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Gender Related Association between Arterial Stiffness and Aortic Root Geometry

BACKGROUND: The gender-related change in aortic morphology by arterial stiffness has not been well studied. This study was performed to investigate the association between brachial-ankle pulse wave velocity (baPWV) and aortic root size according to gender. METHODS: A total of 263 consecutive subject...

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Autores principales: Ki, You-Jeong, Kim, Hack-Lyoung, Oh, Sohee, Jeon, Won-Kyeong, Rhee, Tae-Min, Lim, Woo-Hyun, Seo, Jae-Bin, Kim, Sang-Hyun, Kim, Myung-A, Zo, Joo-Hee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Echocardiography 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358431/
https://www.ncbi.nlm.nih.gov/pubmed/30701711
http://dx.doi.org/10.4250/jcvi.2019.27.e3
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author Ki, You-Jeong
Kim, Hack-Lyoung
Oh, Sohee
Jeon, Won-Kyeong
Rhee, Tae-Min
Lim, Woo-Hyun
Seo, Jae-Bin
Kim, Sang-Hyun
Kim, Myung-A
Zo, Joo-Hee
author_facet Ki, You-Jeong
Kim, Hack-Lyoung
Oh, Sohee
Jeon, Won-Kyeong
Rhee, Tae-Min
Lim, Woo-Hyun
Seo, Jae-Bin
Kim, Sang-Hyun
Kim, Myung-A
Zo, Joo-Hee
author_sort Ki, You-Jeong
collection PubMed
description BACKGROUND: The gender-related change in aortic morphology by arterial stiffness has not been well studied. This study was performed to investigate the association between brachial-ankle pulse wave velocity (baPWV) and aortic root size according to gender. METHODS: A total of 263 consecutive subjects (63.2 ± 10.6 years, 71.1% men) without overt cardiovascular disease who underwent both baPWV measurement and transthoracic echocardiography on the same day were retrospectively analyzed. The diameters of the aortic annulus (AN), sinus of Valsalva (SV), sinotubular junction (STJ), and ascending aorta (AA) were measured using 2-dimensional echocardiography. RESULTS: The body surface area (BSA)-corrected diameters of AN, SV, STJ, and AA were significantly higher in women than in men. Univariable analyses showed that baPWV was significantly correlated with SV/BSA and STJ/BSA in men, and with SV/BSA, STJ/BSA, and AA/BSA in women (p < 0.05 for each). In men, however, these associations disappeared in multiple linear regression models after controlling for potential confounders (p > 0.05 for each). In women, the associations of baPWV with diameters of STJ/BSA (β = 0.407, p < 0.001) and AA/BSA (β = 0.391, p = 0.005) remained significant in the same multivariate models. Women-specific correlation between aortic root size and baPWV was also similarly demonstrated in age-matched analyses (n = 61 in each gender). CONCLUSIONS: Among Korean adult without overt cardiovascular disease, the association between increased arterial stiffness and aortic root dilatation is stronger in women than in men.
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spelling pubmed-63584312019-02-08 Gender Related Association between Arterial Stiffness and Aortic Root Geometry Ki, You-Jeong Kim, Hack-Lyoung Oh, Sohee Jeon, Won-Kyeong Rhee, Tae-Min Lim, Woo-Hyun Seo, Jae-Bin Kim, Sang-Hyun Kim, Myung-A Zo, Joo-Hee J Cardiovasc Imaging Original Article BACKGROUND: The gender-related change in aortic morphology by arterial stiffness has not been well studied. This study was performed to investigate the association between brachial-ankle pulse wave velocity (baPWV) and aortic root size according to gender. METHODS: A total of 263 consecutive subjects (63.2 ± 10.6 years, 71.1% men) without overt cardiovascular disease who underwent both baPWV measurement and transthoracic echocardiography on the same day were retrospectively analyzed. The diameters of the aortic annulus (AN), sinus of Valsalva (SV), sinotubular junction (STJ), and ascending aorta (AA) were measured using 2-dimensional echocardiography. RESULTS: The body surface area (BSA)-corrected diameters of AN, SV, STJ, and AA were significantly higher in women than in men. Univariable analyses showed that baPWV was significantly correlated with SV/BSA and STJ/BSA in men, and with SV/BSA, STJ/BSA, and AA/BSA in women (p < 0.05 for each). In men, however, these associations disappeared in multiple linear regression models after controlling for potential confounders (p > 0.05 for each). In women, the associations of baPWV with diameters of STJ/BSA (β = 0.407, p < 0.001) and AA/BSA (β = 0.391, p = 0.005) remained significant in the same multivariate models. Women-specific correlation between aortic root size and baPWV was also similarly demonstrated in age-matched analyses (n = 61 in each gender). CONCLUSIONS: Among Korean adult without overt cardiovascular disease, the association between increased arterial stiffness and aortic root dilatation is stronger in women than in men. Korean Society of Echocardiography 2019-01 2019-01-03 /pmc/articles/PMC6358431/ /pubmed/30701711 http://dx.doi.org/10.4250/jcvi.2019.27.e3 Text en Copyright © 2019 Korean Society of Echocardiography https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Ki, You-Jeong
Kim, Hack-Lyoung
Oh, Sohee
Jeon, Won-Kyeong
Rhee, Tae-Min
Lim, Woo-Hyun
Seo, Jae-Bin
Kim, Sang-Hyun
Kim, Myung-A
Zo, Joo-Hee
Gender Related Association between Arterial Stiffness and Aortic Root Geometry
title Gender Related Association between Arterial Stiffness and Aortic Root Geometry
title_full Gender Related Association between Arterial Stiffness and Aortic Root Geometry
title_fullStr Gender Related Association between Arterial Stiffness and Aortic Root Geometry
title_full_unstemmed Gender Related Association between Arterial Stiffness and Aortic Root Geometry
title_short Gender Related Association between Arterial Stiffness and Aortic Root Geometry
title_sort gender related association between arterial stiffness and aortic root geometry
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358431/
https://www.ncbi.nlm.nih.gov/pubmed/30701711
http://dx.doi.org/10.4250/jcvi.2019.27.e3
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