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INRIA2
Article . 2025
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Journal of Hypertension
Article . 2025 . Peer-reviewed
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Noninvasive quantification of aortic wave reflection timing indices in aging: a study combining MRI and applanation tonometry

Authors: Bollache, Emilie; Bargiotas, Ioannis; Giron, Alain; de Cesare, Alain; Soulat, Gilles; Mousseaux, Elie; Kachenoura, Nadjia;

Noninvasive quantification of aortic wave reflection timing indices in aging: a study combining MRI and applanation tonometry

Abstract

Objective: To study associations of newly proposed noninvasive central arterial wave reflection timing indices with age and reference indices of reflection magnitude, using superimposed MRI aortic flow and applanation tonometry carotid pressure waveforms. Methods: Consecutively acquired MRI flow and tonometry pressure waveforms were superimposed in 113 volunteers [56 women, age: 43 ± 16 (19–81) years] free from overt cardiovascular disease except for hypertension, after registration and interpolation to averaged cardiac cycle duration using a custom interface to derive time to peak flow (T Qmax) and pressure (T Pmax). Conventional time to return of reflected pressure wave (T i), augmentation index (AIx) and reflection magnitude (RM) were further measured and used as reference. Results: T Qmax occurred slightly earlier, whereas T Pmax appeared later in the cardiac cycle with age, resulting in significant, independent age-related decrease in T Qmax to T i (r = −0.63, P < 0.0001) and increase in T Qmax to T Pmax (r = 0.61, P < 0.0001) delays. Such delays were further significantly and independently related to reference AIx (T i − T Qmax: r = −0.66, P < 0.0001; T Pmax − T Qmax: r = 0.78, P < 0.0001) and RM (T i − T Qmax: r = −0.55, P < 0.0001; T Pmax − T Qmax: r = 0.76, P < 0.0001). Correlations obtained with T Pmax − T Qmax were overall higher than those obtained with conventional T i timing (age: r = −0.52, P < 0.0001; AIx: r = −0.77, P < 0.0001; RM: r = −0.42, P < 0.0001). Conclusion: Combination of noninvasive flow and pressure time domain waveforms was able to reliably capture central wave reflection timing indices as demonstrated by strong and independent associations with age and gold standard measures of reflection magnitude. Such timing, which was based on straightforward peaks detection, could be used to explore and better understand left ventricular–aortic coupling in cardiovascular conditions presenting increased reflections.

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[SDV.IB.IMA] Life Sciences [q-bio]/Bioengineering/Imaging

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
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