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923 results on '"Fernhall, Bo"'

1. Clinical Applications Measuring Arterial Stiffness: An Expert Consensus for the Application of Cardio-Ankle Vascular Index (CAVI)

Author

Budoff, Matthew J, Alpert, Bruce, Chirinos, Julio A, Fernhall, Bo, Hamburg, Naomi, Kario, Kazuomi, Kullo, Iftikhar, Matsushita, Kunihiro, Miyoshi, Toru, Tanaka, Hirofumi, Townsend, Ray, and Valensi, Paul

Subjects
Clinical Research, Detection, screening and diagnosis, 4.2 Evaluation of markers and technologies, Ankle, Consensus, Humans, Pulse Wave Analysis, Vascular Stiffness, arterial stiffness, blood pressure, cardio-ankle vascular index, clinical, endothelial function, expert consensus, hypertension, vascular disease, Clinical Sciences, Cardiovascular System & Hematology
Abstract

BackgroundThe purpose of this document is to provide clinicians with guidance, using expert consensus, to help summarize evidence and offer practical recommendations.MethodsExpert Consensus Documents are intended to provide guidance for clinicians in areas in which there are no clinical practice guidelines, especially for new and evolving tests such as arterial stiffness measurements, until any formal guidelines are released.ResultsThis expert consensus document is intended as a source of information for decision-making and to guide clinician-patient discussions in various clinical scenarios.ConclusionsThe goal is to help clinicians and patients make a more informed decision together.

Published
2022

2. Cardio‐ankle vascular index and cardiovascular disease: Systematic review and meta‐analysis of prospective and cross‐sectional studies

Author

Matsushita, Kunihiro, Ding, Ning, Kim, Esther D, Budoff, Matthew, Chirinos, Julio A, Fernhall, Bo, Hamburg, Naomi M, Kario, Kazuomi, Miyoshi, Toru, Tanaka, Hirofumi, and Townsend, Raymond

Subjects
Medical Biochemistry and Metabolomics, Biomedical and Clinical Sciences, Cardiovascular Medicine and Haematology, Clinical Sciences, Heart Disease, Clinical Trials and Supportive Activities, Clinical Research, Cardiovascular, Prevention, Brain Disorders, Aged, Aged, 80 and over, Aorta, Asia, Blood Pressure, Cardio Ankle Vascular Index, Cardiovascular Diseases, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Prospective Studies, Risk Factors, Vascular Stiffness, all-cause mortality, arterial stiffness, cardio-ankle vascular index, cardiovascular disease, meta-analysis, Cardiorespiratory Medicine and Haematology, Cardiovascular System & Hematology, Cardiovascular medicine and haematology, Clinical sciences, Medical biochemistry and metabolomics
Abstract

The cardio-ankle vascular index (CAVI) is a new measure of arterial stiffness that reflects the stiffness from the ascending aorta to the ankle arteries, and demonstrates little dependence on blood pressure during the evaluation. However, a comprehensive assessment of the association of CAVI with cardiovascular disease (CVD) has not been reported. We performed a systematic review to assess the association between CAVI and CVD. We searched for both prospective and cross-sectional studies using MEDLINE, Embase, and Cochrane from inception until April 11, 2017. We pooled the results using random-effects models. Among 1519 records, we identified nine prospective studies (n = 5214) and 17 cross-sectional eligible studies (n = 7309), with most enrolling high CVD risk populations in Asia. All nine prospective studies investigated composite CVD events as an outcome (498 cases including coronary events and stroke) but modeled CAVI inconsistently. The pooled adjusted hazard ratio for CVD events per 1 standard deviation increment of CAVI in four studies was 1.20 (95% CI: 1.05-1.36, P = 0.006). Of the 17 cross-sectional studies, 13 studies compared CAVI values between patients with and without CVD and all reported significantly higher values in those with CVD (pooled mean difference in CAVI values 1.28 [0.86-1.70], P

Published
2019

37. Hemodynamic during resistance exercise sets and rest intervals in young and older men

Author

Sardeli, Amanda Veiga, Gáspari, Arthur Fernandes, Santos, Lucas do Camargo, Ferreira, Marina Lívia Venturini, Rosenberg, Alexander J., Baynard, Tracey, Fernhall, Bo, Cavaglieri, Cláudia Regina, and Chacon-Mikahil, Mara Patrícia Traina

Subjects
Exercício de força, Aging, Strength exercise, Envelhecimento, Idoso, frequência cardíaca, Blood pressure, Heart Rate Monitoring, Resposta cardiovascular, Pressão Arterial, General Medicine, Aged, Cardiovascular response
Abstract

Intense blood pressure elevations during resistance exercise (RE) could lead to risk of acute cardiovascular events. Since, the natural aging process contribute to rest and exercise elevations in BP it could be expected higher BP elevations following RE in older individuals. However, the studies have shown contradictory findings which are likely due to the time of BP assessment following exercise. Thus, we compared BP changes after each set and rest interval in young and older men. Sixteen men (8 each group) underwent four sets until fatigue at leg press equipment with high load (80% 1RM). BP was assessed, by finger photoplethysmography and the other cardiovascular measurements were estimated based on body characteristics. Systolic BP (SBP) and mean BP (MBP) increased more in older men at first sets; heart rate (HR) increased more in young during all sets and rest intervals; cardiac output (CO) maintained higher all the time in young; and total peripheral resistance (TPR) increased more during all sets in older men. Thus, the present study shows that RE performed to fatigue leads to higher BP increase in older men suggesting BP might be monitored during RE for safe proposal especially on this higher risk population. Intense blood pressure (BP) elevations during resistance exercise (RE) could lead to risk of acute cardiovascular events. Since, the natural aging process contribute to rest and exercise elevations in BP, higher BP elevations following RE could be expected in older individuals. However, previous studies have shown contradictory findings which are likely due to the time of BP assessment following exercise. Thus, we compared BP changes after each set and rest interval in young and older men. Sixteen men (8 each group) underwent four sets until fatigue at leg press equipment with high load (80% 1RM). BP was assessed, by finger photoplethysmography and the other cardiovascular measurements were estimated based on individual characteristics. Systolic BP (SBP) and mean BP (MBP) increased more in older men at first sets; heart rate (HR) increased more in young during all sets and rest intervals; cardiac output (CO) maintained higher all the time in young; and total peripheral resistance (TPR) increased more during all sets in older men. Thus, the present study shows that RE performed to fatigue leads to higher BP increase in older men suggesting BP might be monitored during RE for safety reasons especially on this higher risk population.

Published
2021

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