Age dependence of brachial cuff-based ambulatory PWV in end-stage kidney disease patients undergoing long-term peritoneal dialysis
dc.creator | Vaios V., Georgianos P.I., Vareta G., Divanis D., Dounousi E., Eleftheriadis T., Papagianni A., Zebekakis P.E., Liakopoulos V. | en |
dc.date.accessioned | 2023-01-31T10:24:13Z | |
dc.date.available | 2023-01-31T10:24:13Z | |
dc.date.issued | 2022 | |
dc.identifier | 10.1177/0896860821996927 | |
dc.identifier.issn | 08968608 | |
dc.identifier.uri | http://hdl.handle.net/11615/80331 | |
dc.description.abstract | Background: The newly introduced device Mobil-O-Graph (IEM, Stolberg, Germany) combines brachial cuff oscillometry and pulse wave analysis, enabling the determination of pulse wave velocity (PWV) via complex mathematic algorithms during 24-h ambulatory blood pressure monitoring (ABPM). However, the determinants of oscillometric PWV in the end-stage kidney disease (ESKD) population remain poorly understood. Methods: In this study, 81 ESKD patients undergoing long-term peritoneal dialysis underwent 24-h ABPM with the Mobil-O-Graph device. The association of 24-h oscillometric PWV with several demographic, clinical and haemodynamic parameters was explored using linear regression analysis. Results: In univariate analysis, among 21 risk factors, 24-h PWV exhibited a positive relationship with age, body mass index, overhydration assessed via bioimpedance spectroscopy, diabetic status, history of dyslipidaemia and coronary heart disease, and it had a negative relationship with female sex and 24-h heart rate. In stepwise multivariate analysis, age (β: 0.883), 24-h systolic blood pressure (BP) (β: 0.217) and 24-h heart rate (β: −0.083) were the only three factors that remained as independent determinants of 24-h PWV (adjusted R2 = 0.929). These associations were not modified when all 21 risk factors were analysed conjointly or when the model included only variables shown to be significant in univariate comparisons. Conclusion: The present study shows that age together with simultaneously assessed oscillometric BP and heart rate are the major determinants of Mobil-O-Graph-derived PWV, explaining >90% of the total variation of this marker. This age dependence of oscillometric PWV limits the validity of this marker to detect the premature vascular ageing, a unique characteristic of vascular remodelling in ESKD. © The Author(s) 2021. | en |
dc.language.iso | en | en |
dc.source | Peritoneal Dialysis International | en |
dc.source.uri | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85102151304&doi=10.1177%2f0896860821996927&partnerID=40&md5=5e186ce4baaf196280aa636f361f2619 | |
dc.subject | albumin | en |
dc.subject | cholesterol | en |
dc.subject | creatinine | en |
dc.subject | dipeptidyl carboxypeptidase inhibitor | en |
dc.subject | hemoglobin | en |
dc.subject | high density lipoprotein cholesterol | en |
dc.subject | low density lipoprotein cholesterol | en |
dc.subject | phosphate | en |
dc.subject | triacylglycerol | en |
dc.subject | urea | en |
dc.subject | adult | en |
dc.subject | albumin blood level | en |
dc.subject | arterial stiffness | en |
dc.subject | Article | en |
dc.subject | bioimpedance spectroscopy | en |
dc.subject | blood pressure | en |
dc.subject | blood pressure monitoring | en |
dc.subject | body composition | en |
dc.subject | body mass | en |
dc.subject | calcium blood level | en |
dc.subject | cardiovascular risk | en |
dc.subject | chronic glomerulonephritis | en |
dc.subject | chronic kidney failure | en |
dc.subject | coronary artery disease | en |
dc.subject | creatinine blood level | en |
dc.subject | diabetic nephropathy | en |
dc.subject | diastolic blood pressure | en |
dc.subject | dyslipidemia | en |
dc.subject | end stage renal disease | en |
dc.subject | female | en |
dc.subject | heart rate | en |
dc.subject | hemodynamic parameters | en |
dc.subject | hemoglobin blood level | en |
dc.subject | high density lipoprotein cholesterol level | en |
dc.subject | human | en |
dc.subject | hypertension | en |
dc.subject | low density lipoprotein cholesterol level | en |
dc.subject | major clinical study | en |
dc.subject | male | en |
dc.subject | middle aged | en |
dc.subject | oscillometry | en |
dc.subject | peritoneal dialysis | en |
dc.subject | phosphate blood level | en |
dc.subject | pulse pressure | en |
dc.subject | pulse wave | en |
dc.subject | pulse wave velocity | en |
dc.subject | smoking | en |
dc.subject | systolic blood pressure | en |
dc.subject | total cholesterol level | en |
dc.subject | triacylglycerol blood level | en |
dc.subject | urea blood level | en |
dc.subject | adverse event | en |
dc.subject | arterial stiffness | en |
dc.subject | chronic kidney failure | en |
dc.subject | peritoneal dialysis | en |
dc.subject | physiology | en |
dc.subject | Blood Pressure | en |
dc.subject | Blood Pressure Monitoring, Ambulatory | en |
dc.subject | Female | en |
dc.subject | Humans | en |
dc.subject | Kidney Failure, Chronic | en |
dc.subject | Male | en |
dc.subject | Peritoneal Dialysis | en |
dc.subject | Pulse Wave Analysis | en |
dc.subject | Vascular Stiffness | en |
dc.subject | SAGE Publications Inc. | en |
dc.title | Age dependence of brachial cuff-based ambulatory PWV in end-stage kidney disease patients undergoing long-term peritoneal dialysis | en |
dc.type | journalArticle | en |
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