Arterial stiffness is associated with regional ventricular systolic and diastolic dysfunction: the Multi-Ethnic Study

Verônica Rolim S Fernandes1, Joseph F Polak, Susan Cheng

  • 1Division of Cardiology, Johns Hopkins University, Baltimore, MD 21287, USA. jlima@jhmi.edu

Insights

Arterial stiffness is linked to impaired systolic and diastolic heart function, even before symptoms appear. This highlights the importance of vascular compliance in maintaining overall cardiac health.

Area of Science:

  • Cardiovascular Imaging
  • Vascular Physiology
  • Cardiac Mechanics

Background:

  • Left ventricular (LV) dysfunction with preserved ejection fraction (EF) has unclear pathophysiology.
  • Limited research exists on the relationship between arterial compliance and LV function in humans.
  • No prior studies utilized cardiovascular magnetic resonance (CMR) imaging to explore this connection.

Purpose of the Study:

  • To investigate the association between arterial compliance and regional myocardial function.
  • To determine if arterial stiffness impacts systolic and diastolic strain rates.
  • To explore this relationship in participants of the Multi-Ethnic Study of Atherosclerosis (MESA).

Main Methods:

  • Arterial compliance measured via carotid ultrasound (distensibility coefficient [DC], Young's modulus [YM]).
  • Regional myocardial function assessed using circumferential systolic (SR(S)) and diastolic (SR(E)) strain rates derived from tagged CMR.
  • Statistical analyses adjusted for cardiovascular risk factors and LV mass.

Main Results:

  • Significant associations found between arterial compliance and SR(S) across all myocardial regions.
  • Arterial compliance correlated with SR(E) in the lateral and septal walls.
  • A direct linear relationship between carotid artery DC and SR(S) persisted after multivariable adjustment.

Conclusions:

  • Arterial stiffness is associated with early, asymptomatic impairment of both systolic and diastolic myocardial function.
  • Vascular compliance plays a role in the development of ventricular dysfunction.
  • Further research is required to fully understand the impact of vascular compliance on heart failure development.
Abstract

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