Copyright © 1990 by the European Society of Cardiology.
© 1990 The European Society of Cardiology
Distensibility of the ascending aorta: comparison of invasive and non-invasive techniques in healthy men and in men with coronary artery disease
Department of Cardiology, Athens Medical School Athens, Greece
Received 25 September 1989; revised 12 December 1990; .
Correspondence; Christodoulos Stefanadis MD. Tepeleniou 9 str., Paleo Psychico, Athens, 154 52, Greece
Abstract
Distensibility of the ascending aorta, measured non-invasively, was compared with values obtained by invasive techniques in 46 males (30 patients with coronary artery disease and 16 age-matched normal subjects). Aortic diameters were measured at a level 3 cm above the aortic valve using both echocardiographic and angiographic techniques. Aortic distensibility was calculated from the aortic diameters and aortic pressure or brachial artery pressure using the formula: 2 x (change in aortic diameter) /(diastolic aortic diameter) x (change in aortic pressure). Distensibility of the ascending aorta determined non-invasively was closely related to that obtained by direct measurements (r = 0.949, P<0.001). Patients with coronary artery disease had similar pressures, but markedly lower distensibility than normal subjects, as shown by both invasive and non-invasive techniques. The results indicate that aortic distensibility in patients with coronary artery disease can be obtained non-invasively with a high degree of accuracy.
Key Words: Aortic distensibility • echocardiography • coronary artery disease
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