Reduced ascending aortic strain and distensibility: earliest manifestations of vascular aging in humans.
Arterial stiffness predicts cardiovascular events beyond traditional risk factors. However, the relationship with aging of novel noninvasive measures of aortic function by MRI and their interrelationship with established markers of vascular stiffness remain unclear and currently limit their potential impact. Our aim was to compare age-related changes of central measures of aortic function with carotid distensibility, global carotid-femoral pulse wave velocity, and wave reflections. We determined aortic strain, distensibility, and aortic arch pulse wave velocity by MRI, carotid distensibility by ultrasound, and carotid-femoral pulse wave velocity by tonometry in 111 asymptomatic subjects (54 men, age range: 20 to 84 years). Central pressures were used to calculate aortic distensibility. Peripheral and central pulse pressure, augmentation index, and carotid-femoral pulse wave velocity increased with age, but aortic strain and aortic arch PWV were most closely and specifically related to aging. Ascending aortic (AA) strain and distensibility decreased, respectively, by 5.3+/-0.5% (R(2)=0.54, P<0.0001) and 13.6+/-1 kPa(-1)x10(-3) (R(2)=0.62, P<0.0001), and aortic arch pulse wave velocity increased by 1.6+/-0.13 m/sec (R(2)=0.60, P<0.0001) for each decade of age after adjustment for gender, body size, and heart rate. We demonstrate in this study a dramatic decrease in AA distensibility before the fifth decade of life in individuals with diverse prevalence of risk factors free of overt cardiovascular disease. In particular, compared with other measures of aortic function, the best markers of subclinical large artery stiffening, were AA distensibility in younger and aortic arch pulse wave velocity in older individuals.
Redheuil
Alban
A
Division of Cardiology, Johns Hopkins University, Baltimore, Md 21287, USA.
Yu
Wen-Chung
WC
Wu
Colin O
CO
Mousseaux
Elie
E
de Cesare
Alain
A
Yan
Raymond
R
Kachenoura
Nadjia
N
Bluemke
David
D
Lima
Joao A C
JA
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology*; D000704:Analysis of Variance; D001011:Aorta / Q000502:physiology / Q000503:physiopathology*; D001783:Blood Flow Velocity; D001794:Blood Pressure; D001795:Blood Pressure Determination; D004548:Elasticity; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008365:Manometry; D008875:Middle Aged; D011336:Probability; D011673:Pulsatile Flow; D012307:Risk Factors; D012494:Sampling Studies; D014655:Vascular Resistance / Q000502:physiology*; D014661:Vasoconstriction / Q000502:physiology; D014664:Vasodilation / Q000502:physiology; D055815:Young Adult