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Wave Intensity Analysis in the Internal Carotid Artery of Hypertensive Subjects Using Phase-Contrast MR Angiography and Preliminary Assessment Of The Effect Of Vessel Morphology On Wave Dynamics

Research output: Contribution to journalArticle

Original languageEnglish
Article number104003
Number of pages10
JournalPhysiological Measurement
Volume39
Issue number10
Early online date18 Oct 2018
DOIs
DateAccepted/In press - 7 Sep 2018
DateE-pub ahead of print - 18 Oct 2018
DatePublished (current) - Oct 2018

Abstract

Objective: Hypertension is associated with reduced cerebral blood flow, but it is not known how this impacts on wave dynamics or potentially relates to arterial morphology. Given the location of the internal carotid artery (ICA) and risks associated with invasive measurements, wave dynamics in this artery have not been extensively assessed in vivo. This study explores the feasibility of studying wave dynamics in the internal carotid artery non-invasively. Approach: Normotensive, uncontrolled and controlled hypertensive participants were recruited (daytime ambulatory blood pressure  <135/85 mmHg and  >135/85 mmHg, respectively; n  =  38). Wave intensity, reservoir pressure and statistical shape analyses were performed on the right ICA and ascending aorta high-resolution phase-contrast magnetic resonance angiography data. Main results: Wave speed in the aorta was significantly lower in normotensive compared to hypertensive participants (6.7  ±  1.8 versus 11.2  ±  6.2 m s−1 for uncontrolled and 11.8  ±  4.6 m s−1 for controlled hypertensives, p  =  0.02), whilst there were no differences in wave speed in the ICA. There were no significant differences between the groups for the wave intensity or reservoir pressure. Interestingly, a significant association between the anatomy of the ICA and wave energy (FCW and size, r 2  =  0.12, p  =  0.04) was found. Significance: This study shows it is feasible to study wave dynamics in the ICA non-invasively. Whilst changes in aortic wave speed confirmed an expected increase in arterial stiffness, this was not observed in the ICA. This might suggest a protective mechanism in the cerebral circulation, in conjunction with the effect of vessel tortuosity. Furthermore, it was observed that ICA shape correlated with wave energy but not wave speed.

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    Rights statement: This is the final published version of the article (version of record). It first appeared online via IOP at http://iopscience.iop.org/article/10.1088/1361-6579/aadfc5/meta . Please refer to any applicable terms of use of the publisher.

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