Artery Research

Volume 6, Issue 4, December 2012, Pages 176 - 176

P2.45 ESTIMATING TOTAL ARTERIAL COMPLIANCE FROM AORTIC PULSE WAVE VELOCITY

Authors
O. Vardoulis, T.G. Papaioannou, N. Stergiopulos
École Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland
Available Online 17 November 2012.
DOI
10.1016/j.artres.2012.09.125How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Total arterial compliance (CT) is a main determinant of cardiac afterload, left ventricular function and arterio-ventricular coupling. CT is physiologically more relevant than regional aortic stiffness. However, direct, in vivo, non-invasive, measurement of CT is not feasible. Several methods for indirect CT estimation require simultaneous recording of aortic flow and pressure waves, limiting CT assessment in clinical practice. In contrast, aortic pulse wave velocity (aPWV) measurement, which is considered as the “gold standard” method to assess arterial stiffness, is noninvasive and relatively easy. Our aim was to establish the relation between aPWV and CT. Totally, 1000 different hemodynamic cases were simulated, by altering heart rate, compliance, resistance and geometry using an accurate, distributed, nonlinear, one- dimensional model of the arterial tree. Based on Bramwell-Hill theory, the formula CT = k·aPWV−2 was found to accurately estimate CT from aPWV. Coefficient k was determined both analytically and by fitting CT vs aPWV data (Fig. 1). CT estimation may provide an additional tool for cardiovascular risk (CV) assessment and better management of CV diseases. CT could have greater impact in assessing elderly population or subjects with elevated arterial stiffness, where aPWV seem to have limited prognostic value. Further clinical studies should be performed to validate the formula in vivo.

Journal
Artery Research
Volume-Issue
6 - 4
Pages
176 - 176
Publication Date
2012/11/17
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
10.1016/j.artres.2012.09.125How to use a DOI?
Open Access
This is an open access article distributed under the CC BY-NC license.

Cite this article

TY  - JOUR
AU  - O. Vardoulis
AU  - T.G. Papaioannou
AU  - N. Stergiopulos
PY  - 2012
DA  - 2012/11/17
TI  - P2.45 ESTIMATING TOTAL ARTERIAL COMPLIANCE FROM AORTIC PULSE WAVE VELOCITY
JO  - Artery Research
SP  - 176
EP  - 176
VL  - 6
IS  - 4
SN  - 1876-4401
UR  - https://doi.org/10.1016/j.artres.2012.09.125
DO  - 10.1016/j.artres.2012.09.125
ID  - Vardoulis2012
ER  -