Assessment of Arterial Distensibility by Automatic Pulse Wave Velocity Measurement: Validation and Clinical Application Studies
Pulse wave velocity is widely used as an index of arterial distensibility. The aim of this study was to evaluate the accuracy of a new automatic device to measure it and then to analyze the major determinants of pulse wave velocity by application of this device in a large population. We evaluated th...
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| Published in | Hypertension (Dallas, Tex. 1979) Vol. 26; no. 3; pp. 485 - 490 |
|---|---|
| Main Authors | , , , , , , , |
| Format | Journal Article Conference Proceeding |
| Language | English |
| Published |
Philadelphia, PA
American Heart Association, Inc
01.09.1995
Hagerstown, MD Lippincott |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0194-911X 1524-4563 |
| DOI | 10.1161/01.HYP.26.3.485 |
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| Abstract | Pulse wave velocity is widely used as an index of arterial distensibility. The aim of this study was to evaluate the accuracy of a new automatic device to measure it and then to analyze the major determinants of pulse wave velocity by application of this device in a large population. We evaluated the accuracy of on-line and computerized measurement of pulse wave velocity using an algorithm based on the time-shifted and repeated linear correlation calculation between the initial rise in pressure waveforms compared with the reference method (manual calculation) in 56 subjects. The results, analyzed according to the recommendations of Bland and Altman, showed a mean difference of -0.20 plus/minus 0.45 m/s for the mean carotid-femoral pulse wave velocity values (reference method, 11.05 plus/minus 2.58 m/s; automatic device, 10.85 plus/minus 2.44 m/s). The inter-reproducibility and intrareproducibility of measurements by each method were analyzed with the use of the repeatability coefficient according to the British Standards Institution. The interobserver repeatability coefficient was 0.947 for the manual method and 0.890 for the automatic, and intraobserver repeatability coefficients were 0.938 and 0.935, respectively. We evaluated the major determinants of the carotid-femoral pulse wave velocity measured by the automatic method in a separate study performed in 418 subjects of both sexes without any cardiovascular treatment or complication (18 to 77 years of age; 98 to 222 mm Hg systolic and 62 to 130 mm Hg diastolic pressure). Multiple regression analysis between pulse wave velocity and clinical parameters (age, sex, weight, height, smoking, arterial blood pressure, heart rate) and biological plasma parameters (total cholesterol, high-density lipoprotein cholesterol, glycemia) showed that pulse wave velocity correlated positively and independently with age and systolic pressure (r = .47; P < .001) according to the Equation PulseWave Velocity = 0.07 Systolic Pressure (mm Hg) + 0.09 Age (y)-4.3 (m/s). Similar results were obtained in the normotensive and hypertensive subgroups when analyzed separately. Pulse wave velocity can be easily and automatically determined. Its measurement is accurate and highly reproducible, and its major determinants are well established. It is of great interest to evaluate in large populations the therapeutic and epidemiological applications of an arterial parameter as evaluated by aortic pulse wave velocity. (Hypertension. 1995;26:485-490.) |
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| AbstractList | Abstract
Pulse wave velocity is widely used as an index of arterial distensibility. The aim of this study was to evaluate the accuracy of a new automatic device to measure it and then to analyze the major determinants of pulse wave velocity by application of this device in a large population. We evaluated the accuracy of on-line and computerized measurement of pulse wave velocity using an algorithm based on the time-shifted and repeated linear correlation calculation between the initial rise in pressure waveforms compared with the reference method (manual calculation) in 56 subjects. The results, analyzed according to the recommendations of Bland and Altman, showed a mean difference of −0.20±0.45 m/s for the mean carotid-femoral pulse wave velocity values (reference method, 11.05±2.58 m/s; automatic device, 10.85±2.44 m/s). The inter-reproducibility and intrareproducibility of measurements by each method were analyzed with the use of the repeatability coefficient according to the British Standards Institution. The interobserver repeatability coefficient was 0.947 for the manual method and 0.890 for the automatic, and intraobserver repeatability coefficients were 0.938 and 0.935, respectively. We evaluated the major determinants of the carotid-femoral pulse wave velocity measured by the automatic method in a separate study performed in 418 subjects of both sexes without any cardiovascular treatment or complication (18 to 77 years of age; 98 to 222 mm Hg systolic and 62 to 130 mm Hg diastolic pressure). Multiple regression analysis between pulse wave velocity and clinical parameters (age, sex, weight, height, smoking, arterial blood pressure, heart rate) and biological plasma parameters (total cholesterol, high-density lipoprotein cholesterol, glycemia) showed that pulse wave velocity correlated positively and independently with age and systolic pressure (
r
2
=.47;
P
<.001) according to the equation Pulse Wave Velocity=0.07 Systolic Pressure (mm Hg)+0.09 Age (y)−4.3 (m/s). Similar results were obtained in the normotensive and hypertensive subgroups when analyzed separately. Pulse wave velocity can be easily and automatically determined. Its measurement is accurate and highly reproducible, and its major determinants are well established. It is of great interest to evaluate in large populations the therapeutic and epidemiological applications of an arterial parameter as evaluated by aortic pulse wave velocity. Pulse wave velocity is widely used as an index of arterial distensibility. The aim of this study was to evaluate the accuracy of a new automatic device to measure it and then to analyze the major determinants of pulse wave velocity by application of this device in a large population. We evaluated the accuracy of on-line and computerized measurement of pulse wave velocity using an algorithm based on the time-shifted and repeated linear correlation calculation between the initial rise in pressure waveforms compared with the reference method (manual calculation) in 56 subjects. The results, analyzed according to the recommendations of Bland and Altman, showed a mean difference of -0.20 plus/minus 0.45 m/s for the mean carotid-femoral pulse wave velocity values (reference method, 11.05 plus/minus 2.58 m/s; automatic device, 10.85 plus/minus 2.44 m/s). The inter-reproducibility and intrareproducibility of measurements by each method were analyzed with the use of the repeatability coefficient according to the British Standards Institution. The interobserver repeatability coefficient was 0.947 for the manual method and 0.890 for the automatic, and intraobserver repeatability coefficients were 0.938 and 0.935, respectively. We evaluated the major determinants of the carotid-femoral pulse wave velocity measured by the automatic method in a separate study performed in 418 subjects of both sexes without any cardiovascular treatment or complication (18 to 77 years of age; 98 to 222 mm Hg systolic and 62 to 130 mm Hg diastolic pressure). Multiple regression analysis between pulse wave velocity and clinical parameters (age, sex, weight, height, smoking, arterial blood pressure, heart rate) and biological plasma parameters (total cholesterol, high-density lipoprotein cholesterol, glycemia) showed that pulse wave velocity correlated positively and independently with age and systolic pressure (r = .47; P < .001) according to the Equation PulseWave Velocity = 0.07 Systolic Pressure (mm Hg) + 0.09 Age (y)-4.3 (m/s). Similar results were obtained in the normotensive and hypertensive subgroups when analyzed separately. Pulse wave velocity can be easily and automatically determined. Its measurement is accurate and highly reproducible, and its major determinants are well established. It is of great interest to evaluate in large populations the therapeutic and epidemiological applications of an arterial parameter as evaluated by aortic pulse wave velocity. (Hypertension. 1995;26:485-490.) Pulse wave velocity is widely used as an index of arterial distensibility. The aim of this study was to evaluate the accuracy of a new automatic device to measure it and then to analyze the major determinants of pulse wave velocity by application of this device in a large population. We evaluated the accuracy of on-line and computerized measurement of pulse wave velocity using an algorithm based on the time-shifted and repeated linear correlation calculation between the initial rise in pressure waveforms compared with the reference method (manual calculation) in 56 subjects. The results, analyzed according to the recommendations of Bland and Altman, showed a mean difference of -0.20 +/- 0.45 m/s for the mean carotid-femoral pulse wave velocity values (reference method, 11.05 +/- 2.58 m/s; automatic device, 10.85 +/- 2.44 m/s). The interreproducibility and intrareproducibility of measurements by each method were analyzed with the use of the repeatability coefficient according to the British Standards Institution. The interobserver repeatability coefficient was 0.947 for the manual method and 0.890 for the automatic, and intraobserver repeatability coefficients were 0.938 and 0.935, respectively. We evaluated the major determinants of the carotid-femoral pulse wave velocity measured by the automatic method in a separate study performed in 418 subjects of both sexes without any cardiovascular treatment or complication (18 to 77 years of age; 98 to 222 mm Hg systolic and 62 to 130 mm Hg diastolic pressure). Pulse wave velocity is widely used as an index of arterial distensibility. The aim of this study was to evaluate the accuracy of a new automatic device to measure it and then to analyze the major determinants of pulse wave velocity by application of this device in a large population. We evaluated the accuracy of on-line and computerized measurement of pulse wave velocity using an algorithm based on the time-shifted and repeated linear correlation calculation between the initial rise in pressure waveforms compared with the reference method (manual calculation) in 56 subjects. The results, analyzed according to the recommendations of Bland and Altman, showed a mean difference of -0.20 +/- 0.45 m/s for the mean carotid-femoral pulse wave velocity values (reference method, 11.05 +/- 2.58 m/s; automatic device, 10.85 +/- 2.44 m/s). The interreproducibility and intrareproducibility of measurements by each method were analyzed with the use of the repeatability coefficient according to the British Standards Institution. The interobserver repeatability coefficient was 0.947 for the manual method and 0.890 for the automatic, and intraobserver repeatability coefficients were 0.938 and 0.935, respectively. We evaluated the major determinants of the carotid-femoral pulse wave velocity measured by the automatic method in a separate study performed in 418 subjects of both sexes without any cardiovascular treatment or complication (18 to 77 years of age; 98 to 222 mm Hg systolic and 62 to 130 mm Hg diastolic pressure).Pulse wave velocity is widely used as an index of arterial distensibility. The aim of this study was to evaluate the accuracy of a new automatic device to measure it and then to analyze the major determinants of pulse wave velocity by application of this device in a large population. We evaluated the accuracy of on-line and computerized measurement of pulse wave velocity using an algorithm based on the time-shifted and repeated linear correlation calculation between the initial rise in pressure waveforms compared with the reference method (manual calculation) in 56 subjects. The results, analyzed according to the recommendations of Bland and Altman, showed a mean difference of -0.20 +/- 0.45 m/s for the mean carotid-femoral pulse wave velocity values (reference method, 11.05 +/- 2.58 m/s; automatic device, 10.85 +/- 2.44 m/s). The interreproducibility and intrareproducibility of measurements by each method were analyzed with the use of the repeatability coefficient according to the British Standards Institution. The interobserver repeatability coefficient was 0.947 for the manual method and 0.890 for the automatic, and intraobserver repeatability coefficients were 0.938 and 0.935, respectively. We evaluated the major determinants of the carotid-femoral pulse wave velocity measured by the automatic method in a separate study performed in 418 subjects of both sexes without any cardiovascular treatment or complication (18 to 77 years of age; 98 to 222 mm Hg systolic and 62 to 130 mm Hg diastolic pressure). |
| Author | Levy, Bernard I. Benetos, Athanase Brisac, Anne-Marie Pannier, Bruno Topouchian, Jirar Target, Ralph Laurent, Pierre Asmar, Roland |
| AuthorAffiliation | Received January 31, 1995; first decision February 21, 1995; revision accepted March 30, 1995. From Hopital Broussais, Med I, INSERM U337 (A.B., B.P., A.-M.B.); INSERM U141 (R.T., B.I.L.); and Institut de Recherche et Formation Cardiovasculaire (R.A., J.T., P.L.), Paris, France. Reprint requests to Dr R. Asmar, Institut de Recherche et Formation Cardiovasculaire, 21, Boulevard Delessert 75016, Paris, France |
| AuthorAffiliation_xml | – name: Received January 31, 1995; first decision February 21, 1995; revision accepted March 30, 1995. From Hopital Broussais, Med I, INSERM U337 (A.B., B.P., A.-M.B.); INSERM U141 (R.T., B.I.L.); and Institut de Recherche et Formation Cardiovasculaire (R.A., J.T., P.L.), Paris, France. Reprint requests to Dr R. Asmar, Institut de Recherche et Formation Cardiovasculaire, 21, Boulevard Delessert 75016, Paris, France |
| Author_xml | – sequence: 1 givenname: Roland surname: Asmar fullname: Asmar, Roland organization: Received January 31, 1995; first decision February 21, 1995; revision accepted March 30, 1995. From Hopital Broussais, Med I, INSERM U337 (A.B., B.P., A.-M.B.); INSERM U141 (R.T., B.I.L.); and Institut de Recherche et Formation Cardiovasculaire (R.A., J.T., P.L.), Paris, France. Reprint requests to Dr R. Asmar, Institut de Recherche et Formation Cardiovasculaire, 21, Boulevard Delessert 75016, Paris, France – sequence: 2 givenname: Athanase surname: Benetos fullname: Benetos, Athanase – sequence: 3 givenname: Jirar surname: Topouchian fullname: Topouchian, Jirar – sequence: 4 givenname: Pierre surname: Laurent fullname: Laurent, Pierre – sequence: 5 givenname: Bruno surname: Pannier fullname: Pannier, Bruno – sequence: 6 givenname: Anne-Marie surname: Brisac fullname: Brisac, Anne-Marie – sequence: 7 givenname: Ralph surname: Target fullname: Target, Ralph – sequence: 8 givenname: Bernard I. surname: Levy fullname: Levy, Bernard I. |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3664782$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/7649586$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1161/circ.71.2.3965165 10.1016/S0140-6736(86)90837-8 10.1016/0735-1097(89)90518-4 10.1161/circ.25.3.533 10.1038/ki.1990.19 10.1007/978-94-009-3303-3_10 10.1161/circ.22.1.126 10.3109/08037059509077567 10.1007/BF02119983 10.1161/01.ATV.6.1.105 10.1093/cvr/12.7.401 |
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| References | e_1_3_2_9_2 e_1_3_2_15_2 e_1_3_2_8_2 e_1_3_2_7_2 e_1_3_2_1_2 e_1_3_2_10_2 e_1_3_2_5_2 e_1_3_2_11_2 e_1_3_2_12_2 e_1_3_2_3_2 e_1_3_2_13_2 e_1_3_2_2_2 e_1_3_2_14_2 (e_1_3_2_4_2) 1967; 24 (e_1_3_2_6_2) 1923; 10 8621216 - Hypertension. 1996 May;27(5):1188-91 |
| References_xml | – volume: 10 start-page: 233 year: 1923 ident: e_1_3_2_6_2 publication-title: Heart – ident: e_1_3_2_1_2 – ident: e_1_3_2_7_2 doi: 10.1161/circ.71.2.3965165 – ident: e_1_3_2_8_2 doi: 10.1016/S0140-6736(86)90837-8 – ident: e_1_3_2_2_2 doi: 10.1016/0735-1097(89)90518-4 – ident: e_1_3_2_9_2 – ident: e_1_3_2_12_2 doi: 10.1161/circ.25.3.533 – ident: e_1_3_2_14_2 doi: 10.1038/ki.1990.19 – ident: e_1_3_2_5_2 doi: 10.1007/978-94-009-3303-3_10 – ident: e_1_3_2_13_2 doi: 10.1161/circ.22.1.126 – volume: 24 start-page: 73 year: 1967 ident: e_1_3_2_4_2 publication-title: J Appl Physiol – ident: e_1_3_2_15_2 doi: 10.3109/08037059509077567 – ident: e_1_3_2_10_2 doi: 10.1007/BF02119983 – ident: e_1_3_2_11_2 doi: 10.1161/01.ATV.6.1.105 – ident: e_1_3_2_3_2 doi: 10.1093/cvr/12.7.401 – reference: 8621216 - Hypertension. 1996 May;27(5):1188-91 |
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| Snippet | Pulse wave velocity is widely used as an index of arterial distensibility. The aim of this study was to evaluate the accuracy of a new automatic device to... Abstract Pulse wave velocity is widely used as an index of arterial distensibility. The aim of this study was to evaluate the accuracy of a new automatic... |
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| SubjectTerms | Adolescent Adult Aged Arteries - physiology Biological and medical sciences Cardiovascular system Female Humans Hypertension - physiopathology Investigative techniques, diagnostic techniques (general aspects) Male Medical sciences Middle Aged Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques Pulse |
| Title | Assessment of Arterial Distensibility by Automatic Pulse Wave Velocity Measurement: Validation and Clinical Application Studies |
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