Assessment of the relationship between aortic pulse wave velocity and aortic arch calcification

Serkan Oztürk1, Davut Baltacı, Suzi Selim Ayhan

  • 1Department of Cardiology, Abant İzzet Baysal University, Bolu, Turkey. drserkan69@hotmail.com

Insights

Aortic calcification is linked to increased aortic pulse wave velocity (PWV), a key indicator of arterial stiffness. This study highlights the association between calcification and cardiovascular health markers.

Area of Science:

  • Cardiovascular Medicine
  • Radiology
  • Vascular Biology

Background:

  • Aortic calcification is a marker of atherosclerosis.
  • Arterial stiffness is an independent predictor of cardiovascular events.
  • The relationship between aortic calcification and arterial stiffness requires further investigation.

Purpose of the Study:

  • To assess arterial stiffness parameters in patients with and without aortic arch calcification.
  • To investigate the relationship between aortic calcification and arterial stiffness.

Main Methods:

  • Chest X-ray was used to identify aortic arch calcification.
  • Arterial stiffness parameters including aortic pulse wave velocity (PWV), augmentation pressure (AP), augmentation index (AIx), and AIx@75 were measured non-invasively.
  • Patients with symptomatic vascular disease were excluded.

Main Results:

  • Patients with aortic arch calcification (Group I) showed significantly higher AP (p=0.002) and aortic PWV (p<0.0001) compared to controls (Group II).
  • AIx and AIx@75 were similar between the groups.
  • No significant differences in demographic characteristics, medications, or serum lipids were observed.

Conclusions:

  • Aortic calcification, identified by chest radiography, is associated with increased aortic PWV.
  • This suggests that aortic calcification may contribute to heightened arterial stiffness.
Abstract

Related Concept Videos

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Assessment of apical radial pulse01:25

Assessment of apical radial pulse

Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...