The relationship of macular vessel density and foveal avascular zone with pulse wave velocity and central blood pressure in healthy adults: Persian cohort study

Abstract Background To evaluate the correlation of macular vessel density (VD) and foveal avascular zone (FAZ) parameters measured on optical coherence tomography angiography (OCTA) with systemic arterial stiffness using pulse wave velocity (PWV), pulse wave analysis, arterial age, and central blood...

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Main Authors: Hamid Reza Heidarzadeh, Elaheh Ebrahimi Miandehi, Nasser Shoeibi, Mohammad Reza Ansari Astaneh, Seyedeh Maryam Hosseini, Majid Abrishami, Mehrdad Motamed Shariati, Saeid Eslami, Parnian Arjmand, Mojtaba Abrishami
Format: Article
Language:English
Published: BMC 2024-12-01
Series:International Journal of Retina and Vitreous
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Online Access:https://doi.org/10.1186/s40942-024-00616-7
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author Hamid Reza Heidarzadeh
Elaheh Ebrahimi Miandehi
Nasser Shoeibi
Mohammad Reza Ansari Astaneh
Seyedeh Maryam Hosseini
Majid Abrishami
Mehrdad Motamed Shariati
Saeid Eslami
Parnian Arjmand
Mojtaba Abrishami
author_facet Hamid Reza Heidarzadeh
Elaheh Ebrahimi Miandehi
Nasser Shoeibi
Mohammad Reza Ansari Astaneh
Seyedeh Maryam Hosseini
Majid Abrishami
Mehrdad Motamed Shariati
Saeid Eslami
Parnian Arjmand
Mojtaba Abrishami
author_sort Hamid Reza Heidarzadeh
collection DOAJ
description Abstract Background To evaluate the correlation of macular vessel density (VD) and foveal avascular zone (FAZ) parameters measured on optical coherence tomography angiography (OCTA) with systemic arterial stiffness using pulse wave velocity (PWV), pulse wave analysis, arterial age, and central blood pressure (CBP) measurements in healthy subjects. Methods In a comparative, cross-sectional, observational study, healthy adults who participated in the PERSIAN Cohort study at Mashhad University of Medical Sciences were included in this study. The study involved using a spectral domain OCTA device to obtain 3 × 3 and 6 × 6 mm scans of the macular superficial capillary plexus (SCP) VD, deep capillary plexus (DCP) VD, and FAZ vascular analysis. Additionally, we used the SphygmoCor XCEL System (AtCor, Itasca, IL) to analyze systemic vascular parameters like CBP and PWV. Results The study included 296 healthy participants with a mean age of 39.2 ± 6.7 years, and 152 subjects (51.3%) were female. Female participants were found to have higher DCP VD and FAZ area values. Age showed a negative correlation with SCP and DCP VDs. PWV showed a negative correlation with parafoveal DCP VDs, but no correlation was observed between macular VDs and aortic diastolic and systolic pressures. Conclusion In conclusion, age was found to have a negative impact on macular SCP and DCP VDs. In addition, higher arterial stiffness was found to correlate with a lower parafoveal DCP VD value. These findings suggest macular OCTA parameters may be used as early markers of systemic arterial disease.
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spelling doaj-art-aff4a069e1d244e7a82d3cfbdbcf3dd22025-08-20T02:39:55ZengBMCInternational Journal of Retina and Vitreous2056-99202024-12-0110111110.1186/s40942-024-00616-7The relationship of macular vessel density and foveal avascular zone with pulse wave velocity and central blood pressure in healthy adults: Persian cohort studyHamid Reza Heidarzadeh0Elaheh Ebrahimi Miandehi1Nasser Shoeibi2Mohammad Reza Ansari Astaneh3Seyedeh Maryam Hosseini4Majid Abrishami5Mehrdad Motamed Shariati6Saeid Eslami7Parnian Arjmand8Mojtaba Abrishami9Eye Research Center, Mashhad University of Medical SciencesPersian Cohort Research Center, Mashhad University of Medical SciencesEye Research Center, Mashhad University of Medical SciencesEye Research Center, Mashhad University of Medical SciencesEye Research Center, Mashhad University of Medical SciencesEye Research Center, Mashhad University of Medical SciencesEye Research Center, Mashhad University of Medical SciencesDepartment of Medical Informatics, Faculty of Medicine, Mashhad University of Medical SciencesMississauga Retina InstituteEye Research Center, Mashhad University of Medical SciencesAbstract Background To evaluate the correlation of macular vessel density (VD) and foveal avascular zone (FAZ) parameters measured on optical coherence tomography angiography (OCTA) with systemic arterial stiffness using pulse wave velocity (PWV), pulse wave analysis, arterial age, and central blood pressure (CBP) measurements in healthy subjects. Methods In a comparative, cross-sectional, observational study, healthy adults who participated in the PERSIAN Cohort study at Mashhad University of Medical Sciences were included in this study. The study involved using a spectral domain OCTA device to obtain 3 × 3 and 6 × 6 mm scans of the macular superficial capillary plexus (SCP) VD, deep capillary plexus (DCP) VD, and FAZ vascular analysis. Additionally, we used the SphygmoCor XCEL System (AtCor, Itasca, IL) to analyze systemic vascular parameters like CBP and PWV. Results The study included 296 healthy participants with a mean age of 39.2 ± 6.7 years, and 152 subjects (51.3%) were female. Female participants were found to have higher DCP VD and FAZ area values. Age showed a negative correlation with SCP and DCP VDs. PWV showed a negative correlation with parafoveal DCP VDs, but no correlation was observed between macular VDs and aortic diastolic and systolic pressures. Conclusion In conclusion, age was found to have a negative impact on macular SCP and DCP VDs. In addition, higher arterial stiffness was found to correlate with a lower parafoveal DCP VD value. These findings suggest macular OCTA parameters may be used as early markers of systemic arterial disease.https://doi.org/10.1186/s40942-024-00616-7Optical coherence tomography angiography (OCTA)Vessel density (VD)Foveal avascular zone (FAZ)Pulse wave velocity (PWV)Arterial age
spellingShingle Hamid Reza Heidarzadeh
Elaheh Ebrahimi Miandehi
Nasser Shoeibi
Mohammad Reza Ansari Astaneh
Seyedeh Maryam Hosseini
Majid Abrishami
Mehrdad Motamed Shariati
Saeid Eslami
Parnian Arjmand
Mojtaba Abrishami
The relationship of macular vessel density and foveal avascular zone with pulse wave velocity and central blood pressure in healthy adults: Persian cohort study
International Journal of Retina and Vitreous
Optical coherence tomography angiography (OCTA)
Vessel density (VD)
Foveal avascular zone (FAZ)
Pulse wave velocity (PWV)
Arterial age
title The relationship of macular vessel density and foveal avascular zone with pulse wave velocity and central blood pressure in healthy adults: Persian cohort study
title_full The relationship of macular vessel density and foveal avascular zone with pulse wave velocity and central blood pressure in healthy adults: Persian cohort study
title_fullStr The relationship of macular vessel density and foveal avascular zone with pulse wave velocity and central blood pressure in healthy adults: Persian cohort study
title_full_unstemmed The relationship of macular vessel density and foveal avascular zone with pulse wave velocity and central blood pressure in healthy adults: Persian cohort study
title_short The relationship of macular vessel density and foveal avascular zone with pulse wave velocity and central blood pressure in healthy adults: Persian cohort study
title_sort relationship of macular vessel density and foveal avascular zone with pulse wave velocity and central blood pressure in healthy adults persian cohort study
topic Optical coherence tomography angiography (OCTA)
Vessel density (VD)
Foveal avascular zone (FAZ)
Pulse wave velocity (PWV)
Arterial age
url https://doi.org/10.1186/s40942-024-00616-7
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