Validity, Reproducibility, and Clinical Significance of Noninvasive Brachial-Ankle Pulse Wave Velocity Measurement.

Yamashina, Akira; Tomiyama, Hirofumi; Takeda, Kazuhiro; Tsuda, Hideichi; Arai, Tomio; Hirose, Katsumi; Koji, Yutaka; Hori, Saburoh; Yamamoto, Yoshio

doi:10.1291/hypres.25.359

Cited by 1,463 publications

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“…Further studies are needed to confirm the present findings in women, in other ethnicities, and in the general population. Second, baPWV actually reflects the stiffness of the large‐ to medium‐sized arteries11, 12, 14; therefore, the importance of aortic stiffness in blood pressure elevation could not be examined precisely in this study. Third, the effect of habitual exercise, which is well known to affect the blood pressure and arterial stiffness,19 was not examined in the present study.…”

Section: Discussionmentioning

confidence: 95%

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Effect of Wave Reflection and Arterial Stiffness on the Risk of Development of Hypertension in Japanese Men

Tomiyama

Komatsu

Shiina

et al. 2018

JAHA

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BackgroundWe conducted analyses of repeated‐measures data to examine whether pressure wave reflection acts additively or synergistically with arterial stiffness in the pathogenesis of hypertension.Methods and ResultsIn 3172 middle‐aged (42±9 years) healthy Japanese men without hypertension at the study baseline, systolic and diastolic blood pressures, brachial–ankle pulse wave velocity, and radial augmentation index were measured annually during a 9‐year study period. Of these, 474 participants (15%) developed hypertension by the end of the study period. Binary logistic regression analysis demonstrated significant individual odds ratios for both baseline brachial–ankle pulse wave velocity and radial augmentation index for the development of hypertension. The rate of onset of hypertension during the study period was highest in the participant group with high values for both brachial–ankle pulse wave velocity and radial augmentation index at study baseline (262 of 965 participants: 27%). The generalized estimating equation analysis revealed that both radial augmentation index (estimate=0.06, SE=0.03, P=0.05) and brachial–ankle pulse wave velocity (estimate=0.07×10−1, SE=0.02×10−1, P<0.01) showed significant longitudinal association with new onset of hypertension, with no significant interaction.ConclusionsIn Japanese men, abnormal wave reflection and increased arterial stiffness may be additively associated with the risk of new onset of hypertension. Abnormal wave reflection and elevated central blood pressure may be longitudinally associated with increase in arterial stiffness, and this longitudinal association may be a mechanism underlying the additive effect of these 2 variables on the risk of new onset of hypertension.

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Section: Discussionmentioning

confidence: 95%

“…The baPWV was measured once using a volume‐plethysmographic apparatus (Form/ABI; Omron Healthcare), as described previously 14. Briefly, occlusion cuffs connected to both the plethysmographic and oscillometric sensors were tied around both the upper arms and legs of the participants lying in the supine position.…”

Section: Methodsmentioning

confidence: 99%

Effect of Wave Reflection and Arterial Stiffness on the Risk of Development of Hypertension in Japanese Men

Tomiyama

Komatsu

Shiina

et al. 2018

JAHA

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“…17 Brachial-ankle pulse wave velocity (baPWV) has also been developed as a simple, non-invasive index of arterial stiffness and is reported to be correlated with carotid-femoral PWV. 18 Participants were studied under quiet resting conditions in the supine position. BaPWV and carotid augmentation index (AI), which are indexes of arterial stiffness and wave Fitness and cardiovascular ageing Y Gando et al reflection, and BP were measured using a semiautomated oscillometric device (form PWV/ABI; Colin Medical Technology, Komaki, Japan) according to the method previously described.…”

Section: Subjectsmentioning

confidence: 99%

“…BaPWV and carotid augmentation index (AI), which are indexes of arterial stiffness and wave Fitness and cardiovascular ageing Y Gando et al reflection, and BP were measured using a semiautomated oscillometric device (form PWV/ABI; Colin Medical Technology, Komaki, Japan) according to the method previously described. 18 The device records PWV, BP, electrocardiogram (ECG) and heart sounds simultaneously. ECG electrodes were placed on both wrists, and a heart sound microphone was placed on the left sternal border.…”

Section: Subjectsmentioning

confidence: 99%

Age and cardiorespiratory fitness are associated with arterial stiffening and left ventricular remodelling

et al. 2009

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Arterial stiffening, hypertension and left ventricular (LV) remodelling are associated with increased risk of cardiovascular disease. Cardiorespiratory fitness is associated with cardiovascular function and reduced risk of cardiovascular disease. This cross-sectional study was carried out to determine the relationships between cardiorespiratory fitness, arterial stiffness, blood pressure (BP) and LV remodelling in women. On the basis of peak oxygen uptake, a total of 159 premenopausal (young) and postmenopausal (older) women were categorized into either low (unfit) or high (fit) cardiorespiratory fitness groups. The arterial stiffness and LV remodelling were measured by brachialankle pulse wave velocity (baPWV) and carotid augmentation index (AI) and LV relative wall thickness (RWT). Two-way analysis of variance indicated a significant interaction between age and cardiorespiratory fitness in baPWV, carotid AI, BP and RWT. In the older group, arterial stiffness (baPWV; 1401 ± 231 vs 1250 ± 125 cm s -1 , Po0.01, AI; 32.9±9.9 vs 24.8±10.1%, Po0.01), systolic blood pressure (SBP) (130 ± 22 vs 117 ± 15 mm Hg, Po0.01) and RWT (0.47 ± 0.08 vs 0.42±0.04, Po0.05) in fit women were lower than in unfit women. In older women, RWT was significantly related to baPWV (r ¼ 0.46, Po0.01), carotid AI (r ¼ 0.29, Po0.05), SBP (r ¼ 0.57, Po0.01) .V 2peak (r ¼ À0.32, Po0.05). In young women, they were not significant correlations, except for a weak correlation between RWT and SBP (r ¼ 0.21, Po0.05). These results suggest that higher cardiorespiratory fitness is associated with lower arterial stiffness, BP and RWT in older women.

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“…Details of the method have been described elsewhere. 12 The ABI or TBI was calculated bilaterally as the ratio of systolic pressure in the ankle or toe to systolic pressure in the arm, with the lower value considered as a representative for each subject. Intracoefficient of variation of ABI and TBI were 0.045 and 0.013, respectively, and inter-coefficient of variation of ABI and TBI were 0.015 and 0.017, respectively.…”

Section: Measurement Of Abi and Tbimentioning

confidence: 99%

Toe–brachial index is associated more strongly with albuminuria or glomerular filtration rate than ankle–brachial index in patients with type 2 diabetes

et al. 2012

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The aim of this study was to investigate whether toe-brachial index (TBI) is more strongly associated with albuminuria or estimated glomerular filtration rate (eGFR) than ankle-brachial index (ABI), and thus is a more suitable tool for evaluating the association between peripheral artery disease (PAD) and diabetic nephropathy than ABI in patients with type 2 diabetes. We evaluated the relationships between ABI or TBI and the degree of urinary albumin excretion or eGFR, as well as the major cardiovascular risk factors, in 390 patients with type 2 diabetes. Furthermore, we compared the area under the receiveroperator characteristic curve (AUC) of TBI or ABI for albuminuria or chronic kidney disease (CKD). Low-density lipoprotein cholesterol was negatively associated with ABI. Age and duration of diabetes were negatively associated with TBI, and diastolic blood pressure and high-density lipoprotein cholesterol were positively associated with TBI. Log (urinary albumin excretion) was associated more strongly with TBI (r¼À0.265, Po0.0001) than with ABI (r¼À0.132, P¼0.0111), and eGFR was positively associated with TBI (r¼0.195, P¼0.0002) but not with ABI (r¼0.023, P¼0.6571). The AUCs of TBI for albuminuria (P¼0.0002) and CKD (P¼0.0322) were significantly greater than those of ABI. In conclusion, TBI is associated more strongly with albuminuria and eGFR than ABI in patients with type 2 diabetes. Our study suggests that TBI may be a more suitable tool for evaluating the association between PAD and diabetic nephropathy than ABI in patients with type 2 diabetes.

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Validity, Reproducibility, and Clinical Significance of Noninvasive Brachial-Ankle Pulse Wave Velocity Measurement.

Cited by 1,463 publications

References 17 publications

Effect of Wave Reflection and Arterial Stiffness on the Risk of Development of Hypertension in Japanese Men

Effect of Wave Reflection and Arterial Stiffness on the Risk of Development of Hypertension in Japanese Men

Age and cardiorespiratory fitness are associated with arterial stiffening and left ventricular remodelling

Toe–brachial index is associated more strongly with albuminuria or glomerular filtration rate than ankle–brachial index in patients with type 2 diabetes

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