Aortic-brachial stiffness mismatch and mortality in dialysis population

We hypothesized that increased aortic stiffness (central elastic artery) combined with a decrease in brachial stiffness (peripheral muscular artery) leads to the reversal of the physiological stiffness gradient (ie, mismatch), promoting end-organ damages through increased forward pressure wave trans...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	Hypertension (Dallas, Tex. 1979) Jg. 65; H. 2; S. 378
Hauptverfasser:	Fortier, Catherine, Mac-Way, Fabrice, Desmeules, Simon, Marquis, Karine, De Serres, Sacha A, Lebel, Marcel, Boutouyrie, Pierre, Agharazii, Mohsen
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	United States 01.02.2015
Schlagworte:	Age Factors Aged Brachial Artery Carotid Arteries Comorbidity Confounding Factors (Epidemiology) Diabetes Mellitus - epidemiology Female Femoral Artery Follow-Up Studies Humans Kaplan-Meier Estimate Kidney Failure, Chronic - mortality Kidney Failure, Chronic - physiopathology Kidney Failure, Chronic - therapy Male Middle Aged Overweight - epidemiology Peritoneal Dialysis Prognosis Proportional Hazards Models Prospective Studies Pulse Wave Analysis Radial Artery Renal Dialysis Vascular Stiffness arterial stiffness dialysis chronic kidney disease aortic stiffness pulse wave velocity pulse wave analysis
ISSN:	1524-4563, 1524-4563
Online-Zugang:	Weitere Angaben
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Abstract	We hypothesized that increased aortic stiffness (central elastic artery) combined with a decrease in brachial stiffness (peripheral muscular artery) leads to the reversal of the physiological stiffness gradient (ie, mismatch), promoting end-organ damages through increased forward pressure wave transmission into the microcirculation. We, therefore, examined the effect of aortic-brachial stiffness mismatch on mortality in patients in need of dialysis. In a prospective observational study, aortic-brachial arterial stiffness mismatch (pulse wave velocity ratio) was assessed using carotid-femoral pulse wave velocity divided by carotid-radial pulse wave velocity in 310 adult patients on dialysis. After a median follow-up of 29 months, 146 (47%) deaths occurred. The hazard ratio (HR) for mortality related to PWV ratio in a Cox regression analysis was 1.43 (95% confidence interval [CI], 1.24-1.64; P<0.001 per 1 SD) and was still significant after adjustments for confounding factors, such as age, dialysis vintage, sex, cardiovascular disease, diabetes mellitus, smoking status, and weight (HR, 1.23; 95% CI: 1.02-1.49). The HRs for changes in 1 SD of augmentation index (HR, 1.35; 95% CI, 1.12-1.63), carotid-femoral pulse wave velocity (HR, 1.29; 95% CI, 1.11-1.50), and carotid-radial pulse wave velocity (HR, 0.80; 95% CI, 0.67-0.95) were statistically significant in univariate analysis, but were no longer statistically significant after adjustment for age. In conclusion, aortic-brachial arterial stiffness mismatch was strongly and independently associated with increased mortality in this dialysis population. Further studies are required to confirm these finding in lower-risk groups.
AbstractList	We hypothesized that increased aortic stiffness (central elastic artery) combined with a decrease in brachial stiffness (peripheral muscular artery) leads to the reversal of the physiological stiffness gradient (ie, mismatch), promoting end-organ damages through increased forward pressure wave transmission into the microcirculation. We, therefore, examined the effect of aortic-brachial stiffness mismatch on mortality in patients in need of dialysis. In a prospective observational study, aortic-brachial arterial stiffness mismatch (pulse wave velocity ratio) was assessed using carotid-femoral pulse wave velocity divided by carotid-radial pulse wave velocity in 310 adult patients on dialysis. After a median follow-up of 29 months, 146 (47%) deaths occurred. The hazard ratio (HR) for mortality related to PWV ratio in a Cox regression analysis was 1.43 (95% confidence interval [CI], 1.24-1.64; P<0.001 per 1 SD) and was still significant after adjustments for confounding factors, such as age, dialysis vintage, sex, cardiovascular disease, diabetes mellitus, smoking status, and weight (HR, 1.23; 95% CI: 1.02-1.49). The HRs for changes in 1 SD of augmentation index (HR, 1.35; 95% CI, 1.12-1.63), carotid-femoral pulse wave velocity (HR, 1.29; 95% CI, 1.11-1.50), and carotid-radial pulse wave velocity (HR, 0.80; 95% CI, 0.67-0.95) were statistically significant in univariate analysis, but were no longer statistically significant after adjustment for age. In conclusion, aortic-brachial arterial stiffness mismatch was strongly and independently associated with increased mortality in this dialysis population. Further studies are required to confirm these finding in lower-risk groups.We hypothesized that increased aortic stiffness (central elastic artery) combined with a decrease in brachial stiffness (peripheral muscular artery) leads to the reversal of the physiological stiffness gradient (ie, mismatch), promoting end-organ damages through increased forward pressure wave transmission into the microcirculation. We, therefore, examined the effect of aortic-brachial stiffness mismatch on mortality in patients in need of dialysis. In a prospective observational study, aortic-brachial arterial stiffness mismatch (pulse wave velocity ratio) was assessed using carotid-femoral pulse wave velocity divided by carotid-radial pulse wave velocity in 310 adult patients on dialysis. After a median follow-up of 29 months, 146 (47%) deaths occurred. The hazard ratio (HR) for mortality related to PWV ratio in a Cox regression analysis was 1.43 (95% confidence interval [CI], 1.24-1.64; P<0.001 per 1 SD) and was still significant after adjustments for confounding factors, such as age, dialysis vintage, sex, cardiovascular disease, diabetes mellitus, smoking status, and weight (HR, 1.23; 95% CI: 1.02-1.49). The HRs for changes in 1 SD of augmentation index (HR, 1.35; 95% CI, 1.12-1.63), carotid-femoral pulse wave velocity (HR, 1.29; 95% CI, 1.11-1.50), and carotid-radial pulse wave velocity (HR, 0.80; 95% CI, 0.67-0.95) were statistically significant in univariate analysis, but were no longer statistically significant after adjustment for age. In conclusion, aortic-brachial arterial stiffness mismatch was strongly and independently associated with increased mortality in this dialysis population. Further studies are required to confirm these finding in lower-risk groups. We hypothesized that increased aortic stiffness (central elastic artery) combined with a decrease in brachial stiffness (peripheral muscular artery) leads to the reversal of the physiological stiffness gradient (ie, mismatch), promoting end-organ damages through increased forward pressure wave transmission into the microcirculation. We, therefore, examined the effect of aortic-brachial stiffness mismatch on mortality in patients in need of dialysis. In a prospective observational study, aortic-brachial arterial stiffness mismatch (pulse wave velocity ratio) was assessed using carotid-femoral pulse wave velocity divided by carotid-radial pulse wave velocity in 310 adult patients on dialysis. After a median follow-up of 29 months, 146 (47%) deaths occurred. The hazard ratio (HR) for mortality related to PWV ratio in a Cox regression analysis was 1.43 (95% confidence interval [CI], 1.24-1.64; P<0.001 per 1 SD) and was still significant after adjustments for confounding factors, such as age, dialysis vintage, sex, cardiovascular disease, diabetes mellitus, smoking status, and weight (HR, 1.23; 95% CI: 1.02-1.49). The HRs for changes in 1 SD of augmentation index (HR, 1.35; 95% CI, 1.12-1.63), carotid-femoral pulse wave velocity (HR, 1.29; 95% CI, 1.11-1.50), and carotid-radial pulse wave velocity (HR, 0.80; 95% CI, 0.67-0.95) were statistically significant in univariate analysis, but were no longer statistically significant after adjustment for age. In conclusion, aortic-brachial arterial stiffness mismatch was strongly and independently associated with increased mortality in this dialysis population. Further studies are required to confirm these finding in lower-risk groups.
Author	Mac-Way, Fabrice Agharazii, Mohsen Marquis, Karine De Serres, Sacha A Desmeules, Simon Fortier, Catherine Lebel, Marcel Boutouyrie, Pierre
Author_xml	– sequence: 1 givenname: Catherine surname: Fortier fullname: Fortier, Catherine organization: From the CHU de Québec Research Center, L'Hôtel-Dieu de Québec Hospital, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Division of Nephrology, Faculty of Medicine, Université Laval, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Université Paris Descartes, Paris, France (P.B.); Department of Pharmacology, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France (P.B.); and Institut National de la Santé et de la Recherche Médicale, U970-PARCC, France (P.B.) – sequence: 2 givenname: Fabrice surname: Mac-Way fullname: Mac-Way, Fabrice organization: From the CHU de Québec Research Center, L'Hôtel-Dieu de Québec Hospital, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Division of Nephrology, Faculty of Medicine, Université Laval, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Université Paris Descartes, Paris, France (P.B.); Department of Pharmacology, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France (P.B.); and Institut National de la Santé et de la Recherche Médicale, U970-PARCC, France (P.B.) – sequence: 3 givenname: Simon surname: Desmeules fullname: Desmeules, Simon organization: From the CHU de Québec Research Center, L'Hôtel-Dieu de Québec Hospital, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Division of Nephrology, Faculty of Medicine, Université Laval, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Université Paris Descartes, Paris, France (P.B.); Department of Pharmacology, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France (P.B.); and Institut National de la Santé et de la Recherche Médicale, U970-PARCC, France (P.B.) – sequence: 4 givenname: Karine surname: Marquis fullname: Marquis, Karine organization: From the CHU de Québec Research Center, L'Hôtel-Dieu de Québec Hospital, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Division of Nephrology, Faculty of Medicine, Université Laval, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Université Paris Descartes, Paris, France (P.B.); Department of Pharmacology, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France (P.B.); and Institut National de la Santé et de la Recherche Médicale, U970-PARCC, France (P.B.) – sequence: 5 givenname: Sacha A surname: De Serres fullname: De Serres, Sacha A organization: From the CHU de Québec Research Center, L'Hôtel-Dieu de Québec Hospital, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Division of Nephrology, Faculty of Medicine, Université Laval, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Université Paris Descartes, Paris, France (P.B.); Department of Pharmacology, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France (P.B.); and Institut National de la Santé et de la Recherche Médicale, U970-PARCC, France (P.B.) – sequence: 6 givenname: Marcel surname: Lebel fullname: Lebel, Marcel organization: From the CHU de Québec Research Center, L'Hôtel-Dieu de Québec Hospital, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Division of Nephrology, Faculty of Medicine, Université Laval, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Université Paris Descartes, Paris, France (P.B.); Department of Pharmacology, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France (P.B.); and Institut National de la Santé et de la Recherche Médicale, U970-PARCC, France (P.B.) – sequence: 7 givenname: Pierre surname: Boutouyrie fullname: Boutouyrie, Pierre organization: From the CHU de Québec Research Center, L'Hôtel-Dieu de Québec Hospital, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Division of Nephrology, Faculty of Medicine, Université Laval, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Université Paris Descartes, Paris, France (P.B.); Department of Pharmacology, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France (P.B.); and Institut National de la Santé et de la Recherche Médicale, U970-PARCC, France (P.B.) – sequence: 8 givenname: Mohsen surname: Agharazii fullname: Agharazii, Mohsen email: Mohsen.Agharazii@crhdq.ulaval.ca organization: From the CHU de Québec Research Center, L'Hôtel-Dieu de Québec Hospital, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Division of Nephrology, Faculty of Medicine, Université Laval, Québec, Québec, Canada (C.F., F.M., S.D., K.M., S.A.D.S., M.L., M.A.); Université Paris Descartes, Paris, France (P.B.); Department of Pharmacology, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Paris, France (P.B.); and Institut National de la Santé et de la Recherche Médicale, U970-PARCC, France (P.B.). Mohsen.Agharazii@crhdq.ulaval.ca
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/25452473$$D View this record in MEDLINE/PubMed
BookMark	eNpNj81OwzAQhC1URH_gFZC5cUmxnbWdHKOqtEhVi6AcOEWO46hGiRPi5NC3xxJF4jK7mv002pmjiWudQeiBkiWlgj5tP1_Xb8f1_v3lsM-2WTBhSYAn8grNKGcQARfx5N8-RXPvvwihACBv0JRxCCcZz9Ama_vB6qjolT5ZVWM_2KpyxnvcWN-oQZ-wciVuAqZqO5yxdbgM4Nlbj7u2G2s12NbdoutK1d7cXeYCfTyvj6tttDtsXlbZLtKQJjxKBa80YUJDpVJiyhIKoTQxIIGTJKVlCiLVlIFRMSkMLQinQWQsBRMABVugx9_crm-_R-OHPLypTV0rZ9rR51QAlwkNeQG9v6Bj0Zgy73rbqP6c_5VnP7SWYBo
CitedBy_id	crossref_primary_10_1139_apnm_2017_0449 crossref_primary_10_1088_1361_6579_aa905a crossref_primary_10_1681_ASN_2019020117 crossref_primary_10_1097_HJH_0000000000003244 crossref_primary_10_3389_fphys_2021_774056 crossref_primary_10_1093_ajh_hpy167 crossref_primary_10_1097_HJH_0000000000000978 crossref_primary_10_1161_HYPERTENSIONAHA_116_08917 crossref_primary_10_1161_JAHA_120_017018 crossref_primary_10_1007_s00380_018_1265_7 crossref_primary_10_1093_ajh_hpz136 crossref_primary_10_5472_marumj_1573657 crossref_primary_10_1038_s41440_021_00708_z crossref_primary_10_1093_eurjpc_zwad028 crossref_primary_10_1161_JAHA_119_012314 crossref_primary_10_1007_s10439_023_03339_2 crossref_primary_10_1159_000443616 crossref_primary_10_1159_000479322 crossref_primary_10_1111_sdi_12837 crossref_primary_10_1159_000381927 crossref_primary_10_1186_s12933_022_01612_7 crossref_primary_10_1186_s12879_023_08650_w crossref_primary_10_3390_jcm12072509 crossref_primary_10_1161_ATVBAHA_120_313128 crossref_primary_10_3390_life12060781 crossref_primary_10_3389_fphys_2022_832858 crossref_primary_10_1111_cpf_12667 crossref_primary_10_1097_HJH_0000000000001371 crossref_primary_10_1097_HJH_0000000000000883 crossref_primary_10_1155_2015_628654 crossref_primary_10_1161_HYPERTENSIONAHA_118_10930 crossref_primary_10_3390_ijerph20042832 crossref_primary_10_1097_MD_0000000000007380 crossref_primary_10_1177_20543581231172407 crossref_primary_10_1161_HYPERTENSIONAHA_116_08409 crossref_primary_10_1016_j_atherosclerosis_2021_10_014 crossref_primary_10_1042_BSR20231291 crossref_primary_10_1002_clc_23188 crossref_primary_10_1007_s11906_017_0704_7 crossref_primary_10_1007_s40292_017_0178_3 crossref_primary_10_1007_s40620_022_01563_y crossref_primary_10_1016_j_ejim_2017_08_020 crossref_primary_10_1159_000498876 crossref_primary_10_1111_1756_185X_13251 crossref_primary_10_1159_000506012 crossref_primary_10_1097_HJH_0000000000002574 crossref_primary_10_1097_HJH_0000000000000554 crossref_primary_10_1093_ajh_hpy145 crossref_primary_10_1093_ndt_gfw059 crossref_primary_10_1097_HJH_0000000000002937 crossref_primary_10_1161_HYPERTENSIONAHA_124_23392 crossref_primary_10_1097_HJH_0000000000000916 crossref_primary_10_1093_ajh_hpz193 crossref_primary_10_3389_fcvm_2019_00169 crossref_primary_10_1161_JAHA_116_004981 crossref_primary_10_1681_ASN_2015060617 crossref_primary_10_1007_s00198_018_4598_2 crossref_primary_10_1371_journal_pone_0317212 crossref_primary_10_1097_HJH_0000000000003014 crossref_primary_10_1007_s11906_018_0822_x crossref_primary_10_1080_0886022X_2018_1455588 crossref_primary_10_1038_s41440_021_00712_3 crossref_primary_10_1097_HJH_0000000000001195 crossref_primary_10_1186_s12882_016_0374_8 crossref_primary_10_1038_s41371_018_0154_y crossref_primary_10_1038_s41440_018_0025_5 crossref_primary_10_1111_1753_0407_13433 crossref_primary_10_1007_s40520_017_0787_7 crossref_primary_10_1097_HJH_0000000000001599 crossref_primary_10_1093_eurjpc_zwaf545 crossref_primary_10_1097_HJH_0000000000002808 crossref_primary_10_1159_000500479 crossref_primary_10_1016_j_echo_2020_03_001 crossref_primary_10_1016_j_ijcard_2015_11_174 crossref_primary_10_1161_JAHA_117_007964
ContentType	Journal Article
Copyright	2014 American Heart Association, Inc.
Copyright_xml	– notice: 2014 American Heart Association, Inc.
DBID	CGR CUY CVF ECM EIF NPM 7X8
DOI	10.1161/HYPERTENSIONAHA.114.04587
DatabaseName	Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic
DatabaseTitle	MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic
DatabaseTitleList	MEDLINE - Academic MEDLINE
Database_xml	– sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database
DeliveryMethod	no_fulltext_linktorsrc
Discipline	Medicine
EISSN	1524-4563
ExternalDocumentID	25452473
Genre	Research Support, Non-U.S. Gov't Journal Article Observational Study
GrantInformation_xml	– fundername: Canadian Institutes of Health Research
GroupedDBID	--- .-D .3C .55 .GJ .XZ .Z2 01R 0R~ 18M 1J1 2WC 3O- 40H 4Q1 4Q2 4Q3 53G 5GY 5RE 5VS 71W 77Y 7O~ AAAAV AAAXR AAFWJ AAGIX AAHPQ AAIQE AAJCS AAMOA AAMTA AAQKA AARTV AASCR AASOK AAXQO AAYEP ABASU ABBUW ABDIG ABJNI ABOCM ABQRW ABVCZ ABXVJ ABXYN ABZAD ABZZY ACCJW ACDDN ACEWG ACGFO ACGFS ACIJW ACILI ACLDA ACWDW ACWRI ACXJB ACXNZ ACZKN ADBBV ADFPA ADGGA ADHPY ADNKB AE3 AE6 AEBDS AEETU AENEX AFBFQ AFDTB AFEXH AFFNX AFNMH AFUWQ AGINI AHMBA AHOMT AHQNM AHQVU AHRYX AHVBC AIJEX AINUH AJCLO AJIOK AJNWD AJNYG AJZMW AKCTQ AKULP ALKUP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AOQMC BAWUL BCGUY BOYCO BQLVK BS7 C1A C45 CGR CS3 CUY CVF DIK DIWNM DUNZO E.X E3Z EBS ECM EEVPB EIF EJD ERAAH EX3 F2K F2L F2M F2N F5P FCALG FL- FW0 GNXGY GQDEL GX1 H0~ H13 HLJTE HZ~ IKREB IKYAY IN~ IPNFZ JF9 JG8 JK3 JK8 K-A K-F K8S KD2 KMI KQ8 L-C L7B N4W N9A NPM N~7 N~B N~M O9- OAG OAH OB3 OCUKA ODA ODMTH OGROG OHYEH OK1 OL1 OLG OLH OLU OLV OLY OLZ OPUJH ORVUJ OUVQU OVD OVDNE OVIDH OVLEI OWBYB OWU OWV OWW OWX OWY OWZ OXXIT P-K P2P PQQKQ R58 RAH RIG RLZ S4R S4S T8P TEORI TR2 TSPGW V2I VVN W3M W8F WH7 WOQ WOW X3V X3W X7M XXN XYM YFH YHZ YOC YYM YYP ZFV ZGI ZZMQN 7X8 ABPXF ADGHP ADKSD ADSXY OZ-
ID	FETCH-LOGICAL-c4985-965fc026c4fa90edd4b6ac0e47450891d9469c124ea30be1b0511b073762644b2
IEDL.DBID	7X8
ISICitedReferencesCount	100
ISICitedReferencesURI	http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=00004268-201502000-00025&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
ISSN	1524-4563
IngestDate	Mon Sep 08 16:44:35 EDT 2025 Thu Apr 03 07:00:41 EDT 2025
IsPeerReviewed	true
IsScholarly	true
Issue	2
Keywords	arterial stiffness dialysis chronic kidney disease aortic stiffness pulse wave velocity pulse wave analysis
Language	English
License	2014 American Heart Association, Inc.
LinkModel	DirectLink
MergedId	FETCHMERGED-LOGICAL-c4985-965fc026c4fa90edd4b6ac0e47450891d9469c124ea30be1b0511b073762644b2
Notes	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
PMID	25452473
PQID	1645781474
PQPubID	23479
ParticipantIDs	proquest_miscellaneous_1645781474 pubmed_primary_25452473
PublicationCentury	2000
PublicationDate	2015-February
PublicationDateYYYYMMDD	2015-02-01
PublicationDate_xml	– month: 02 year: 2015 text: 2015-February
PublicationDecade	2010
PublicationPlace	United States
PublicationPlace_xml	– name: United States
PublicationTitle	Hypertension (Dallas, Tex. 1979)
PublicationTitleAlternate	Hypertension
PublicationYear	2015
References	25452468 - Hypertension. 2015 Feb;65(2):289-90
References_xml	– reference: 25452468 - Hypertension. 2015 Feb;65(2):289-90
SSID	ssj0014447
Score	2.4719555
Snippet	We hypothesized that increased aortic stiffness (central elastic artery) combined with a decrease in brachial stiffness (peripheral muscular artery) leads to...
SourceID	proquest pubmed
SourceType	Aggregation Database Index Database
StartPage	378
SubjectTerms	Age Factors Aged Brachial Artery Carotid Arteries Comorbidity Confounding Factors (Epidemiology) Diabetes Mellitus - epidemiology Female Femoral Artery Follow-Up Studies Humans Kaplan-Meier Estimate Kidney Failure, Chronic - mortality Kidney Failure, Chronic - physiopathology Kidney Failure, Chronic - therapy Male Middle Aged Overweight - epidemiology Peritoneal Dialysis Prognosis Proportional Hazards Models Prospective Studies Pulse Wave Analysis Radial Artery Renal Dialysis Vascular Stiffness
Title	Aortic-brachial stiffness mismatch and mortality in dialysis population
URI	https://www.ncbi.nlm.nih.gov/pubmed/25452473 https://www.proquest.com/docview/1645781474
Volume	65
WOSCitedRecordID	wos00004268-201502000-00025&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D
hasFullText
inHoldings	1
isFullTextHit
isPrint
link	http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpZ1LS8NAEMcHtSJefD_qiy14XZvHJpucJEhrLw09KNRT2N1ssKBJterndyZJ7UkQvOwlBJZ9zPxmZ3f-ANfKMbEOAsuVjQIuZBTyKBeSF66NpPWFZ0Jdi03INI2m03jSHrgt2muVS5tYG-q8MnRG3kesD6g8kxS38zdOqlGUXW0lNNah4yPK0KqW01UWQYhaYAxdlOAICv4W9GojEbr90dNkgMCYksVKRgmVzL2hnKH8nTRrjzPc_W9f92CnZU2WNItjH9ZseQBb4zabfgj3SUWfOAbMdOP5heF2LwqyfQxnH1HWPDNV5uy1RnTEdTYrGT00oSombP4j_XUEj8PBw92It8IK3IgYpyQOg8Jg8GVEoWLH5rnQoTKOxQ4jr8VuHmPQbNDzW-U72roady42Eo0R8ZP2jmGjrEp7CkwgAKJDixyVa-EUXqSk0tIxYeFrDIaCLvSWQ5Rh1ykboUpbfS6y1SB14aQZ52zeVNjIPFI-F9I_-8Pf57CNEBM0N6kvoFPgtrWXsGm-PmaL96t6RWCbTsbfkfy--A
linkProvider	ProQuest
openUrl	ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Aortic-brachial+stiffness+mismatch+and+mortality+in+dialysis+population&rft.jtitle=Hypertension+%28Dallas%2C+Tex.+1979%29&rft.au=Fortier%2C+Catherine&rft.au=Mac-Way%2C+Fabrice&rft.au=Desmeules%2C+Simon&rft.au=Marquis%2C+Karine&rft.date=2015-02-01&rft.eissn=1524-4563&rft.volume=65&rft.issue=2&rft.spage=378&rft_id=info:doi/10.1161%2FHYPERTENSIONAHA.114.04587&rft_id=info%3Apmid%2F25452473&rft_id=info%3Apmid%2F25452473&rft.externalDocID=25452473
thumbnail_l	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1524-4563&client=summon
thumbnail_m	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1524-4563&client=summon
thumbnail_s	http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1524-4563&client=summon