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Arterial stiffness and left-ventricular diastolic dysfunction: Guangzhou Biobank Cohort Study-CVD

Journal of Human Hypertension volume 25, pages 152–158 (2011)Cite this article

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Abstract

Brachial–ankle pulse wave velocity (baPWV), a marker of arterial stiffness, is an established cardiovascular risk factor of ventricular stiffening. We studied the association of baPWV with left-ventricular (LV) diastolic function in a sub-study of the Guangzhou Biobank Cohort Study. In all, 378 Chinese subjects with a normal ejection fraction (>50%) had baPWV measurement by a noninvasive automatic waveform analyser, carotid intima-medial thickness (IMT) measurement by B-mode ultrasonography and cardiac diastolic function assessment by echocardiography. After adjusting for age, both baPWV and IMT were associated with LV mass index, posterior wall end-diastolic thickness and inter-ventricular end-diastolic thickness, but only baPWV was associated with deceleration time, atrial flow velocity and E/A ratio. Multivariable linear regression model showed that baPWV and mean arterial pressure, but not IMT, were significantly associated with E/A ratio (β=−0.02, P=0.03 and β=−0.36, P=0.02, respectively). The receiver operator characteristic curve showed that baPWV was better than pulse pressure or mean arterial pressure to detect LV diastolic dysfunction (E/A<1.0). Our study suggested that increased baPWV might be an independent risk factor or marker for diastolic dysfunction. Early detection of an intervention on increased baPWV may be important for prevention of cardiac diastolic dysfunction.

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Acknowledgements

The study is funded by the National Natural Science Foundation of China/Research Grants Council (No. 30518001; HKU720/05) Grant. The main cohort study was funded by The University of Hong Kong Foundation for Education and Science, Hong Kong; Guangzhou Public Health Bureau, and Guangzhou Science and Technology Committee, Guangzhou, China; and The University of Birmingham, UK. The Guangzhou Cohort Study-Cardiovascular Disease Subcohort (GBCS-CVD) investigators include Guangzhou No. 12 Hospital: Jie Ming Lin, Bin Liu, Xiao Jun Yue, Chao Qiang Jiang (co-PI); The University of Hong Kong: Tai Hing Lam (co-PI); The Chinese University of Hong Kong: Brian Tomlinson, Ka Sing Wong; The University of Birmingham: Bernard MY Cheung, Shahrad Taheri, Paramjit Gill, Greg YH Lip, Kar Keung Cheng, G Neil Thomas (co-PI).

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Authors and Affiliations

  1. Department of Community Medicine, School of Public Health, University of Hong Kong, Hong Kong, PR China

    L Xu & T H Lam

  2. Guangzhou No.12 Hospital, Guangzhou, PR China

    L Xu, C Q Jiang, X J Yue, J M Lin, B Liu, Y Li Jin & W S Zhang

  3. Public Health, Epidemiology, and Biostatistics, University of Birmingham, Birmingham, UK

    K K Cheng & G N Thomas

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  1. L Xu
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Correspondence to T H Lam.

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Xu, L., Jiang, C., Lam, T. et al. Arterial stiffness and left-ventricular diastolic dysfunction: Guangzhou Biobank Cohort Study-CVD. J Hum Hypertens 25, 152–158 (2011). https://doi.org/10.1038/jhh.2010.44

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