Aortic, common carotid and external iliac artery arterial wall stiffness parameters in horses: Inter-day and inter-observer and intra-observer measurement variability.
Abstract: In human medicine, local and regional arterial wall stiffness (AWS) parameters are routinely used to assess the vascular health. In horses, information regarding reproducibility of ultrasonographically derived AWS parameters is lacking. Objective: To evaluate the inter-day and inter-observer and intra-observer measurement variability of both local and regional AWS parameters in horses. Methods: Experimental study. Methods: In 10 healthy, adult Warmblood horses, B-, M-mode and pulsed-wave Doppler ultrasound images were collected on two different days from aorta, cranial and caudal common carotid arteries and external iliac artery. Heart rate and noninvasive blood pressure were recorded simultaneously. From blinded data, diastolic and systolic vessel lumen areas and diameters were measured from B/M-mode images and the velocity of the pressure wave was determined by pulsed-wave Doppler spectra. From each horse, one examination was measured again by the same observer and by a second, independent observer. Local and regional AWS parameters were calculated and inter-day and inter-observer and intra-observer measurement coefficient of variation (CV) were assessed. Results: Low CV was found for both arterial diameter and lumen area measurements. Moderate to high CV was found for local AWS parameters, while regional AWS parameters had low CV. Conclusions: The number of horses investigated was too low to obtain reference values. The inter-operator variability was not evaluated. Conclusions: Our results show good reproducibility of aortic, carotid and external iliac artery diameter and area measurements using both B- and M-mode ultrasonography. Nevertheless, the variability of the derived local AWS parameters was relatively high. Therefore, local AWS parameters might be less suitable for follow-up studies, although they might be useful for population studies. On the other hand, regional AWS parameters showed low CV, making them valuable for both follow-up and population studies.
© 2019 EVJ Ltd.
Publication Date: 2019-11-20 PubMed ID: 31648382DOI: 10.1111/evj.13196Google Scholar: Lookup
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- Journal Article
Summary
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The study involves examining the reproducibility of arterial wall stiffness (AWS) measurements in horses using ultrasonography methods. Although results show variability in local AWS measurements, regional AWS parameters demonstrated good reliability, thus could be a valuable tool in horse healthcare studies.
Methodology
- The experiment involved 10 healthy, adult Warmblood horses.
- B-mode, M-mode, and pulsed-wave Doppler ultrasound images of the aorta, cranial and caudal common carotid arteries and external iliac artery were collected on two separate days.
- Heart rate and noninvasive blood pressure were recorded simultaneously.
- Diastolic and systolic vessel lumen areas, diameters, and the velocity of the pressure wave were measured from the ultrasound images and Doppler spectra.
- One examination from each horse was re-measured by the same observer and a second, independent observer to evaluate the inter-day, inter-observer and intra-observer measurement variability.
- The local and regional AWS parameters were then calculated and a coefficient of variation (CV) was assessed.
Results
- The arterial diameter and lumen area measurements demonstrated low CV, suggesting good reproducibility.
- The local AWS parameters showed moderate to high CV, indicating variability in measurements.
- Regional AWS parameters, on the other hand, exhibited low CV, indicating good consistency and reproducibility in measurements.
Conclusions
- While the local AWS parameters showed variability and might be less suitable for follow-up studies, they could still be useful for population studies.
- Regional AWS parameters, with their low CV, seem valuable for both follow-up and population studies.
- The study admits limitations in terms of the number of horses investigated which was too low to obtain reference values, and that inter-operator variability was not evaluated.
- In conclusion, the study asserts the potential of ultrasonographic AWS measurements as a tool for veterinary health assessment, especially with regards to regional AWS parameters.
Cite This Article
APA
Vera L, De Clercq D, Paulussen E, Van Steenkiste G, Decloedt A, Chiers K, van Loon G.
(2019).
Aortic, common carotid and external iliac artery arterial wall stiffness parameters in horses: Inter-day and inter-observer and intra-observer measurement variability.
Equine Vet J, 52(3), 471-476.
https://doi.org/10.1111/evj.13196 Publication
Researcher Affiliations
- Department of Large Animal Internal Medicine, Faculty of Veterinary Medicine, Equine Cardioteam Ghent University, Ghent University, Merelbeke, Belgium.
- Department of Large Animal Internal Medicine, Faculty of Veterinary Medicine, Equine Cardioteam Ghent University, Ghent University, Merelbeke, Belgium.
- Department of Large Animal Internal Medicine, Faculty of Veterinary Medicine, Equine Cardioteam Ghent University, Ghent University, Merelbeke, Belgium.
- Department of Large Animal Internal Medicine, Faculty of Veterinary Medicine, Equine Cardioteam Ghent University, Ghent University, Merelbeke, Belgium.
- Department of Large Animal Internal Medicine, Faculty of Veterinary Medicine, Equine Cardioteam Ghent University, Ghent University, Merelbeke, Belgium.
- Department of Pathology, Bacteriology and Poultry Diseases, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
- Department of Large Animal Internal Medicine, Faculty of Veterinary Medicine, Equine Cardioteam Ghent University, Ghent University, Merelbeke, Belgium.
MeSH Terms
- Adult
- Animals
- Aorta
- Carotid Artery, Common
- Horses
- Humans
- Iliac Artery
- Observer Variation
- Reproducibility of Results
Grant Funding
- 1134917N / Research Foundation Flanders (FWO-Vlaanderen)
- 1S56217N / Research Foundation Flanders (FWO-Vlaanderen)
References
This article includes 26 references
- Laurent S, Boutouyrie P, Asmar R, Gautier I, Laloux B, Guize L, Ducimetiere P, Benetos A. Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients.. Hypertension 37, 1236-1241.
- O'Rourke MF, Nichols WW. Aortic diameter, aortic stiffness, and wave reflection increase with age and isolated systolic hypertension.. Hypertension 45, 652-658.
- Rossi P, Frances Y, Kingwell BA, Ahimastos AA. Gender differences in artery wall biomechanical properties throughout life.. J. Hypertens. 29, 1023-1033.
- Ferreira AV, Viana MC, Mill JG, Asmar RG, Cunha RS. Racial differences in aortic stiffness in normotensive and hypertensive adults.. J. Hypertens. 17, 631-637.
- Seals DR, Nagy EE, Moreau KL. Aerobic exercise training and vascular function with aging in healthy men and women.. J. Physiol. 597, 4901-4914.
- de Solis CN, Althaus F, Basieux N, Burger D. Sudden death in sport and riding horses during and immediately after exercise: a case series.. Equine Vet. J. 50, 644-648.
- Williams NM, Bryant UK. Periparturient arterial rupture in mares: a postmortem study.. J. Equine Vet. Sci. 32, 281-284.
- Lyle CH, Blissitt KJ, Kennedy RN, Mc Gorum BC, Newton JR, Parkin TD, Stirk A, Boden LA. Risk factors for race-associated sudden death in Thoroughbred racehorses in the UK (2000-2007).. Equine Vet. J. 44, 459-465.
- Frederick J, Giguere S, Butterworth K, Pellegrini-Masini A, Casas-Dolz R, Turpin MM. Severe phenylephrine-associated hemorrhage in five aged horses.. J. Am. Vet. Med. Ass. 237, 830-834.
- Lyle CH, Uzal FA, McGorum BC, Aida H, Blissitt KJ, Case JT, Charles JT, Gardner I, Horadagoda N, Kusano K, Lam K, Pack JD, Parkin TD, Slocombe RF, Stewart BD, Boden LA. Sudden death in racing Thoroughbred horses: an international multicentre study of post mortem findings.. Equine Vet. J. 43, 324-331.
- Ploeg M, Saey V, de Bruijn CM, Grone A, Chiers K, van Loon G, Ducatelle R, van Weeren PR, Back W, Delesalle C. Aortic rupture and aorto-pulmonary fistulation in the Friesian horse: characterisation of the clinical and gross post mortem findings in 24 cases.. Equine Vet. J. 45, 101-106.
- Van Bortel LM, Laurent S, Boutouyrie P, Chowienczyk P, Cruickshank JK, De Backer T, Filipovsky J, Huybrechts S, Mattace-Raso FU, Protogerou AD, Schillaci G, Segers P, Vermeersch S, Weber T. Expert consensus document on the measurement of aortic stiffness in daily practice using carotid-femoral pulse wave velocity.. J. Hypertens. 30, 445-448.
- Laurent S, Cockcroft J, Van Bortel L, Boutouyrie P, Giannattasio C, Hayoz D, Pannier B, Vlachopoulos C, Wilkinson I, Struijker-Boudier H. Expert consensus document on arterial stiffness: methodological issues and clinical applications.. Eur. Heart. J. 27, 2588-2605.
- Heliczer N, Lorello O, Casoni D, Navas de Solis C. Accuracy and precision of noninvasive blood pressure in normo-, hyper-, and hypotensive standing and anesthetized adult horses.. J. Vet. Intern. Med. 30, 866-872.
- Ohyama Y, Redheuil A, Kachenoura N, Venkatesh BA, Lima JAC. Imaging insights on the aorta in aging.. Circ. Cardiovasc. Imaging 11, e005617.
- Messas E, Pernot M, Couade M. Arterial wall elasticity: state of the art and future prospects.. Diagn. Interv. Imaging 94, 561-569.
- O'Rourke MF, Staessen JA, Vlachopoulos C, Duprez D, Plante GE. Clinical applications of arterial stiffness; definitions and reference values.. Am. J. Hypertension 15, 426-444.
- Decloedt A, Verheyen T, Sys S, De Clercq D, van Loon G. Two-dimensional speckle tracking for quantification of left ventricular circumferential and radial wall motion in horses.. Equine Vet. J. 45, 47-55.
- Schwarzwald CC, Schober KE, Berli ASJ, Bonagura JD. Left ventricular radial and circumferential wall motion analysis in horses using strain, strain rate, and displacement by 2D speckle tracking.. J. Vet. Intern. Med. 23, 890-900.
- Schwarzwald CC, Schober KE, Bonagura JD. Methods and reliability of echocardiographic assessment of left atrial size and mechanical function in horses.. Am. J. Vet. Res. 68, 735-747.
- Godia EC, Madhok R, Pittman J, Trocio S, Ramas R, Cabral D, Sacco RL, Rundek T. Carotid artery distensibility: a reliability study.. J. Ultrasound Med. 26, 1157-1165.
- Tan I, Butlin M, Liu YY, Ng K, Avolio AP. Heart rate dependence of aortic pulse wave velocity at different arterial pressures in rats.. Hypertension 60, 528-533.
- von Maltzahn WW, Besdo D, Wiemer W. Elastic properties of arteries: a nonlinear two-layer cylindrical model.. J. Biomech. 14, 389-397.
- Huybrechts SA, Devos DG, Vermeersch SJ, Mahieu D, Achten E, de Backer TL, Segers P, van Bortel LM. Carotid to femoral pulse wave velocity: a comparison of real travelled aortic path lengths determined by MRI and superficial measurements.. J. Hypertens. 29, 1577-1582.
- Weber T, Ammer M, Rammer M, Adji A, O'Rourke MF, Wassertheurer S, Rosenkranz S, Eber B. Noninvasive determination of carotid-femoral pulse wave velocity depends critically on assessment of travel distance: a comparison with invasive measurement.. J. Hypertens. 27, 1624-1630.
- Carroll CL, Huntington PJ. Body condition scoring and weight estimation of horses.. Equine Vet. J. 20, 41-45.
Citations
This article has been cited 2 times.- Lauteri E, Mariella J, Beccati F, Roelfsema E, Castagnetti C, Pepe M, Peric T, Barbato O, Montillo M, Rouge S, Freccero F. Adrenal Gland Ultrasonographic Measurements and Plasma Hormone Concentrations in Clinically Healthy Newborn Thoroughbred and Standardbred Foals. Animals (Basel) 2021 Jun 19;11(6).
- Vera L, De Clercq D, Van Steenkiste G, Decloedt A, Chiers K, van Loon G. Differences in ultrasound-derived arterial wall stiffness parameters and noninvasive blood pressure between Friesian horses and Warmblood horses. J Vet Intern Med 2020 Mar;34(2):893-901.
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