Different Methods for Measurements and Estimation of Pulse Wave Velocity are not Interchangeable

Abstract Background Carotid-femoral pulse wave velocity (c–f PWV) is a gold standard for the arterial stiffness measurement and important biomarker for the assessment of the cardiovascular (CV) risk. Recent studies have focused on 24-h measurements of arterial stiffness and estimated PWV (ePWV). The...

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Main Authors: Vladimir Prelević, Ana Jelaković, Kristina Gašparović, Danira Bažadona, Josipa Josipović, Mia Dubravčić-Došen, Danilo Radunović, Marija Domislović, Bojan Jelaković
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Language:English
Published: BMC 2024-08-01
Series:Artery Research
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Online Access:https://doi.org/10.1007/s44200-024-00049-5
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author Vladimir Prelević
Ana Jelaković
Kristina Gašparović
Danira Bažadona
Josipa Josipović
Mia Dubravčić-Došen
Danilo Radunović
Marija Domislović
Bojan Jelaković
author_facet Vladimir Prelević
Ana Jelaković
Kristina Gašparović
Danira Bažadona
Josipa Josipović
Mia Dubravčić-Došen
Danilo Radunović
Marija Domislović
Bojan Jelaković
author_sort Vladimir Prelević
collection DOAJ
description Abstract Background Carotid-femoral pulse wave velocity (c–f PWV) is a gold standard for the arterial stiffness measurement and important biomarker for the assessment of the cardiovascular (CV) risk. Recent studies have focused on 24-h measurements of arterial stiffness and estimated PWV (ePWV). The aim of this study is to analyze agreement of office c–f PWV measurements (SphygmoCor) with 24-h oscillometric measurements (Mobil-O-Graph and Arteriograph), and with ePWV. Results This study included 154 patients with primary hypertension (average age 38.75 ± 12.65). Arterial stiffness has been measured in the office with SphygmoCor and 24 h with two oscillometric methods (Mobil-O-Graph and Arteriograph). ePWV was calculated using validated equation. PWV values obtained in office (SphygmoCor) showed higher average values compared to both 24-h oscillometric measurements of PWV and ePWV. The mean values of 24-h PWV measured by Arteriograph were higher compared to values obtained with Mobil-O-Graph. The measurement of PWV over 24 h using the Arteriograph is the most accurate among the methods that were compared with the office PWV measurements (accuracy of 0.989). However, the most precise method was the Mobil-O-Graph (0.631), and the highest degree of agreement also was shown with the Mobil-O-Graph (concordance coefficient correlation (CCC) = 0.447). The smallest deviation (TDI) and the highest probability of overlapping (CP) were observed with ePWV (TDI = 45.524, CP = 0.322, respectively). Conclusion In our group of young treated mild hypertensive patients with low CV risk, we found weak agreements between cfPWV and 24-h PWV. These methods are not interchangeable.
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issn 1876-4401
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spelling doaj-art-4459d668f6bb414f977f127b2bc29f0d2025-02-02T12:14:45ZengBMCArtery Research1876-44012024-08-0130111110.1007/s44200-024-00049-5Different Methods for Measurements and Estimation of Pulse Wave Velocity are not InterchangeableVladimir Prelević0Ana Jelaković1Kristina Gašparović2Danira Bažadona3Josipa Josipović4Mia Dubravčić-Došen5Danilo Radunović6Marija Domislović7Bojan Jelaković8Clinic for Nephrology, Clinical Center of MontenegroDepartment for Nephrology, Arterial Hypertension, Dialysis and Kindey Transplantation, University Hospital Center ZagrebClinic for Cardiology, University Hospital Center ZagrebClinic for Neurology, University Hospital Center ZagrebDepartment for Nephrology, University Hospital Center “Sestre Milosrdnice”Clinic for Cardiology, University Hospital Center ZagrebClinic for Nephrology, Clinical Center of MontenegroDepartment for Nephrology, Arterial Hypertension, Dialysis and Kindey Transplantation, University Hospital Center ZagrebDepartment for Nephrology, Arterial Hypertension, Dialysis and Kindey Transplantation, University Hospital Center ZagrebAbstract Background Carotid-femoral pulse wave velocity (c–f PWV) is a gold standard for the arterial stiffness measurement and important biomarker for the assessment of the cardiovascular (CV) risk. Recent studies have focused on 24-h measurements of arterial stiffness and estimated PWV (ePWV). The aim of this study is to analyze agreement of office c–f PWV measurements (SphygmoCor) with 24-h oscillometric measurements (Mobil-O-Graph and Arteriograph), and with ePWV. Results This study included 154 patients with primary hypertension (average age 38.75 ± 12.65). Arterial stiffness has been measured in the office with SphygmoCor and 24 h with two oscillometric methods (Mobil-O-Graph and Arteriograph). ePWV was calculated using validated equation. PWV values obtained in office (SphygmoCor) showed higher average values compared to both 24-h oscillometric measurements of PWV and ePWV. The mean values of 24-h PWV measured by Arteriograph were higher compared to values obtained with Mobil-O-Graph. The measurement of PWV over 24 h using the Arteriograph is the most accurate among the methods that were compared with the office PWV measurements (accuracy of 0.989). However, the most precise method was the Mobil-O-Graph (0.631), and the highest degree of agreement also was shown with the Mobil-O-Graph (concordance coefficient correlation (CCC) = 0.447). The smallest deviation (TDI) and the highest probability of overlapping (CP) were observed with ePWV (TDI = 45.524, CP = 0.322, respectively). Conclusion In our group of young treated mild hypertensive patients with low CV risk, we found weak agreements between cfPWV and 24-h PWV. These methods are not interchangeable.https://doi.org/10.1007/s44200-024-00049-5Arterial stiffnessCarotid-femoral pulse wave velocity24-h measurementsEstimated pulse wave velocity
spellingShingle Vladimir Prelević
Ana Jelaković
Kristina Gašparović
Danira Bažadona
Josipa Josipović
Mia Dubravčić-Došen
Danilo Radunović
Marija Domislović
Bojan Jelaković
Different Methods for Measurements and Estimation of Pulse Wave Velocity are not Interchangeable
Artery Research
Arterial stiffness
Carotid-femoral pulse wave velocity
24-h measurements
Estimated pulse wave velocity
title Different Methods for Measurements and Estimation of Pulse Wave Velocity are not Interchangeable
title_full Different Methods for Measurements and Estimation of Pulse Wave Velocity are not Interchangeable
title_fullStr Different Methods for Measurements and Estimation of Pulse Wave Velocity are not Interchangeable
title_full_unstemmed Different Methods for Measurements and Estimation of Pulse Wave Velocity are not Interchangeable
title_short Different Methods for Measurements and Estimation of Pulse Wave Velocity are not Interchangeable
title_sort different methods for measurements and estimation of pulse wave velocity are not interchangeable
topic Arterial stiffness
Carotid-femoral pulse wave velocity
24-h measurements
Estimated pulse wave velocity
url https://doi.org/10.1007/s44200-024-00049-5
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