Document Detail

Age-related changes in aortic arch geometry: relationship with proximal aortic function and left ventricular mass and remodeling.
MedLine Citation:
PMID:  21903061     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: We sought to define age-related geometric changes of the aortic arch and determine their relationship to central aortic stiffness and left ventricular (LV) remodeling.
BACKGROUND: The proximal aorta has been shown to thicken, enlarge in diameter, and lengthen with aging in humans. However, no systematic study has described age-related longitudinal and transversal remodeling of the aortic arch and their relationship with LV mass and remodeling.
METHODS: We studied 100 subjects (55 women, 45 men, average age 46 ± 16 years) free of overt cardiovascular disease using magnetic resonance imaging to determine aortic arch geometry (length, diameters, height, width, and curvature), aortic arch function (local aortic distensibility and arch pulse wave velocity [PWV]), and LV volumes and mass. Radial tonometry was used to calculate central blood pressure.
RESULTS: Aortic diameters and arch length increased significantly with age. The ascending aorta length increased most, with age leading to aortic arch widening and decreased curvature. These geometric changes of the aortic arch were significantly related to decreased ascending aortic distensibility, increased aortic arch PWV (p < 0.001), and increased central blood pressures (p < 0.001). Increased ascending aortic diameter, lengthening, and decreased curvature of the aortic arch (unfolding) were all significantly associated with increased LV mass and concentric remodeling independently of age, sex, body size, and central blood pressure (p < 0.01).
CONCLUSIONS: Age-related unfolding of the aortic arch is related to increased proximal aortic stiffness in individuals without cardiovascular disease and associated with increased LV mass and mass-to-volume ratio independent of age, body size, central pressure, and cardiovascular risk factors.
Alban Redheuil; Wen-Chung Yu; Elie Mousseaux; Ahmed A Harouni; Nadjia Kachenoura; Colin O Wu; David Bluemke; Joao A C Lima
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American College of Cardiology     Volume:  58     ISSN:  1558-3597     ISO Abbreviation:  J. Am. Coll. Cardiol.     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-09-09     Completed Date:  2011-10-27     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  8301365     Medline TA:  J Am Coll Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1262-70     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2011 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.
Division of Cardiology, Johns Hopkins University, Baltimore, Maryland 21287, USA.
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MeSH Terms
Age Factors
Aged, 80 and over
Aorta, Thoracic / pathology,  physiopathology*
Blood Pressure / physiology
Cross-Sectional Studies
Heart Ventricles / pathology*
Magnetic Resonance Imaging
Middle Aged
Organ Size
Prospective Studies
Ventricular Function, Left / physiology*
Ventricular Remodeling / physiology*
Young Adult
Grant Support

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