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1.
Clin Exp Hypertens ; 41(2): 101-112, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29521547

RESUMO

Age-related reference intervals (RIs) of aortic pulse wave velocity (Ao-PWV) obtained from a large healthy population are lacking in South America. The aims of this study were to determine Ao-PWV RIs in a cohort of healthy children and adolescents from Argentina and to generate year-to-year percentile curves. Ao-PWV was measured in 1000 healthy subjects non-exposed to traditional cardiovascular risk factors (Age: 10-22 y. o., 56% males). First, we evaluated if RIs for males and females were necessaries (correlation and covariate analysis). Second, mean (M) and standard deviation (SD) age-related equations were obtained for cf-PWV, using parametric regression methods based on fractional polynomials. Third, age-specific (year to year) percentiles curves (for all, males and females children and adolescents) were generated using the standard normal distribution. They were, age-specific 1st, 2.5th, 5th, 10th, 25th, 50th, 75th, 90th, 95th, 97.5th and 99th percentile curves and values. After covariate analysis (i.e., adjusting by age, jugulum-symphysis distance, body weight and height), specific RIs for males and females of children and adolescents were evidenced as necessaries. The equations were For all subjects: Ao-PWV_Mean = 4.98 + 12.86x10-5 Age3. Ao-PWV_SD = 0.47 + 21.00x10-6Age3. For girls: Ao-PWV_Mean = 5.07 + 10.23x10-5Age3. Ao-PWV_SD = 0.50 + 10.00x10-6Age3. For boys: Ao-PWV_Mean = 4.87 + 15.81x10-5Age3. Ao-PWV_SD = 0.46 + 22.34x10-6Age3. Our study provides the largest database to-date concerning Ao-PWV in healthy children and adolescents in Argentina. Age-related equations (M and SD values) for Ao-PWV are reported by the first time. Specific RIs and percentiles of Ao-PWV are now available according to age and sex for an Argentinian population.


Assuntos
Aorta/fisiologia , Análise de Onda de Pulso , Adolescente , Algoritmos , Argentina , Criança , Estudos de Coortes , Feminino , Humanos , Masculino , Oscilometria , Valores de Referência , Adulto Jovem
3.
Int J Hypertens ; 2014: 653239, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25215227

RESUMO

In medical practice the reference values of arterial stiffness came from multicenter registries obtained in Asia, USA, Australia and Europe. Pulse wave velocity (PWV) is the gold standard method for arterial stiffness quantification; however, in South America, there are few population-based studies. In this research PWV was measured in healthy asymptomatic and normotensive subjects without history of hypertension in first-degree relatives. Normal PWV and the 95% confidence intervals values were obtained in 780 subjects (39.8 ± 18.5 years) divided into 7 age groups (10-98 years). The mean PWV found was 6.84 m/s ± 1.65. PWV increases linearly with aging with a high degree of correlation (r (2) = 0.61; P < 0.05) with low dispersion in younger subjects. PWV progressively increases 6-8% with each decade of life; this tendency is more pronounced after 50 years. A significant increase of PWV over 50 years was demonstrated. This is the first population-based study from urban and rural people of Argentina that provides normal values of the PWV in healthy, normotensive subjects without family history of hypertension. Moreover, the age dependence of PWV values was confirmed.

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