A New Method for the Determination of Aortic Pulse Wave Velocity
نویسندگان
چکیده
J. Harle, M. J. Graves, I. B. Wilkinson, S. Howarth, J. H. Gillard Medical Physics, University of Cambridge Hospitals NHS Foundation Trust, Cambridge, United Kingdom, Radiology, University of Cambridge Hospitals NHS Foundation Trust, Cambridge, United Kingdom, Clinical Pharmacology, University of Cambridge Hospitals NHS Foundation Trust, Cambridge, United Kingdom Introduction Aortic pulse wave velocity (PWV) has been reported to progressively increase with age as elastic properties of the arterial system decline. Phase contrast MRA offers a powerful technique that, with optimization, can provide an accurate and non-invasive means of assessing PWV at multiple aortic locations, providing new clinical markers of cardiovascular risk attributable to regional aortic stiffness. Herein, provisional results are given of an ongoing clinical trial assessing age-related aortic PWV within two volunteer groups, consisting of healthy individuals aged below 30 and a second group aged over 60. As a further aspect of the study, different methods of data-set analysis were compared for each group, in order to address variations in the literature regarding the characteristic of the propagating pulse wave that is used to correlate time delay between slices. A methodology typical of several literature reports using percentage of peak velocity is compared to a new proposed technique that uses a percentage of sum flow for cross-correlation and ‘triggering’ of time delay between slices.
منابع مشابه
Arterial Stiffness and its Correlation with the Extent of Coronary Artery Disease
Introduction: Coronary artery disease secondary to atherosclerosis is the most common cause of mortality. Coronary angiography is the most precise method for determining the extent of disease in the coronary vascular bed. Arterial stiffness has been proposed as a marker of atherosclerosis in some studies. One of the noninvasive methods for the determination of arterial stiffness is Doppler echo...
متن کاملMR elastography as a method to estimate aortic stiffness and its comparison against MR based pulse wave velocity measurement
Background Arterial (aortic) stiffness is a well-recognized pathophysiological change that plays a significant role in the determination of risk factors for various cardiovascular diseases [1]. Measurement of arterial stiffness using pulse wave velocity (PWV) is the gold standard among non-invasive modalities. Recently, a novel non-invasive MRI based technique known as magnetic resonance elasto...
متن کاملDetermination of aortic pulse wave velocity from waveform decomposition of the central aortic pressure pulse.
Aortic pulse wave velocity (PWV), calculated from pulse transit time (PTT) using 2 separate pulse recordings over a known distance, is a significant biomarker of cardiovascular risk. This study evaluates a novel method of determining PTT from waveform decomposition of central aortic pressure using a single pulse measurement. Aortic pressure was estimated from a transformed radial pulse and deco...
متن کاملMetabolic syndrome is associated with aortic stiffness in untreated essential hypertension.
Metabolic syndrome is a powerful predictor of cardiovascular disease in hypertension, and large-artery stiffness is increasingly recognized as a cardiovascular risk factor. We hypothesized that the adverse prognostic significance of the metabolic syndrome in hypertension might be explained in part by its association with aortic stiffness. A total of 169 newly diagnosed, never treated, nondiabet...
متن کاملDetermination of travel distance for noninvasive measurement of pulse wave velocity: case closed?
Determination of Travel Distance for Noninvasive Measurement of Pulse Wave Velocity: Case Closed? To the Editor: Carotid-femoral pulse wave velocity (cfPWV) is currently considered the gold-standard measurement for arterial stiffness.1 In clinical routine, noninvasive assessment is the only feasible method, whereas, for research purposes, catheter-based invasive determination, as well as MRI, m...
متن کامل