Relation of arterial stiffness to left ventricular structure and function in healthy women

Jing Zhang1,2, Philip J Chowienczyk3, Tim D Spector4

  • 1Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.

Cardiovascular Ultrasound
|September 26, 2018
PubMed

Insights

Arterial stiffness is linked to changes in left ventricular (LV) twisting in healthy women, even before dysfunction is apparent. This highlights the importance of assessing ventricular-arterial coupling in cardiovascular health.

Area of Science:

  • Cardiovascular Physiology
  • Biomedical Engineering
  • Clinical Cardiology

Background:

  • Ventricular-arterial coupling is crucial for cardiovascular function.
  • Existing research often overlooks the impact of isolated arterial stiffness on the left ventricle (LV).
  • This study focuses on healthy women with minimal cardiovascular risk factors.

Purpose of the Study:

  • To investigate the relationship between arterial stiffness and LV structure and function.
  • To assess these associations in a cohort of healthy women with a low burden of cardiovascular risk factors.

Main Methods:

  • Carotid-femoral pulse wave velocity (cf-PWV) was used to measure arterial stiffness.
  • Two-dimensional speckle tracking echocardiography assessed LV structure and function.
  • The study included 147 healthy women from the Twins UK cohort.

Main Results:

  • Arterial stiffness (cf-PWV) correlated with LV geometry (relative wall thickness) and function (E/e' ratio, circumferential and radial strain, apical rotation, LV twist).
  • No significant association was found with global longitudinal strain.
  • After adjusting for covariates, cf-PWV remained significantly correlated with LV relative wall thickness, global circumferential strain, apical rotation, and LV twist.

Conclusions:

  • Elevated arterial stiffness is closely associated with increased LV twisting in healthy women.
  • These changes occur before the onset of clinically evident LV dysfunction.
  • Findings underscore the significance of ventricular-arterial coupling in maintaining cardiovascular health.
Abstract

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