Skip to main content

Advertisement

Log in

Measurement of carotid pulse wave velocity using ultrafast ultrasound imaging in hypertensive patients

  • Original Article
  • Published:
Journal of Medical Ultrasonics Aims and scope Submit manuscript

Abstract

Purpose

The study aimed to assess the utility of ultrafast ultrasound imaging for evaluation of carotid pulse wave velocity (PWV) in newly diagnosed hypertension patients.

Methods

This prospective non-randomized study enrolled 90 hypertensive patients in our hospital from September to December 2013 as a hypertension group. An age- and sex-matched cohort of 50 healthy adults in our hospital from September to December 2013 was also included in the study as a control group. Carotid PWV at the beginning and at the end of systole (PWV-BS and PWV-ES, respectively) and intima-media thickness (IMT) were measured by ultrafast ultrasound imaging technology. The associations of PWV-BS, PWV-ES, and IMT with hypertension stage were evaluated by Spearman correlation analysis.

Results

PWV-BS and PWV-ES in the hypertension group were significantly elevated compared with those in control group. Different hypertension stages significantly differed in PWV-BS and PWV-ES. PWV-BS and PWV-ES appeared to increase with the hypertension stage. Moreover, IMT, PWV-BS, and PWV-ES were positively correlated with the hypertension stage in hypertensive patients.

Conclusion

Ultrafast ultrasound imaging was a valid and convenient method for the measurement of carotid PWV in hypertensive patients. Ultrafast ultrasound imaging might be recommended as a promising alternative method for early detection of arterial abnormality in clinical practice.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Organization WH. A global brief on hypertension: silent killer, global public health crisis. Geneva: WHO; 2013. http://www.who.int/iris/handle/10665/79059

  2. Mancia G, Fagard R, Narkiewicz K, et al. 2013 ESH/ESC guidelines for the management of arterial hypertension: the Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). Blood Press. 2013;22:193–278.

    Article  Google Scholar 

  3. Li H, Liu F, Xi B. Control of hypertension in China: challenging. Int J Cardiol. 2014;174:797.

    Article  PubMed  Google Scholar 

  4. Chow CK, Teo KK, Rangarajan S, et al. Prevalence, awareness, treatment, and control of hypertension in rural and urban communities in high-, middle-, and low-income countries. JAMA. 2013;310:959–68.

    Article  CAS  PubMed  Google Scholar 

  5. van Popele NM, Grobbee DE, Bots ML, et al. Association between arterial stiffness and atherosclerosis The Rotterdam Study. Stroke. 2001;32:454–60.

    Article  PubMed  Google Scholar 

  6. Chirinos J. Arterial stiffness: basic concepts and measurement techniques. J Cardiovasc Transl Res. 2012;5:243.

    Article  PubMed  Google Scholar 

  7. Mitchell GF. Arterial stiffness and hypertension. Hypertension. 2014;64:37–46.

    Google Scholar 

  8. Davies JI, Struthers AD. Pulse wave analysis and pulse wave velocity: a critical review of their strengths and weaknesses. J Hypertens. 2003;21:463–72.

    Article  CAS  PubMed  Google Scholar 

  9. Montaldo G, Tanter M, Bercoff J, et al. Coherent plane-wave compounding for very high frame rate ultrasonography and transient elastography. IEEE Trans Ultrason Ferroelectr Freq Control. 2009;56:489–506.

    Article  PubMed  Google Scholar 

  10. Van Bortel LM, Laurent S, Boutouyrie P, et al. Expert consensus document on the measurement of aortic stiffness in daily practice using carotid-femoral pulse wave velocity. J Hypertens. 2012;30:445–8.

    Article  PubMed  Google Scholar 

  11. Tine WH, Staessen JA, Christian TP, et al. Prognostic value of aortic pulse wave velocity as index of arterial stiffness in the general population. Circulation. 2006;113:664–70.

    Article  Google Scholar 

  12. Kim ST, Najjar SS, Boudreau RM, et al. Elevated aortic pulse wave velocity, a marker of arterial stiffness, predicts cardiovascular events in well-functioning older adults. Circulation. 2006;111:3384–90.

    Google Scholar 

  13. Messas E, Pernot M, Couade M. Arterial wall elasticity: state of the art and future prospects. Diagn Interv Imaging. 2013;94:561–9.

    Article  CAS  PubMed  Google Scholar 

  14. Tanter M, Fink M. Ultrafast imaging in biomedical ultrasound. Ultrason Ferroelectr Freq Control IEEE Trans. 2014;61:102–19.

    Article  Google Scholar 

  15. Montaldo G, Tanter M, Bercoff J, et al. Coherent plane-wave compounding for very high frame rate ultrasonography and transient elastography. Ultrason Ferroelectr Freq Control IEEE Trans. 2009;56:489–506.

    Article  Google Scholar 

  16. Mirault T, Papadacci C, Dizier BT, et al. Non invasive and real time evaluation of mice aortic stiffness by ultrafast ultrasound imaging: a new tool for evaluation of preclinical vascular disease models. Eur Heart J. 2013;34:P2527.

    Article  Google Scholar 

  17. Couade M, Pernot M, Messas E, et al. Ultrafast imaging of the arterial pulse wave. Irbm. 2011;32:106–8.

    Article  Google Scholar 

  18. Couade M, Flanagan C, Lee WN, et al. Evaluation of local arterial stiffness using ultrafast imaging: a comparative study using local arterial pulse wave velocity estimation and shear wave imaging. Ultrasonics Symposium (IUS), 2010 IEEE; 2010: IEEE.

  19. Gu D, Reynolds K, Wu X, et al. Prevalence, awareness, treatment, and control of hypertension in China. Hypertension. 2002;40:920–7.

    Article  CAS  PubMed  Google Scholar 

  20. Schlaich M, Hering D. Central arteriovenous anastomosis in resistant hypertension? Lancet. 2015;385:1596–7.

    Article  PubMed  Google Scholar 

  21. Asmar R, Topouchian J, Pannier B, et al. Pulse wave velocity as endpoint in large-scale intervention trial. The Complior® study. J Hypertens. 2001;19:813–8.

    Article  CAS  PubMed  Google Scholar 

  22. Hermeling E, Reesink KD, Kornmann LM. The dicrotic notch as alternative time-reference point to measure local pulse wave velocity in the carotid artery by means of ultrasonography. J Hypertens. 2009;27:2028–35.

    Article  CAS  PubMed  Google Scholar 

  23. Blacher J, Asmar R, Djane S, et al. Aortic pulse wave velocity as a marker of cardiovascular risk in hypertensive patients. Hypertension. 1999;33:1111–7.

    Article  CAS  PubMed  Google Scholar 

  24. Ben-Shlomo Y, Spears M, Boustred C, et al. Aortic pulse wave velocity improves cardiovascular event prediction: an individual participant meta-analysis of prospective observational data from 17,635 subjects. J Am Coll Cardiol. 2014;63:636–46.

    Article  PubMed  Google Scholar 

  25. Lurbe E, Torro I, Garcia-Vicent C, et al. Blood pressure and obesity exert independent influences on pulse wave velocity in youth. Hypertension. 2012;60:550–5.

    Article  CAS  PubMed  Google Scholar 

  26. Asmar R, Benetos A, Topouchian J, et al. Assessment of arterial distensibility by automatic pulse wave velocity measurement validation and clinical application studies. Hypertension. 1995;26:485–90.

    Article  CAS  PubMed  Google Scholar 

  27. Sueta D, Yamamoto E, Tanaka T, et al. Association of estimated central blood pressure measured non-invasively with pulse wave velocity in patients with coronary artery disease. Ijc Heart Vasc. 2015;55:52–4.

    Article  Google Scholar 

  28. Zureik FZM. Mannheim carotid intima-media thickness consensus (2004–2006). Cerebrovasc Dis. 2007;23:75–80.

    PubMed  Google Scholar 

  29. Lande MB, Carson NL, Roy J, et al. Effects of childhood primary hypertension on carotid intima media thickness a matched controlled study. Hypertension. 2006;48:40–4.

    Article  CAS  PubMed  Google Scholar 

  30. Gil TY, Sung CY, Shim SS, et al. Intima-media thickness and pulse wave velocity in hypertensive adolescents. J Korean Med Sci. 2008;23:35–40.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Koivistoinen T, Virtanen M, Hutri-Kähönen N, et al. Arterial pulse wave velocity in relation to carotid intima-media thickness, brachial flow-mediated dilation and carotid artery distensibility: the Cardiovascular Risk in Young Finns Study and the Health 2000 Survey. Atherosclerosis. 2012;220:387–93.

    Article  CAS  PubMed  Google Scholar 

  32. Safar ME, Blacher J, Protogerou A, et al. Arterial stiffness and central hemodynamics in treated hypertensive subjects according to brachial blood pressure classification. J Hypertens. 2008;26:130–7.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Qi Zhou.

Ethics declarations

Conflict of interest

None.

Ethical statements

The study was approved by the medical ethics committee of the Second Affiliated Hospital of Xi’an Jiaotong University, and written informed consent was received from each participant.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Li, X., Jiang, J., Zhang, H. et al. Measurement of carotid pulse wave velocity using ultrafast ultrasound imaging in hypertensive patients. J Med Ultrasonics 44, 183–190 (2017). https://doi.org/10.1007/s10396-016-0755-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10396-016-0755-4

Keywords

Navigation