Validity and reproducibility of arterial pulse wave velocity measurement using new device with oscillometric technique: A pilot study

Naidu, M. U. R.; Reddy, Budda Muralidhar; Yashmaina, Sridhar; Patnaik, A.N.; Rani, P. Usha

doi:10.1186/1475-925x-4-49

Cited by 71 publications

(36 citation statements)

References 24 publications

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“…Our finding on the close interrelationship between brachial-ankle and carotid-femoral PWV is in line with the results of several previous studies [11,25,26]. In a multicenter study of 2,287 subjects, Tanaka et al [11] reported a correlation coefficient of 0.73 between brachial-ankle and carotid-femoral PWV.…”

Section: Discussionsupporting

confidence: 93%

“…In a multicenter study of 2,287 subjects, Tanaka et al [11] reported a correlation coefficient of 0.73 between brachial-ankle and carotid-femoral PWV. The corresponding correlation coefficients were 0.76 in healthy adults (n = 409) [25] and 0.99 in a study population of mixed normal healthy subjects (n = 24) and patients with coronary artery disease (n = 20) [26]. Taken together, the results of our and these previous studies suggest that brachial-ankle PWV and carotid-femoral PWV are closely correlated with correlation coefficients at a level similar to that for two repeated measurements of the same technique.…”

Section: Discussionmentioning

confidence: 99%

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Quantification of the Interrelationship between Brachial-Ankle and Carotid-Femoral Pulse Wave Velocity in a Workplace Population

Cheng

Sheng

et al. 2015

Pulse

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Background: Brachial-ankle pulse wave velocity (PWV) is increasingly used for the measurement of arterial stiffness. In the present study, we quantified the interrelationship between brachial-ankle and carotid-femoral PWV in a workplace population, and investigated the associations with cardiovascular risk factors and carotid intima-media thickness (IMT). Methods: Brachial-ankle and carotid-femoral PWV were measured using the Omron-Colin VP1000 and SphygmoCor devices, respectively. We investigated the interrelationship by the Pearson's correlation analysis and Bland-Altman plot, and performed sensitivity and specificity analyses. Results: The 954 participants (mean ± standard deviation age 42.6 ± 14.2 years) included 630 (66.0%) men and 203 (21.3%) hypertensive patients. Brachial-ankle (13.4 ± 2.7 m/s) and carotid-femoral PWV (7.3 ± 1.6 m/s) were significantly correlated in all subjects (r = 0.75) as well as in men (r = 0.72) and women (r = 0.80) separately. For arterial stiffness defined as a carotid-femoral PWV of 10 m/s or higher, the sensitivity and specificity of brachial-ankle PWV of 16.7 m/s or higher were 72 and 94%, respectively. The area under the receiver operating characteristic curve was 0.953. In multiple stepwise regression, brachial-ankle and carotid-femoral PWV were significantly (p < 0.001) associated with age (partial r = 0.33 and 0.34, respectively) and systolic blood pressure (partial r = 0.71 and 0.66, respectively). In addition, brachial-ankle and carotid-femoral PWV were significantly (p < 0.001) associated with carotid IMT (r = 0.57 and 0.55, respectively) in unadjusted analysis, but not in analysis adjusted for cardiovascular risk factors (p ≥ 0.08). Conclusions: Brachial-ankle and carotid-femoral PWV were closely correlated, and had similar determinants. Brachial-ankle PWV can behave as an ease-of-use alternative measure of arterial stiffness for assessing cardiovascular risk.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Quantification of the Interrelationship between Brachial-Ankle and Carotid-Femoral Pulse Wave Velocity in a Workplace Population

Cheng

Sheng

et al. 2015

Pulse

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“…We suggested that measures of central pressure profile are not a surrogate for an actual measure of central arterial stiffness, though they do reflect arterial stiffness to a degree. On the contrary, PWV, in particular, is a very reproducible measurement as noted by others [34,35]. …”

Section: Introductionmentioning

confidence: 88%

Arterial stiffness and chronic kidney disease

Townsend

2015

Current Opinion in Nephrology and Hypertension

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Purpose of review The purpose of this review is to highlight what the Chronic Renal Insufficiency Cohort (CRIC) study has taught us regarding arterial stiffness in chronic kidney disease. The CRIC study began in mid-2003 and enrolled more than 3900 people with chronic kidney disease. Recent findings The recent findings from the CRIC study are covered in 10 lessons. Within the CRIC study, we enrolled about 2800 participants who underwent a pulse wave velocity measurement. At the time of initial funding, very little was known about the role of arterial stiffness in chronic, nondialyzed, kidney disease. The lessons span the gamut from simple correlations to measures such as central arterial pressure profiles and reproducibility of pulse wave velocity measurements between operators, to relationships of pulse wave velocity to kidney function, protein excretion, cardiovascular disease prevalence, and incident cardiovascular events such as heart failure. Summary The implications from these lessons are that pulse wave velocity is a robust, reproducible measure of arterial stiffness which adds important information to standard clinical assessments such as SBP and DBP in a population with chronic kidney disease, a disorder with high likelihood of progressive kidney function loss, and a substantial predisposition to cardiovascular disease.

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“…Ltd., Hyderabad, India) which was shown to have high degree of reproducibility for this purpose (17). This device was based on oscillometric method and records arterial pressure waveforms noninvasively.…”

Section: Methodsmentioning

confidence: 99%

Atherosclerotic coronary artery disease: The accuracy of measures to diagnose preclinical atherosclerosis

Sun

et al. 2016

Experimental and Therapeutic Medicine

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Different methods can be used to diagnose early pre-clinical stage atherosclerosis. The present study was carried out to evaluate the efficiency of these methods. Measures including carotid intima-media thickness (CIMT), pulse wave velocity (PWV), and coronary calcium score (CCS) were evalutated for the detection of coronary artery disease (CAD). We studied the clinical and biochemical profiles of individuals with non-CAD and CAD to assess measures of pre-clinical atherosclerosis. The association between CIMT, PWV and CCS on the one hand, and the coronary atherosclerosis on the other, was studied. In total, 150 cases of cardiovascular disease (CVD) participated in the present study and were subjected to computed tomographic (CT) coronary angiography to divide them into non-CAD (n=100) and CAD (n=50) groups. The patients were also subjected to pre-clinical atherosclerosis tests (CIMT, PWV and CCS). CAD patients had higher CIMT values on both sides (right side, 0.74±0.09 vs. 0.62±0.12 mm; left side, 0.78±0.16 vs. 0.64±0.19 mm; and average, 0.76±0.12 vs. 0.63±0.14 mm; all P-values <0.01). These patients also had significantly higher brachial-ankle PWV (baPWV) on left side (1638.8±372.9 vs. 1498.6±339.8 cm/sec, P<0.001). The overall CCS was significantly increased in CAD patients as compared to the patients without CAD (117.8±118.6 vs. 8.6±18.3, P<0.001). In conclusion, the present study showed that among different measures of preclinical atherosclerosis, CCS had the best diagnostic accuracy. However, the combination of CIMT and baPWV had an excellent negative predictive value for atherosclerotic coronary vascular disease.

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Validity and reproducibility of arterial pulse wave velocity measurement using new device with oscillometric technique: A pilot study

Cited by 71 publications

References 24 publications

Quantification of the Interrelationship between Brachial-Ankle and Carotid-Femoral Pulse Wave Velocity in a Workplace Population

Quantification of the Interrelationship between Brachial-Ankle and Carotid-Femoral Pulse Wave Velocity in a Workplace Population

Arterial stiffness and chronic kidney disease

Atherosclerotic coronary artery disease: The accuracy of measures to diagnose preclinical atherosclerosis

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