Українська English

ISSN 2522-9028 (Print)
ISSN 2522-9036 (Online)
DOI: https://doi.org/10.15407/fz

Fiziologichnyi Zhurnal

is a scientific journal issued by the

Bogomoletz Institute of Physiology
National Academy of Sciences of Ukraine

Editor-in-chief: V.F. Sagach

The journal was founded in 1955 as
1955 – 1977 "Fiziolohichnyi zhurnal" (ISSN 0015 – 3311)
1978 – 1993 "Fiziologicheskii zhurnal" (ISSN 0201 – 8489)
1994 – 2016 "Fiziolohichnyi zhurnal" (ISSN 0201 – 8489)
2017 – "Fiziolohichnyi zhurnal" (ISSN 2522-9028)

Fiziol. Zh. 2022; 68(4): 3-10


USE OF INDICATORS OF STIFFNESS AND ENERGY OF THE MYOCARDIUM AS MARKERS OF AGING OF THE CARDIOVASCULAR SYSTEM

L.A. Bodretska, I.S. Shapovalenko, I.A. Antonyuk-Shcheglova, O.V. Bondarenko, S.S. Naskalova, V.B. Shatilo

    D.F. Chebotarev Institute of Gerontology NAMS of Ukraine, Kyiv, Ukraine
DOI: https://doi.org/10.15407/fz68.04.003


Abstract

Age-related changes in the stiffness characteristics of the left ventricular (LV) myocardium and the possibility of using them to determine a person’s biological age (BA) were investigated. 188 practically healthy people (115 women and 73 men) were examined, divided by age into 5 groups: I - 30-39 years old (n = 25), II - 40-49 years old (n = 40), III - 50-59 years old (n = 38), IV - 60-69 years old (n = 46), V - 70-79 years old (n = 39). All were examined clinically, echocardiography was performed, the biological age of the cardiovascular system (CVS) was calculated according to the Framingham scale. In practically healthy people, with age, the indicators of left ventricular myocardial stiffness and the energy cost of the heart work statistically significantly increase, and residual energy decreases. Excess BA of the examined in relation to their calendar age was detected in 4 (10%, 95% CI 2.6-21.5), 12 (31.6%, 95% CI 17.6-47.6) and 14 (30.4%, 95% CI 17.8- 44.8) persons in age groups 40-49, 50-59 and 60-69 years, respectively, which indicates accelerated aging of the CVS. A direct correlation of moderate strength between biological age and indicators of the energy cost of the work of the heart has been established. It is advisable to use indicators of myocardial stiffness and energy spent on heart contraction as markers of aging to determine BA CVS.

Keywords: biological age of the cardiovascular system; myocardial stiffness; energy cost of the heart.

References

  1. Vovkanych LS. Characteristics of methods for determining the biological age of man (mini-review). Healthy lifestyle: collection. Science. Lviv; 2008. 28:19-26.
  2. Reddy YNV, Carter RE, Obokata M, Redfield MM, Borlaug BA. A simple, evidence-based approach to help guide diagnosis of heart failure with preserved ejection fraction. Circulation. 2018 Aug 28;138(9):861-70. CrossRef PubMed PubMedCentral
  3. D'Agostino RB Sr, Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, Kannel WB. General cardiovascular risk profile for use in primary care: the framingham heart study. Circulation. 2008 Feb 12;117(6):743-53. CrossRef PubMed
  4. Weber MA, Schiffrin EL, White WB, Mann S, Lindholm LH, Kenerson JG, et al. Clinical practice guidelines for the management of hypertension in the community: a statement by the American Society of Hypertension and the International Society of Hypertension. J Clin Hypertens (Greenwich). 2014 Jan;16(1):14-26. CrossRef PubMed PubMedCentral
  5. Ikonomidis I, Aboyans V, Blacher J, Brodmann M, Brutsaert DL, Chirinos JA, et al. The role of ventriculararterial coupling in cardiac disease and heart failure: assessment, clinical implications and therapeutic interventions. A consensus document of the European Society of Cardiology Working Group on Aorta & Peripheral Vascular Diseases, European Association of Cardiovascular Imaging, and Heart Failure Association. Eur J Heart Fail. 2019 Apr;21(4):402-24.
  6. Chirinos JA. Ventricular-arterial coupling: Invasive and non-invasive assessment. Artery Res. 2013 Mar;7(1):10.1016/j.artres.2012.12.002. CrossRef PubMed PubMedCentral
  7. Chirinos JA, Sweitzer N. Ventricular-arterial coupling in chronic heart failure. Card Fail Rev. 2017 Apr;3(1):12-8. CrossRef
  8. Lyah YuE, Guryanov VG, Homenko VE, Panchenko OA. Fundamentals of computer biostatistics: analysis of information in biology, medicine and pharmacy by the MedStat statistical package. Donetsk: Papakitsa EC; 2006.
  9. Kobalava ZD, Kotovskaya YuV, Bogomaz AV. New methods of assessment of subclinical changes in the cardiovascular system in arterial hypertension. Ration Pharmacother Cardiol. 2016;12(3):317-24. CrossRef
  10. Kobalava ZD, Lukina OI, Meray I, Villevalde SV. Ventricular-arterial coupling parameters and its prognostic value in patients with decompensated heart failure. Russ J Cardiol. 2020;25(1):3695. CrossRef
  11. Bukharov IB. Optimal structural and functional organization of the circulatory and external respiration systems. Mathemat Model. 2005;17(9):3-26.
  12. Khazov VS. Development of ideas about the fundamental principles of the occurrence of coronary heart disease. System analysis of the regulation of the activity of the heart in the norm. Russ Arch Int Med. 2012;(6).
  13. Astashkin EI, Glezer MG. Influence of aging on some key stages of energy metabolism of cardiomyocytes. Clin Gerontol. 2008;14 (11);3-10.
  14. Anokhin PK. Key questions of the theory of functional system. M., Nauka. 1980.
  15. Luchkova AYu, Strutynska NA, Sagach VF. The influence of calcium accumulation on the function of electron transport chain in the old rat heart mitochondria. Fiziol Zh. 2018; 64(5): 16-25. CrossRef

© National Academy of Sciences of Ukraine, Bogomoletz Institute of Physiology, 2014-2024.