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Association between Aortic Stiffness and Cerebral Pulsatility is Modestly Influenced by Augmentation Index

Published version
Peer-reviewed

Type

Article

Change log

Authors

Pearson, James 
Watkeys, Laura J 
Coulson, James M 
Schlader, Zachary J 
Crandall, Craig G 

Abstract

jats:titleAbstract</jats:title>jats:pCentral Pulse Pressure (CPP) and Aortic Pulse Wave Velocity (aPWV) share a positive relationship with cerebral pulsatility and are associated with cerebrovascular disorders including stroke. Our aim was to examine the influence of Augmentation Index (AIx) upon this relationship, first by using a cross sectional design across a wide range of CPP and aPWV in healthy individuals and second, following administration of Glyceryl Trinitrate (GTN) to acutely change AIx. We measured CPP, aPWV, AIx and Middle Cerebral Artery Pulsatility Index (MCAPI) in 99 healthy individuals (54 females). In all individuals, after accounting for the effect of age and gender, MCAPI shared an independent inverse relationship with AIx (jats:italicβ</jats:italic> = −0.515, jats:italicR</jats:italic>jats:sup2</jats:sup> = 0.109; jats:italicp</jats:italic> = 0.001), and a positive relationship with CPP (jats:italicβ</jats:italic> = 0.570, jats:italicR</jats:italic>jats:sup2</jats:sup> = 0.093; jats:italicp</jats:italic> = 0.003) but not aPWV (jats:italicp</jats:italic> > 0.05). GTN was administered to 25 of these participants (14 females). Following GTN, AIx75 decreased in all participants relative to baseline (12 ± 19 to 5 ± 16%; jats:italicp</jats:italic> = 0.0001). In the 20 min following GTN administration, CPP shared a positive relationship with MCAPI (jats:italicβ</jats:italic> = 0.305, jats:italicR</jats:italic>jats:sup2</jats:sup> = 0.042; jats:italicp</jats:italic> = 0.002) while AIx, adjusted for heart rate (AIx75), shared an inverse relationship with MCAPI (jats:italicβ</jats:italic> = −0.320, jats:italicR</jats:italic>jats:sup2</jats:sup> = 0.019; jats:italicp</jats:italic> = 0.031). These findings indicate that the positive relationship between CPP and MCAPI may be somewhat modified by AIx. This suggests that an increased AIx may weakly attenuate increases in MCAPI that are associated with aortic stiffening in a healthy population at rest, but also following acute reductions in AIx75 after administration of GTN.</jats:p>

Description

Keywords

32 Biomedical and Clinical Sciences, 3201 Cardiovascular Medicine and Haematology, Cerebrovascular, Clinical Research, Cardiovascular, Brain Disorders, 2.1 Biological and endogenous factors, Cardiovascular

Journal Title

Artery Research

Conference Name

Journal ISSN

1872-9312
1876-4401

Volume Title

25

Publisher

Springer Science and Business Media LLC
Sponsorship
Cambridge University Hospitals NHS Foundation Trust (CUH) (unknown)
Cambridge University Hospitals NHS Foundation Trust (CUH) (146281)