A smaller heart-aorta-angle associates with ascending aortic dilatation and increases wall shear stress Article Swipe
S. Petteri Kauhanen
,
Timo Liimatainen
,
Elina Kariniemi
,
Miika Korhonen
,
Johannes Parkkonen
,
Juska Vienonen
,
Ritva Vanninen
,
Marja Hedman
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1007/s00330-020-06852-3
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1007/s00330-020-06852-3
Objectives The aim of this study was to evaluate whether the orientation of the heart, measured as an angle between the long axis of the heart and ascending aorta midline (heart-aorta-angle, HAA), associates with ascending aortic (AA) dilatation. Furthermore, the association between HAA and wall shear stress (WSS) was studied. Methods HAA was retrospectively measured in 1000 consecutive coronary artery computed tomographic angiography (CCTA) images in patients with low-to-moderate pretest probability for coronary artery disease (CAD). To evaluate the effects of HAA on AA flow, 4D flow MRI was performed for 28 patients with AA dilatation (> 40 mm) and WSS was analyzed. Results The mean age of patients undergoing CCTA was 52.9 ± 9.8 years; 66.5% were women. Their median HAA was 128.7° and interquartile range 123.3–134.1°. HAA was significantly smaller in patients with dilated AA (median 126.7° [121.3–130.8°]) compared with the patients with normal AA (median 129.5° [124.3–135.3°], p < 0.001). HAA was smaller in males ( p < 0.001) and in patients with diabetes ( p = 0.016), hypertension ( p = 0.001), CAD ( p = 0.003), hypercholesterolemia ( p < 0.001), and bicuspid aortic valve ( p = 0.025) than without these factors. In a subpopulation without any of these underlying diseases ( n = 233), HAA was still significantly smaller in the patients with dilated AA (median 127.9° [124.3–134.3°]) compared with patients with normal AA (median 131.9° [127.6–136.9°], p = 0.013). In 4D flow MRI, a smaller HAA correlated with increased total WSS in the outer curvature of the proximal AA ( r = − 0.510, p = 0.006). Conclusion A smaller HAA associates with AA dilatation and affects the blood flow in the proximal AA. Key Points • A smaller angle between the long axis of the heart and ascending aorta midline associated with ascending aortic dilatation. • A smaller heart-aorta-angle correlated with increased total wall shear stress in the outer curvature of the proximal ascending aorta.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1007/s00330-020-06852-3
- https://link.springer.com/content/pdf/10.1007/s00330-020-06852-3.pdf
- OA Status
- hybrid
- Cited By
- 18
- References
- 20
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3017511509
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3017511509Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1007/s00330-020-06852-3Digital Object Identifier
- Title
-
A smaller heart-aorta-angle associates with ascending aortic dilatation and increases wall shear stressWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-04-22Full publication date if available
- Authors
-
S. Petteri Kauhanen, Timo Liimatainen, Elina Kariniemi, Miika Korhonen, Johannes Parkkonen, Juska Vienonen, Ritva Vanninen, Marja HedmanList of authors in order
- Landing page
-
https://doi.org/10.1007/s00330-020-06852-3Publisher landing page
- PDF URL
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https://link.springer.com/content/pdf/10.1007/s00330-020-06852-3.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://link.springer.com/content/pdf/10.1007/s00330-020-06852-3.pdfDirect OA link when available
- Concepts
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Medicine, Ascending aorta, Bicuspid aortic valve, Interquartile range, Internal medicine, Cardiology, Coronary artery disease, Aorta, Aortic valve, Stenosis, Neuroradiology, Psychiatry, NeurologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
18Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2024: 4, 2023: 3, 2021: 9Per-year citation counts (last 5 years)
- References (count)
-
20Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.123.3–134.1°. | 128 |
| abstract_inverted_index.heart-aorta-angle | 308 |
| abstract_inverted_index.[121.3–130.8°]) | 140 |
| abstract_inverted_index.[124.3–134.3°]) | 225 |
| abstract_inverted_index.[124.3–135.3°], | 150 |
| abstract_inverted_index.[127.6–136.9°], | 234 |
| abstract_inverted_index.(heart-aorta-angle, | 31 |
| abstract_inverted_index.hypercholesterolemia | 182 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 95 |
| corresponding_author_ids | https://openalex.org/A5080615164 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 8 |
| corresponding_institution_ids | https://openalex.org/I175532246 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.800000011920929 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.85647722 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |