Effects of mind-body practice on arterial stiffness, central hemodynamic parameters and cardiac autonomic function of college students

Arterial stiffness is increased in type 1 diabetes (T1D), before any clinical complications of the disease are evident. The aim of the present paper was to investigate the association between cardiac autonomic function and arterial stiffness in a cohort of young T1D patients, without history of hypertension and any evidence of macrovascular and/or renal disease. Large artery stiffness was assessed by measurement of carotid-femoral pulse wave velocity (PWV). Cardiac autonomic function was assessed by the cardiovascular tests proposed by Ewing and Clarke. Patients with a high cardiac autonomic neuropathy score (4) had significantly higher PWV than those with a low score (0-1). A negative, heart rate-independent, correlation between PWV and heart rate variation during respiration was observed (). In multivariable analysis, index was the strongest correlate of PWV (β-coefficient = −0.326, ). Cardiac parasympathetic function is a strong predictor of large arterial stiffness, in young T1D patients free of macrovascular and renal complications.

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The effect of cardiac resynchronization therapy on arterial stiffness and central hemodynamic parameters

Journal of Arrhythmia ◽

10.1002/joa3.12331 ◽

2020 ◽

Vol 36 (3) ◽

pp. 498-507

Author(s):

Metin Coksevim ◽

Murat Akcay ◽

Serkan Yuksel ◽

Mustafa Yenercag ◽

Bugra Cerik ◽

...

Keyword(s):

Arterial Stiffness ◽

Cardiac Resynchronization Therapy ◽

Cardiac Resynchronization ◽

Hemodynamic Parameters ◽

Resynchronization Therapy ◽

Central Hemodynamic

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Аrterial stiffness and cardiovascular autonomic neuropathy relationship in children and adolescents with type 1 diabetes mellitus

Diabetes Mellitus ◽

10.14341/dm2015194-100 ◽

2015 ◽

Vol 18 (1) ◽

pp. 94-100 ◽

Cited By ~ 1

Author(s):

Dmitriy Nikitich Laptev

Keyword(s):

Diabetes Mellitus ◽

Type 1 Diabetes ◽

Arterial Stiffness ◽

Children And Adolescents ◽

Qt Interval ◽

Autonomic Function ◽

Independent Predictor ◽

Cardiac Autonomic Function ◽

Cardiovascular Tests

Aim. To evolve the association between cardiac autonomic function and arterial stiffness in children and adolescents with type 1 diabetes mellitus (T1DM). Materials and methods. 72 T1DM patients aged 7?18 years without history of macrovascular complications or renal disease, including microalbuminuria, were involved in the study. Cardiac function was assessed by the cardiovascular tests and 24-hour ECG monitoring with automatic calculation of QT interval and heart rate variability (HRV) parameters. Artery stiffness was assessed by measurement of pulse wave velocity (PWV) and augmentation index (AI) obtained from arterial blood pressure monitoring for 24 hours. Results. Estimated prevalence of cardiovascular autonomic neuropathy (CAN) was 31,9%. CAN+ patients had significantly higher PWV and AI than those without CAN. A negative correlation between PWV and AI with some cardiovascular tests and HRV parameters was observed. In multivariable analysis, AI was independent predictor of autonomic dysfunction defined as number of positive cardiovascular tests, HRV parameters below normal values and prolongation of QT interval (?. =0,18; p=0,035). Conclusion. Cardiac autonomic function is an independent predictor of arterial stiffness, in children and adolescents with T1D without macrovascular and renal complications. The presence of cardiovascular risk factors and arterial stiffness in children and adolescents with T1DM may contribute to the increased cardiovascular morbidity and mortality in adulthood in patients with CAN.

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Effects of a short health education intervention on physical activity, arterial stiffness and cardiac autonomic function in individuals with moderate-to-high cardiovascular risk

Patient Education and Counseling ◽

10.1016/j.pec.2020.03.005 ◽

2020 ◽

Vol 103 (9) ◽

pp. 1856-1863

Author(s):

Lucimére Bohn ◽

Pedro Sa-Couto ◽

Ana Ramoa Castro ◽

Fernando Ribeiro ◽

José Oliveira

Keyword(s):

Physical Activity ◽

Cardiovascular Risk ◽

Health Education ◽

Arterial Stiffness ◽

Autonomic Function ◽

Education Intervention ◽

Cardiac Autonomic Function ◽

High Cardiovascular Risk ◽

Health Education Intervention

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GW25-e2259 Correlations between Cardiac Autonomic Function and Arterial Stiffness in Essential Hypertension

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2014.06.809 ◽

2014 ◽

Vol 64 (16) ◽

pp. C175

Author(s):

Wang Jingrong ◽

Jiang Yinong ◽

Lu Yan ◽

Zhang Ying ◽

Yang Yanzong ◽

...

Keyword(s):

Essential Hypertension ◽

Arterial Stiffness ◽

Autonomic Function ◽

Cardiac Autonomic Function

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Abstract WP485: Racial Differences in the Association Between Central Hemodynamic Parameters and Neuropsychological Assessments

Stroke ◽

10.1161/str.51.suppl_1.wp485 ◽

2020 ◽

Vol 51 (Suppl_1) ◽

Author(s):

Joy N Buie ◽

Gayenell Magwood ◽

Catrina Sims-Robinson ◽

Daniel Lackland ◽

Robert Adams

Keyword(s):

African Americans ◽

Arterial Stiffness ◽

Neuropsychological Test ◽

Univariate Analysis ◽

Hemodynamic Parameters ◽

Central Hemodynamics ◽

Negatively Associated ◽

Increased Risk ◽

Central Hemodynamic ◽

Z Scores

Introduction: Despite a significantly younger at time of stroke, African Americans are at increased risk for post-stroke cognitive impairment compared to whites. Although central arterial stiffness is a well-established correlate of cognitive function in whites, its predictive value in African Americans is not well characterized. We hypothesized that arterial stiffness measures previously associated with declines in cognition may be more robust in African Americans compared to whites. Methods: We administered the Mini Mental State Examination (MMSE), Trail Making Test Part-A (TMTA) and Part-B (TMTB), and Symbol Digit Modalities Test (SDMT) to 54 stroke-free adults (28 African Americans and 26 whites). Central hemodynamic parameters including carotid-femoral pulse wave velocity (PWV), central systolic blood pressure (cSBP), central pulse pressure (cPP), and heart rate-corrected augmentation index (AIx@75) were recorded for each study participant. Univariate analysis was used to evaluate age, sex and mean arterial pressure (MAP) mean-adjusted differences in central hemodynamics. We also evaluated associations between central hemodynamics and neuropsychological test by race. Results: Mean-adjusted PWV values were significantly higher in African Americans compared to whites with values ranging from 8.8 m/s to 7.8 m/s, respectively. Adjusted mean cSBP and AIx@75 were also significantly increased in African Americans. Among whites, unadjusted PWV values were negatively associated with TMTA and TMTB z-scores. Unadjusted AIx@75 was negatively associated with TMTB z-scores in African Americans but not whites. African Americans with MMSE and SDMT z-scores <0 had higher PWV values compared to whites ((9.4 m/s vs 7.9 m/s) and (9.7 m/s vs 7.7 m/s), respectively) and those with TMTB z-scores <0 had higher cSBP values (123.1 mmHg vs 114.4 mmHg). Conclusion: African Americans had higher arterial stiffness compared to whites. Neuropsychological test were associated with arterial stiffness in white study participants but only arterial wave reflections in African Americans. Longitudinal follow-up is warranted to assess specific central hemodynamic parameters associated with cognitive impairments and dementia in African Americans.

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