Comparative Analysis of Arterial Parameters Variations Associated with Inter-Individual Variations in Peripheral and Aortic Blood Pressure: Cross-Sectional Study in Healthy Subjects Aged 2-84 years

High Blood Press Cardiovasc Prev. 2017 Dec;24(4):437-451. doi: 10.1007/s40292-017-0231-2. Epub 2017 Sep 25.

Abstract

Introduction: The association between arterial parameters and blood pressure (BP) interindividual variations could depend on the arterial segment, BP component (systolic, SBP; diastolic, DBP; pulse pressure, PP) and/or on whether central (cBP) or peripheral (pBP) BP variations are considered.

Aim: To assess and compare arterial parameters variations associated with interindividual variations in cBP and pBP.

Methods: Healthy subjects (n = 923; 488 males, 2-84 years) were included. pBP and cBP waves were obtained (Mobil-O-Graph; SphygmoCor). Arterial diameter, intima-media thickness, local elastic modulus (carotid, CEM; brachial, BEM; femoral, FEM) and regional (carotid-radial and carotid-femoral pulse wave velocity; crPWV and cfPWV) arterial stiffness were determined. Associations between BP and arterial parameters interindividual variations were analyzed and compared (correlations; linear regressions; slopes comparisons) considering data transformed into z-scores.

Results: Given a variation in z-cSBP or z-pSBP, z-CEM, z-FEM and z-cfPWV (stiffness indexes), were among the parameters with major BP-associated variations. z-crPWV and z-cfPWV, rather than local stiffness indexes were the parameters with major variations associated with z-DBP variations. z-cPP or z-pPP were associated with z-CEM and z-FEM variations, but not with brachial or regional stiffness variations. Most of the arterial parameters-BP slopes did not show significant differences when considering a variation in z-cSBP and z-pSBP. z-CEM and z-FEM were mainly associated with z-cPP and z-pPP variations, respectively.

Conclusion: Disregard of age and sex, the variations in arterial parameters associated with BP interindividual variations showed differences depending on whether variations were central or peripheral; in SBP, DBP or PP and depending on the arterial segment considered.

Keywords: Aortic pressure; Arterial stiffness; Blood pressure; Intima-media thickness; Pulse wave velocity.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aorta / physiology*
  • Arterial Pressure*
  • Brachial Artery / physiology*
  • Carotid Arteries / diagnostic imaging
  • Carotid Arteries / physiology*
  • Carotid Intima-Media Thickness
  • Child
  • Child, Preschool
  • Cross-Sectional Studies
  • Elastic Modulus
  • Female
  • Femoral Artery / physiology*
  • Healthy Volunteers
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Pulse Wave Analysis
  • Radial Artery / physiology*
  • Sex Factors
  • Vascular Stiffness
  • Young Adult