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Measurement of the local aortic stiffness by a non-invasive bioelectrical impedance technique

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Abstract

Aortic stiffness measurement is well recognized as an independent predictor of cardiovascular mortality and morbidity. Recently, a simple method has been proposed for the evaluation of the local aortic stiffness (AoStiff) using a non-invasive bioelectrical impedance (BI) technique. This approach relies on a novel interpretation of the arterial stiffness where AoStiff is computed from the measurement of two new BI variables: (1) the local aortic flow resistance (AoRes) exerted by the drag forces onto the flow; (2) the local aortic wall distensibility (AoDist). Herein, we propose to detail and compare these three indices with the reference pulse wave velocity (PWV) measurement and the direct assessment of the aortic drag forces (DF) and distensibility (DS) obtained by the magnetic resonance imaging technique. Our results show a significant correlation between AoStiff and PWV (r = 0.79; P < 0.0001; 120 patients at rest; mean age 44 ± 16 years), and also between AoRes and DF (r = 0.95; P = 0.0011) and between AoDist and DS (r = 0.93; P = 0.0022) on eight patients at rest (mean age 52 ± 19 years). These first results suggest that local aortic stiffness can be explored reliably by the BI technique.

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References

  1. Avolio A, Westerhof BE, Siebes M, Tyberg JV (2009) Arterial hemodynamics and wave analysis in the frequency and time domains: an evaluation of the paradigms. Med Biol Eng Comput 47(2):107–110

    Article  PubMed  Google Scholar 

  2. Batchelor G (2000) An introduction to fluid dynamics, 2nd edn. Cambridge Mathematical Library, Cambridge University Press, Cambridge

  3. Benetos A, Waeber B, Izzo J, Mitchell G, Resnick L, Asmar R, Safar M (2002) Influence of age, risk factors, and cardiovascular and renal disease on arterial stiffness: clinical applications. Am J Hypertens 15(12):1101–1118

    Article  PubMed  Google Scholar 

  4. Bergel DH (1961) The dynamic elastic properties of the arterial wall. J Physiol 156:458–469

    PubMed  CAS  Google Scholar 

  5. Bernstein DP (1986) A new stroke volume equation for thoracic electrical bioimpedance: theory and rationale. Crit Care Med 14:904–909

    Article  PubMed  CAS  Google Scholar 

  6. Blacher J, Jafar ME (2005) Large-artery stiffness, hypertension, and cardiovascular risk in older patients. Nat Clin Pract Cardiovasc Med 2:450–455

    Article  PubMed  Google Scholar 

  7. Collette M, Humeau A, Abraham P (2008) Time and spatial invariance of impedance signals in limbs of healthy subjects by time-frequency analysis. Ann Biomed Eng 36:444–451

    Article  PubMed  Google Scholar 

  8. Collette M, Leftheriotis G, Humeau A (2008) Procédé de mesure d’un indice de la rigidité locale de la paroi d’une artère de conduction et installation correspondante. Patent application No.WO 2010/070131 A1

  9. Collette M, Leftheriotis G, Humeau A (2009) Modeling and interpretation of the bioelectrical impedance signal for the determination of the local arterial stiffness. Med Phys 36:4340–4348

    Article  PubMed  Google Scholar 

  10. Cunningham KS, Gotlieb AI (2005) The role of shear stress in the pathogenesis of atherosclerosis. Lab Invest 85:9–23

    Article  PubMed  CAS  Google Scholar 

  11. Gamble G, Zorn J, Sanders G, MacMahon S, Sharpe N (1994) Estimation of arterial stiffness, compliance, and distensibility from M-mode ultrasound measurements of the common carotid artery. Stroke 25:11–16

    PubMed  CAS  Google Scholar 

  12. Gatehouse PD, Keegan J, Crowe LA, Masood S, Mohiaddin RH, Kreitner KF, Firmin DN (2005) Applications of phase-contrast flow and velocity imaging in cardiovascular MRI. Eur Radiol 15:2172–2184

    Article  PubMed  Google Scholar 

  13. Hirata K, Kawakami M, O’Rouke MF (2006) Pulse wave analysis and pulse wave velocity—A review of blood pressure interpretation 100 years after Korotkov. Circ J 70:1231–1239

    Article  PubMed  Google Scholar 

  14. Hosoda Y, Kawano K, Yamasawa F, Ishii T, Shibata T, Inayama S (1984) Age-dependent changes of collagen and elastin content in human aorta and pulmonary artery. Angiology 35:615–621

    Article  PubMed  CAS  Google Scholar 

  15. Karamanoglu M, O’Rourke MF, Avolio AP, Kelly RP (1933) An analysis of the relationship between central aortic and peripheral upper limb pressure waves in man. Eur Heart J 14:160–167

    Google Scholar 

  16. Kelly R, Hayward C, Ganis J, Daley J, Avolio A, O’Rourke MF (1989) Non-invasive registration of the arterial pressure pulse waveform using high-fidelity applanation tonometry. J Vasc Med Biol 3:142–149

    Google Scholar 

  17. Kubicek WG, Karnegis JN, Patterson RP, Witsoe DA, Mattson RH (1966) Development and evaluation of an impedance cardiac output system. Aerosp Med 37:1208–1212

    PubMed  CAS  Google Scholar 

  18. Latham RD, Westerhof N, Spikema P, Rubal BJ, Reuderink P, Murgo JP (1985) Regional wave travel and reflections along the human aorta: a study with six simultaneous micromanometric pressures. Circulation 72:1257–1269

    PubMed  CAS  Google Scholar 

  19. Laurent S, Boutouyrie P, Asmar R, Gautier I, Laloux B, Guize L, Ducimetiere P, Benetos A (2001) Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients. Hypertension 37:1236–1241

    PubMed  CAS  Google Scholar 

  20. Laurent S, Boutouyrie P, Lacolley P (2005) Structural and genetic bases of arterial stiffness. Hypertension 45:1050–1055

    Article  PubMed  CAS  Google Scholar 

  21. Laurent S, Ai T, Boutouyrie P (2006) Pulse pressure reduction and cardiovascular protection. J Hypertens (Suppl) 24:S13–S18

    Article  CAS  Google Scholar 

  22. Laurent S, Cockcroft J, Van Bortel L, Boutouyrie P, Giannattasio C, Hayoz D, Pannier B, Vlachopoulos C, Wilkinson I, Struijker-Boudier H (2006) Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J 27:2588–2605

    Article  PubMed  Google Scholar 

  23. Mercier N, Osborne-Pellegrin M, El Hadri K, Kakou A, Labat C, Loufrani L (2006) Carotid arterial stiffness, elastic fibre network and vasoreactivity in semicarbazide-sensitive amine-oxidase null mouse. Cardiovasc Res 72:349–357

    Article  PubMed  CAS  Google Scholar 

  24. Mitchell GF (2009) Clinical achievements of impedance analysis. Med Biol Eng Comput 47(2):153–163

    Article  PubMed  Google Scholar 

  25. Munson BR, Young DF, Okiishi TH (1998) Fundamentals of fluid mechanics, 3rd edn. Wiley, New York

  26. Nichols W, O’Rourke MF (2005) McDonald’s blood flow in arteries, 5th edn. Arnold, London

    Google Scholar 

  27. O’Rourke MF (2009) Time domain analysis of the arterial pulse in clinical medicine. Med Biol Eng Comput 47(2):119–129

    Article  PubMed  Google Scholar 

  28. O’Rourke MF, Mancia G (1999) Aterial stiffness. J Hypertens 17:1–4

    Article  PubMed  Google Scholar 

  29. Painter PR (2008) The velocity of the arterial pulse wave: a viscous-fluid shock wave in an elastic tube. Theor Biol Med Model 29:5–15

    Google Scholar 

  30. Rose JL, Lalande A, Walker P, Bouchot O, Steinmetz E, Legrand L, Voisin Y, Wolf JE, Brunotte F (2005) Automatic detection of vessel wall contours from cine-MRI for aortic compliance determination. IEEE Comput Cardiol 32:411–414

    Article  Google Scholar 

  31. Rose JL, Lalande A, Bouchot O, Bourennane el-B, Walker PM, Ugolini P, Revol-Muller C, Cartier R, Brunotte F (2010) Influence of age and sex on aortic distensibility assessed by MRI in healthy subjects. Magn Reson Imaging 28(2):255–263

    Google Scholar 

  32. Roshko A (1960) Experiments on the flow past a circular cylinder at very high Reynolds number. J Fluid Mech 10:345–356

    Article  Google Scholar 

  33. Salvi P, Lio G, Labat C, Ricci E, Pannier B, Benetos A (2004) Validation of a new non-invasive portable tonometer for determining arterial pressure wave and pulse wave velocity: the PulsePen device. J Hypertens 22:2285–2293

    Article  PubMed  CAS  Google Scholar 

  34. Stefanadis C, Dernellis J, Tsiamis E, Stratos C, Diamantopoulos L, Michaelides A, Toutouzas P (2000) Aortic stiffness as a risk factor for recurrent acute coronary events in patients with ischaemic heart disease. Eur Heart J 21(5):390–396

    Article  PubMed  CAS  Google Scholar 

  35. Tan KH, Lai FO, Hwang NC (2006) Measurement of cardiac output using Physio Flow with different positions of electrode placement. Singapore Med J 47:967–970

    PubMed  CAS  Google Scholar 

Download references

Acknowledgments

Mathieu COLLETTE was supported by a grant from the University of Angers, France. This project was financed by a grant from the regional clinical research program PHRC No. 2006/10. The authors would like to thank the Clinical Research Center of Angers (France) for its help in the monitoring and data-management of the project.

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Correspondence to Mathieu Collette.

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Collette, M., Lalande, A., Willoteaux, S. et al. Measurement of the local aortic stiffness by a non-invasive bioelectrical impedance technique. Med Biol Eng Comput 49, 431–439 (2011). https://doi.org/10.1007/s11517-011-0741-3

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  • DOI: https://doi.org/10.1007/s11517-011-0741-3

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