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Updated: Aug 1, 2026

Pulse Wave Velocity Testing in the Baltimore Longitudinal Study of Aging
Published on: February 7, 2014
Aortic distensibility measured by pulse-wave velocity is not modified in patients with Chagas' disease
Humberto Villacorta1, Luiz Aparecido Bortolotto, Edmundo Arteaga
1Heart Institute (InCor), University of São Paulo, Medical School, São Paulo, Brazil. huvillacorta@globo.com
Insights
Chagas
Area of Science:
- Cardiovascular Research
- Infectious Diseases
- Vascular Biology
Background:
- Trypanosoma cruzi infection is known to cause vasculitis.
- Inflammation may reduce arterial distensibility in advanced Chagas' disease.
- This study investigated arterial elasticity in Chagas' disease patients.
Purpose of the Study:
- To test the hypothesis that Chagas' disease affects large artery distensibility.
- To evaluate arterial stiffness using pulse-wave velocity measurements.
Main Methods:
- Carotid-femoral pulse-wave velocity (PWV) measured in 53 Chagas' disease patients and 31 healthy controls.
- Patients categorized into indeterminate, asymptomatic, and heart failure groups.
- PWV and pulse pressure compared across groups.
Main Results:
- No significant difference in PWV or pulse pressure was observed between Chagas' disease patients and controls.
- PWV correlated positively with age and systolic blood pressure in both groups.
- Arterial stiffness did not differ across disease severity within the Chagas' disease cohort.
Conclusions:
- Carotid-femoral pulse-wave velocity is not altered in Chagas' disease patients.
- The elastic properties of large arteries appear unaffected in this disorder.
- Vasculitis associated with T. cruzi may not impact large artery compliance.
Background:
Experimental studies demonstrate that infection with trypanosoma cruzi causes vasculitis. The inflammatory lesion process could hypothetically lead to decreased distensibility of large and small arteries in advanced Chagas' disease. We tested this hypothesis.
Methods And Results:
We evaluated carotid-femoral pulse-wave velocity (PWV) in 53 Chagas' disease patients compared with 31 healthy volunteers (control group). The 53 patients were classified into 3 groups: 1) 16 with indeterminate form of Chagas' disease; 2) 18 with Chagas' disease, electrocardiographic abnormalities, and normal systolic function; 3) 19 with Chagas' disease, systolic dysfunction, and mild-to-moderate congestive heart failure. No difference was noted between the 4 groups regarding carotid-femoral PWV (8.4 +/- 1.1 vs 8.2 +/- 1.5 vs 8.2 +/- 1.4 vs 8.7 +/- 1.6 m/s, P = 0.6) or pulse pressure (39.5 +/- 7.6 vs 39.3 +/- 8.1 vs 39.5 +/- 7.4 vs 39.7 +/- 6.9 mm Hg, P = 0.9). A positive, significant, similar correlation occurred between PWV and age in patients with Chagas' disease (r = 0.42, P = 0.002), in controls (r = 0.48, P = 0.006), and also between PWV and systolic blood pressure in both groups (patients with Chagas' disease, r = 0.38, P = 0.005; healthy subjects, r = 0.36, P = 0.043).
Conclusion:
Carotid femoral pulse-wave velocity is not modified in patients with Chagas' disease, suggesting that elastic properties of large arteries are not affected in this disorder.
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