Reference Values of Pulse Wave Velocity in Healthy People from an Urban and Rural Argentinean Population

In medical practice the reference values of arterial stiffness came from multicenter registries obtained in Asia, USA, Australia and Europe. Pulse wave velocity (PWV) is the gold standard method for arterial stiffness quantification; however, in South America, there are few population-based studies. In this research PWV was measured in healthy asymptomatic and normotensive subjects without history of hypertension in first-degree relatives. Normal PWV and the 95% confidence intervals values were obtained in 780 subjects (39.8 ± 18.5 years) divided into 7 age groups (10–98 years). The mean PWV found was 6.84 m/s ± 1.65. PWV increases linearly with aging with a high degree of correlation (r 2 = 0.61; P < 0.05) with low dispersion in younger subjects. PWV progressively increases 6–8% with each decade of life; this tendency is more pronounced after 50 years. A significant increase of PWV over 50 years was demonstrated. This is the first population-based study from urban and rural people of Argentina that provides normal values of the PWV in healthy, normotensive subjects without family history of hypertension. Moreover, the age dependence of PWV values was confirmed.

[1]  Patrick Segers,et al.  Ethnic Differences in Arterial Wave Reflections and Normative Equations for Augmentation Index , 2011, Hypertension.

[2]  D. Levy,et al.  Changes in Arterial Stiffness and Wave Reflection With Advancing Age in Healthy Men and Women: The Framingham Heart Study , 2004, Hypertension.

[3]  B. Pannier,et al.  Assessment of arterial distensibility by automatic pulse wave velocity measurement. Validation and clinical application studies. , 1995, Hypertension.

[4]  J. Mill,et al.  Age- and gender-specific reference values of pulse wave velocity for African adults: preliminary results , 2013, AGE.

[5]  R. Armentano,et al.  Vascular Accesses for Haemodialysis in the Upper Arm Cause Greater Reduction in the Carotid-Brachial Stiffness than Those in the Forearm: Study of Gender Differences , 2012, International journal of nephrology.

[6]  A. Díaz,et al.  Prevalence of hypertension in rural populations from Ibero-America and the Caribbean. , 2014, Rural and remote health.

[7]  J. Witteman,et al.  Heritability of the Function and Structure of the Arterial Wall: Findings of the Erasmus Rucphen Family (ERF) Study , 2005, Stroke.

[8]  R. Armentano,et al.  Pulse Wave Velocity as Marker of Preclinical Arterial Disease: Reference Levels in a Uruguayan Population Considering Wave Detection Algorithms, Path Lengths, Aging, and Blood Pressure , 2012, International journal of hypertension.

[9]  C. Boissonnet,et al.  Open Access Cardiovascular Diabetology Prevalence of the Metabolic Syndrome in Latin America and Its Association with Sub-clinical Carotid Atherosclerosis: the Carmela Cross Sectional Study , 2022 .

[10]  Alban Redheuil,et al.  Aortic stiffness: current understanding and future directions. , 2011, Journal of the American College of Cardiology.

[11]  G. Canziani,et al.  High Blood Pressure, Overweight and Obesity Among Rural Scholars from the Vela Project , 2012, High Blood Pressure & Cardiovascular Prevention.

[12]  Shah Ebrahim,et al.  Fourth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (Constituted by representatives of nine societies and by invited experts) , 2007 .

[13]  Tine Willum Hansen,et al.  Prognostic Value of Aortic Pulse Wave Velocity as Index of Arterial Stiffness in the General Population , 2006, Circulation.

[14]  Eric Vicaut,et al.  Common Carotid Artery Intima-Media Thickness: The Cardiovascular Risk Factor Multiple Evaluation in Latin America (CARMELA) Study Results , 2010, Cerebrovascular Diseases.

[15]  H. Carbajal Situación de la hipertensión arterial en Argentina , 2013 .

[16]  Yasmin,et al.  Determinants of pulse wave velocity in healthy people and in the presence of cardiovascular risk factors: ‘establishing normal and reference values’ , 2010, European heart journal.

[17]  A P Avolio,et al.  Effects of aging on changing arterial compliance and left ventricular load in a northern Chinese urban community. , 1983, Circulation.

[18]  F. Mattace-Raso Gender differences in arterial structure and function. Are men really from Mars and women from Venus , 2009 .

[19]  J. Krieger,et al.  Ethnicity and arterial stiffness in Brazil. , 2011, American journal of hypertension.

[20]  R. Armentano,et al.  Vascular access Localization Determines Regional Changes in Arterial Stiffness , 2009, The journal of vascular access.

[21]  R. Elston,et al.  Heritability and intrafamilial aggregation of arterial characteristics , 2007, Journal of hypertension.

[22]  T. Miura,et al.  Effects of Parental Hypertension on Longitudinal Trends in Blood Pressure and Plasma Metabolic Profile: Mixed-Effects Model Analysis , 2012, Hypertension.

[23]  Shah Ebrahim,et al.  European Guidelines on Cardiovascular Disease Prevention in Clinical Practice (Version 2012) , 2012, International Journal of Behavioral Medicine.

[24]  J. Morais,et al.  Definição de valores de referência da velocidade da onda de pulso arterial numa população portuguesa: Uma sub-análise do projecto EDIVA , 2011 .

[25]  Walter P. Abhayaratna,et al.  Norms and reference values for pulse wave velocity: one size does not fit all , 2011 .

[26]  I. Jeandarme [Are men really from Mars and women from Venus?]. , 2012, Tijdschrift voor psychiatrie.

[27]  Yasmin,et al.  Normal vascular aging: differential effects on wave reflection and aortic pulse wave velocity: the Anglo-Cardiff Collaborative Trial (ACCT). , 2005, Journal of the American College of Cardiology.

[28]  Michael J. Pencina,et al.  Arterial Stiffness and Cardiovascular Events: The Framingham Heart Study , 2010, Circulation.

[29]  Tatjana Rundek,et al.  Ethnic differences in carotid artery diameter and stiffness: the Northern Manhattan Study. , 2011, Atherosclerosis.

[30]  H. Schargrodsky,et al.  Hypertension in seven Latin American cities: the Cardiovascular Risk Factor Multiple Evaluation in Latin America (CARMELA) study , 2010, Journal of hypertension.

[31]  D. Bluemke,et al.  Race/ethnic and sex differences in large and small artery elasticity--results of the multi-ethnic study of atherosclerosis (MESA). , 2009, Ethnicity & disease.

[32]  E. Achten,et al.  Carotid to femoral pulse wave velocity: a comparison of real travelled aortic path lengths determined by MRI and superficial measurements , 2011, Journal of hypertension.

[33]  A. Díaz,et al.  [Blood pressure control and arterial hypertension in children and adolescents from a rural population in Argentina: preliminary data from Vela Proyect]. , 2010, Archivos argentinos de pediatria.

[34]  J. Filipovský,et al.  Expert consensus document on the measurement of aortic stiffness in daily practice using carotid-femoral pulse wave velocity. , 2012, Journal of hypertension.

[35]  V. Feigin,et al.  Program for the Epidemiological Evaluation of Stroke in Tandil, Argentina (PREVISTA) Study: Rationale and Design , 2013, International journal of stroke : official journal of the International Stroke Society.