velocity (m/s) = distance (m)/transit time (s). Results: The carotid-femoral (aortic) PWV (10.66 ± 1.74 vs. 8.16 ± 0.84 m/s) and diastolic blood pressure (79.00 ± 10.10 vs. 73.33 ± 8.11 mmHg) were higher in patients with BD than in the control groups (p< 0.001 and p= 0.03, respectively). A significant correlation was found between PWV and age, diastolic blood pressure, and mean blood pressure in the studied group (p< 0.001, r= 0.56; p= 0.02, r= 0.32; and p= 0.03, r= 0.31, respectively). Conclusion: Arterial elasticity assessed by carotid-femoral (aortic) PWV, an indicator of arterial stiffness and atherosclerosis, is lower in patients with BD than in healthy controls.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Decreased Arterial Elasticity Assessed by Pulse Wave Velocity in Patients with Behçet’s Disease

Bulut¹,

Arslantaş²

2019

Kosuyolu Heart Journal

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“…Individual studies were included in more than one meta-analysis if multiple cardiovascular disease risk factors were able to be extracted or calculated. Some studies reported estimates for individual cardiovascular disease risk factors in sub-groups [11][12][13], which were combined prior to inclusion in meta-analyses and are described on page 3 of the supplementary material.…”

Section: Discussionmentioning

confidence: 99%

“…cholesterol or glucose) were taken in a fasting state in all studies except two [11,16]. The timing of each outcome measurement in relation to the exercise test varied between studies (Table S2, http://links.lww.com/ HJH/B732 pages [10][11][12][13][14]. All studies that measured aortic pulse wave velocity used tonometry, while flow-mediated dilation was measured using ultrasound.…”

Section: Summary Of Studies Included In Systematic Review and Meta-an...mentioning

confidence: 99%

Exercise blood pressure and cardiovascular disease risk: a systematic review and meta-analysis of cross-sectional studies

Moore

Climie

Otáhal

et al. 2021

Journal of Hypertension

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Background: A hypertensive response to exercise (HRE) is associated with cardiovascular disease and high blood pressure (BP). A poor cardiovascular risk factor profile may underlie these associations, although this has not been systematically elucidated. Via systematic review and metaanalysis, we aimed to assess the relationship between exercise BP and cardiovascular risk factors, and determine if cardiovascular risk is higher in those with an HRE vs. no-HRE across different study populations (including those with/without high BP at rest).Methods: Three online databases were searched for crosssectional studies reporting data on exercise BP, an HRE and cardiovascular risk factors (including arterial structure, lipid, metabolic, inflammatory and kidney function markers). Random-effects meta-analyses and meta-regression were used to calculate pooled correlations between exercise BP and each risk factor and pooled mean differences between those with/without an HRE.Results: Thirty-eight studies (38 295 participants, aged 50 AE 3years; 78% male) were included. Exercise SBP was associated with arterial, lipid and kidney function risk markers (P < 0.05). Those with an HRE had greater aortic stiffness (R0.80 AE 0.35 m/s), total (R0.14 AE 0.03 mmol/l) and low-density lipoprotein (R0.12 AE 0.03 mmol/l) cholesterol, triglycerides (R0.24 AE 0.04 mmol/l), glucose (R0.15 AE 0.05 mmol/l), white blood cell count (R0.49 AE 0.16 mmol/l) and albumin-to-creatinine ratio (standardized mean difference: R0.97 AE 0.34), and lower flow-mediated dilation (À4.13 AE 1.02%) and high-density lipoprotein cholesterol (À0.04 AE 0.01 mmol/l) vs. those with no-HRE (P < 0.05 all). Results were broadly similar across study populations. Conclusion:Exercise SBP is associated with multiple cardiovascular risk factors, which appear worse in those with an HRE vs. no-HRE. As results were similar across population groups, an HRE should be considered an important indicator of cardiovascular risk.

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“…Whether the blood pressure decrease or the distensibility increase has a preceding role in the WW decrease remains an interesting question, although both should have comparable clinical consequences: Lowering the arterial elasticity module (thus increasing distensibility) can decrease the cardiac postcharge and consequently improve cardiac efficiency. In elderly patients, there is a significant inverse correlation between PWV and the physical performance of the patient during exercise (26). This relationship between arterial distensibility and physical working capacity was also demonstrated in young men (9).…”

Section: Effeds Ofphysical Trainingmentioning

confidence: 92%

Pulse Wave Velocity Measurement by Cross-Correlation of Doppler Velocity Signals. Application to Elderly Volunteers During Training

Dauzat¹,

Deklunder²,

Adam³

et al. 1996

Int J Sports Med

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Pulse wave velocity (PWV) measurement is widely used for the indirect assessment of arterial wall distensibility. In order to improve its measurement technique, we built a system performing the calculation of the cross-correlation function of Doppler velocity signals. In 12 normal subjects and 10 patients, the mean difference between duplicate measurements was 0.7 +/- 7.8% (NS). We tested this technique in 15 elderly volunteers before and after a three months training period. Brachial and tibial systolic blood pressure decreased respectively from 18.1 +/- 2.2 kPa to 16.7 +/- 1.9 kPa (p = 0.008) and from 21.1 +/- 3.4 kPa to 18.4 +/- 2.5 kPa (p = 0.003), while lower limb PWV decreased from 8.96 +/- 1.26 to 7.92 +/- 1.22 m.s-1 (p = 0.016). Therefore, automatic PWV measurement using the cross-correlation technique allows to demonstrate training induced changes in PWV, although concomitant changes in blood pressure must be considered in their interpretation.

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Arterial Compliance, Systolic Pressure and Heart Rate in Elderly Women at Rest and on Exercise

Cited by 5 publications

References 23 publications

Decreased Arterial Elasticity Assessed by Pulse Wave Velocity in Patients with Behçet’s Disease

Decreased Arterial Elasticity Assessed by Pulse Wave Velocity in Patients with Behçet’s Disease

Exercise blood pressure and cardiovascular disease risk: a systematic review and meta-analysis of cross-sectional studies

Pulse Wave Velocity Measurement by Cross-Correlation of Doppler Velocity Signals. Application to Elderly Volunteers During Training

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