#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Assessment of Arterial Wall Stiffness by Measurement of Pulse Wave Velocity in Children


Authors: K. Šamudovská;  Ľ. Podracká
Authors‘ workplace: 1. Klinika detí a dorastu LF UPJŠ a DFN, Košice prednostka prof. MUDr. Ľ. Podracká, CSc.
Published in: Čes-slov Pediat 2010; 65 (7-8): 459-464.
Category: Review

Overview

Arterial stiffness is an independent predictor of cardiovascular risk in both adult and pediatric population. Mechanism of arterial rigidity genesis is a complex process characterized by the interaction between inflammatory reaction, endothelium and vascular smooth muscle cells leading to the structural changes of the arterial wall with reduction of its elasticity. Recently, a measurement of pulse wave velocity (PWV) has been proved a simple noninvasive method useful for assessment of the arterial stiffness, indirectly reflecting the elasticity of aorta. PWV in children is greatly influenced by age, gender and blood pressure variation.

PWV measurement provides a useful clinical information about the risk of vascular damage and might be a relevant tool for stratification of cardiovascular risk.

Key words:
pulse wave velocity, cardiovascular risk factor, arterial stiffness


Sources

1. Lakatta EG. Arterial and cardiac aging: Major shareholders in cardiovascular disease enterprises: Part III: Cellular and molecular clues to heart and arterial aging. Circulation 2003; 107: 490–497.

2. Safar ME. Epidemiological aspects of pulse pressure and arterial stiffness. J. Hypertens. 1999; 17 (Suppl): S37–S40.

3. O’Rourke MF, Nichols WW. Aortic diameter, aortic stiffness, and wave reflection increase with age and isolated systolic hypertension. Hypertension 2002; 45: 652–658.

4. Staessen J, Fagard R, Van Hoof R, et al. Intervention trials in elderly hypertensive patients: A review. J. Hypertens. 1990; 8(Suppl): S63–S67.

5. Deanfield JE, Halcox JP, Rabelink TJ. Endothelial function and dysfunction: Testing and clinical relevance. Circulation 2007; 115: 1285–1295.

6. Kinlay S, Creager MA, Fukumoto M, et al. Endothelium-derived nitric oxide regulates arterial elasticity in human arteries in vivo. Hypertension 2001; 38: 1049–1053.

7. McVeigh GE, Allen PB, Morgan DR, et al. Nitric oxide modulation of blood vessel tone identified by arterial waveform analysis. Clin. Sci. (Lond) 2001; 100: 387–393.

8. Wilkinson IB, MacCallum H, Cockcroft JR, et al. Inhibition of basal nitric oxide synthesis increases aortic augmentation index and pulse wave velocity in vivo. Br. J. Clin. Pharmacol. 2002; 53: 189–192.

9. Verdecchia P, Angeli F, Taddei S. At the beginning of stiffening: Endothelial dysfunction meets “pulsology”. Hypertension 2006; 48: 541–542.

10. Ceravolo R, Maio R, Pujia A, et al. Pulse pressure and endothelial dysfunction in never-treated hypertensive patients. J. Am. Coll. Cardiol. 2005; 41: 1753–1758.

11. McEniery CM, Wallace S, Mackenzie IS, et al. Endothelial function is associated with pulse pressure, pulse wave velocity, and augmentation index in healthy humans. Hypertension 2006; 48: 602–608.

12. McEniery CM, Wilkinson IB. Large artery stiffness and inflammation. J. Hum. Hypertens. 2005; 19: 507–509.

13. Amar J, Ruidavets JB, Peyrieux JC, et al. C-reactive protein elevation predicts pulse pressure reduction in hypertensive subjects. Hypertension 2005; 46: 151–155.

14. Mahmud A, Feely J. Arterial stiffness is related to systemic inflammation in essential hypertension. Hypertension 2005; 46: 1118–1122.

15. Laurent S, Boutouyrie P, Lacolley P. Structural and genetic bases of arterial stiffness. Hypertension 2005; 45: 1050–1055.

16. Riley WA, Freedman DS, Higgs NA, et al. Decreased arterial elasticity associated with cardiovascular disease risk factors in the young. Bogalusa Heart Study. Arteriosclerosis 1986; 6: 378–386.

17. Vlachopoulos C, Aznaouridis K, Stefanadis C. Clinical appraisal of arterial stiffness: the Argonauts in front of the Golden Fleece. Heart 2006; 92: 1544–1550.

18. Asmar R. Arterial stiffness and pulse wave velocity – clinical applications. Paris: Elsevier, 1999: 9–43.

19. Špác J. Hypertenze a vlastnosti arteriální steny. KF 2006; 4(4): 9–13.

20. Zahálkova J, Metelka R, Petejová N, et al. Hodnocení cévních změn u pacientů s chronickým selháním ledvin. Aktuality v Nefrologii 2008; 2: 98–105.

21. Tanaka H, Munakata M, Kawano Y, et al. Comparison between carotid-femoral and brachial-ankle pulse wave velocity as measures of arterial stiffness. J. Hypertens. 2009; 27(10): 2022–2027.

22. Filipovský J. Vlastnosti velkých tepen a jejich vztah k arteriální hypertenzi. Hypertenze 2002; 2(5): 25–27.

23. Cseprekál O, Kis E, Schäffer P, et al. Pulse wave velocity in children following renal transplantation. Nephrol. Dial. Transplant. 2009; 24: 309–315.

24. Niboshi A, Hamaoka K, Sakata K, et al. Characteristics of brachial-ankle pulse wave velocity in Japanese children. Eur. J. Pediatr. 2006; 165: 625–629.

25. Sawabe M, Takahashi R, Matsushita S, et al. Aortic pulse wave velocity and the degree of atherosclerosis in the elderly: a pathological study based on 304 autopsy cases. Atherosclerosis 2005; 179: 345–351.

26. Ramos E, Perez-Quintero JA, Encinas SM, et al. Carotid-femoral pulse-wave velocity in children and adolescents from 2–18 years. Hypertension1999; 33(4):1088.

27. Seeman T. Hypertension in children after renal transplantation. Current Hypertension Rev. 2007; 3: 59–68.

28. Ahimastos AA, Formosa M, Dart AM, et al. Gender differences in large artery stiffness pre- and postpuberty. J. Clin. Endocrinol. Metab. 2003; 88: 5375–5380.

29. London GM, Gurein AP, Pannier B, et al. Influence of sex on arterial hemodynamics and blood pressure. Role of body height. Hypertension 1995; 37: 1374–1380.

30. Tomiyama H, Yamashina A, Arai T, et al. Influences of age and gender on results of noninvasive brachial–ankle pulse wave velocity measurement—a survey of 12517 subjects. Atherosclerosis 2003; 30: 303–309.

31. Fenstein S, Sela BA, Drukker A, et al. Hyperhomocysteinemia in children on renal replacement therapy. Pediatr. Nephrol. 2002; 17: 515–519.

Labels
Neonatology Paediatrics General practitioner for children and adolescents
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#