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Arterial stiffness and subendocardial viability ratio in patients with peripheral arterial disease
Arterial stiffening is a hallmark of the aging process and atherosclerosis, including peripheral arterial disease (PAD). We investigated the associations between carotid‐femoral pulse wave velocity (c‐fPWV), augmentation index corrected for heart rate (Aix@HR75), ankle brachial index (ABI), and sube...
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Published in: | The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2018-03, Vol.20 (3), p.478-484 |
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creator | Scandale, Giovanni Dimitrov, Gabriel Recchia, Martino Carzaniga, Gianni Minola, Marzio Perilli, Edoardo Carotta, Maria Catalano, Mariella |
description | Arterial stiffening is a hallmark of the aging process and atherosclerosis, including peripheral arterial disease (PAD). We investigated the associations between carotid‐femoral pulse wave velocity (c‐fPWV), augmentation index corrected for heart rate (Aix@HR75), ankle brachial index (ABI), and subendocardial viability ratio (SEVR), an indicator of cardiac perfusion. The c‐fPWV, Aix@HR75, and SEVR was estimated using applanation tonometry. The ankle systolic pressure measurements for the calculation of the ABI were obtained using an 8‐mHz Doppler probe. The study group included 555 subjects, mean age 63 ± 11 years (248 PAD (ABI |
doi_str_mv | 10.1111/jch.13213 |
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We investigated the associations between carotid‐femoral pulse wave velocity (c‐fPWV), augmentation index corrected for heart rate (Aix@HR75), ankle brachial index (ABI), and subendocardial viability ratio (SEVR), an indicator of cardiac perfusion. The c‐fPWV, Aix@HR75, and SEVR was estimated using applanation tonometry. The ankle systolic pressure measurements for the calculation of the ABI were obtained using an 8‐mHz Doppler probe. The study group included 555 subjects, mean age 63 ± 11 years (248 PAD (ABI < 1.0), and 307 non‐PAD (ABI ≥ 1.0 ≤ 1.3). After the stepwise selection process in both PAD and non‐PAD patients SEVR was not related to c‐fPWV and ABI (P = .154; P = .156) and (P = .101; P = .402), respectively. In PAD patients, SEVR was negatively related to Aix@HR75 (P < .0001) and aortic PP (P = .0005). In conclusion, arterial stiffness is associated with non‐invasive indices of myocardial perfusion in PAD patients, suggesting a potential pathophysiological link for increased cardiovascular events.</description><identifier>ISSN: 1524-6175</identifier><identifier>EISSN: 1751-7176</identifier><identifier>DOI: 10.1111/jch.13213</identifier><identifier>PMID: 29447429</identifier><language>eng</language><publisher>United States: John Wiley and Sons Inc</publisher><subject>Aged ; Ankle Brachial Index ; Arterial Stiffness ; Female ; Humans ; Hypertension - complications ; Male ; Middle Aged ; Original Paper ; peripheral arterial disease ; Peripheral Arterial Disease - diagnosis ; Peripheral Arterial Disease - physiopathology ; Pulse Wave Analysis ; subendocardial viability ; Vascular Stiffness</subject><ispartof>The journal of clinical hypertension (Greenwich, Conn.), 2018-03, Vol.20 (3), p.478-484</ispartof><rights>2018 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4153-2f50c0126ec5f6330d779b300a276fdb0ecbe07323b75a3a5d7324d4173799d53</citedby><cites>FETCH-LOGICAL-c4153-2f50c0126ec5f6330d779b300a276fdb0ecbe07323b75a3a5d7324d4173799d53</cites><orcidid>0000-0002-2374-2766</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8031258/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8031258/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27923,27924,53790,53792</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29447429$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Scandale, Giovanni</creatorcontrib><creatorcontrib>Dimitrov, Gabriel</creatorcontrib><creatorcontrib>Recchia, Martino</creatorcontrib><creatorcontrib>Carzaniga, Gianni</creatorcontrib><creatorcontrib>Minola, Marzio</creatorcontrib><creatorcontrib>Perilli, Edoardo</creatorcontrib><creatorcontrib>Carotta, Maria</creatorcontrib><creatorcontrib>Catalano, Mariella</creatorcontrib><title>Arterial stiffness and subendocardial viability ratio in patients with peripheral arterial disease</title><title>The journal of clinical hypertension (Greenwich, Conn.)</title><addtitle>J Clin Hypertens (Greenwich)</addtitle><description>Arterial stiffening is a hallmark of the aging process and atherosclerosis, including peripheral arterial disease (PAD). We investigated the associations between carotid‐femoral pulse wave velocity (c‐fPWV), augmentation index corrected for heart rate (Aix@HR75), ankle brachial index (ABI), and subendocardial viability ratio (SEVR), an indicator of cardiac perfusion. The c‐fPWV, Aix@HR75, and SEVR was estimated using applanation tonometry. The ankle systolic pressure measurements for the calculation of the ABI were obtained using an 8‐mHz Doppler probe. The study group included 555 subjects, mean age 63 ± 11 years (248 PAD (ABI < 1.0), and 307 non‐PAD (ABI ≥ 1.0 ≤ 1.3). After the stepwise selection process in both PAD and non‐PAD patients SEVR was not related to c‐fPWV and ABI (P = .154; P = .156) and (P = .101; P = .402), respectively. In PAD patients, SEVR was negatively related to Aix@HR75 (P < .0001) and aortic PP (P = .0005). In conclusion, arterial stiffness is associated with non‐invasive indices of myocardial perfusion in PAD patients, suggesting a potential pathophysiological link for increased cardiovascular events.</description><subject>Aged</subject><subject>Ankle Brachial Index</subject><subject>Arterial Stiffness</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension - complications</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>peripheral arterial disease</subject><subject>Peripheral Arterial Disease - diagnosis</subject><subject>Peripheral Arterial Disease - physiopathology</subject><subject>Pulse Wave Analysis</subject><subject>subendocardial viability</subject><subject>Vascular Stiffness</subject><issn>1524-6175</issn><issn>1751-7176</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kU9PwjAYhxujEUQPfgGzox4G_bOu7GJiiIqGxIuem659JyVjm-2A8O0tDoge7KVv-j55-kt-CF0TPCThjBZ6PiSMEnaC-kRwEgsi0tMwc5rEaXjpoQvvFxhzxjJ8jno0SxKR0KyP8gfXgrOqjHxri6IC7yNVmcivcqhMrZUzu-XaqtyWtt1GTrW2jmwVNWGAqvXRxrbzqAmSZg4usOpgNNaD8nCJzgpVerja3wP08fT4PpnGs7fnl8nDLNYJ4SymBccaE5qC5kXKGDZCZDnDWFGRFibHoHPAglGWC66Y4ibMiUmIYCLLDGcDdN95m1W-BKNDuBBHNs4uldvKWln5d1PZufys13KMGaF8HAS3e4Grv1bgW7m0XkNZqgrqlZcUY4ZZIsgOvetQ7WrvHRTHbwiWu05k6ET-dBLYm9-5juShhACMOmBjS9j-b5Kvk2mn_AZ5hpf2</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Scandale, Giovanni</creator><creator>Dimitrov, Gabriel</creator><creator>Recchia, Martino</creator><creator>Carzaniga, Gianni</creator><creator>Minola, Marzio</creator><creator>Perilli, Edoardo</creator><creator>Carotta, Maria</creator><creator>Catalano, Mariella</creator><general>John Wiley and Sons Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2374-2766</orcidid></search><sort><creationdate>201803</creationdate><title>Arterial stiffness and subendocardial viability ratio in patients with peripheral arterial disease</title><author>Scandale, Giovanni ; Dimitrov, Gabriel ; Recchia, Martino ; Carzaniga, Gianni ; Minola, Marzio ; Perilli, Edoardo ; Carotta, Maria ; Catalano, Mariella</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4153-2f50c0126ec5f6330d779b300a276fdb0ecbe07323b75a3a5d7324d4173799d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Ankle Brachial Index</topic><topic>Arterial Stiffness</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension - complications</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>peripheral arterial disease</topic><topic>Peripheral Arterial Disease - diagnosis</topic><topic>Peripheral Arterial Disease - physiopathology</topic><topic>Pulse Wave Analysis</topic><topic>subendocardial viability</topic><topic>Vascular Stiffness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scandale, Giovanni</creatorcontrib><creatorcontrib>Dimitrov, Gabriel</creatorcontrib><creatorcontrib>Recchia, Martino</creatorcontrib><creatorcontrib>Carzaniga, Gianni</creatorcontrib><creatorcontrib>Minola, Marzio</creatorcontrib><creatorcontrib>Perilli, Edoardo</creatorcontrib><creatorcontrib>Carotta, Maria</creatorcontrib><creatorcontrib>Catalano, Mariella</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scandale, Giovanni</au><au>Dimitrov, Gabriel</au><au>Recchia, Martino</au><au>Carzaniga, Gianni</au><au>Minola, Marzio</au><au>Perilli, Edoardo</au><au>Carotta, Maria</au><au>Catalano, Mariella</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Arterial stiffness and subendocardial viability ratio in patients with peripheral arterial disease</atitle><jtitle>The journal of clinical hypertension (Greenwich, Conn.)</jtitle><addtitle>J Clin Hypertens (Greenwich)</addtitle><date>2018-03</date><risdate>2018</risdate><volume>20</volume><issue>3</issue><spage>478</spage><epage>484</epage><pages>478-484</pages><issn>1524-6175</issn><eissn>1751-7176</eissn><abstract>Arterial stiffening is a hallmark of the aging process and atherosclerosis, including peripheral arterial disease (PAD). 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subjects | Aged Ankle Brachial Index Arterial Stiffness Female Humans Hypertension - complications Male Middle Aged Original Paper peripheral arterial disease Peripheral Arterial Disease - diagnosis Peripheral Arterial Disease - physiopathology Pulse Wave Analysis subendocardial viability Vascular Stiffness |
title | Arterial stiffness and subendocardial viability ratio in patients with peripheral arterial disease |
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