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June 7, 2026Journal of Clinical MedicineOpen Access

Young age predicts higher descending aortic velocity in athletes, with a 2.00 m/s upper normal limit.

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Why the study?

Athletic haemodynamic adaptations in the descending aorta could influence the diagnosis of coarctation of the aorta, warranting evaluation of the normal range and predictors of Vmax-AoDesc.

Population

559 asymptomatic healthy athletes aged at least 12 years with a tricuspid aortic valve

Design

Observational cohort study

Key result

Young age was the strongest predictor of higher maximum velocity of blood flow in the descending aorta (β = -0.392, p<0.001) in healthy athletes, which had an upper normal limit of 2.00 m/s.

Authors

GCGeorgios A. ChristouDKDimitrios N. Kiortsis

Discussion

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Overview

May inform age-specific aortic flow norms in athletes; leaves open validation for coarctation differentiation.

Key Points

  • This study evaluates the normal range and predictors of maximum blood flow velocity in the descending aorta in healthy athletes.
  • Examination of 559 asymptomatic athletes aged 12 years and older with a tricuspid aortic valve.
  • Measurements included blood pressure, cardiac and aorta ultrasonography, and cardiopulmonary exercise testing.
  • Forty athletes were reassessed after a median follow-up of 3.0 years.
  • The median maximum blood flow velocity in the descending aorta was 1.29 m/s, with a maximum of 2.00 m/s.
  • Age, systolic blood pressure, and stroke volume were significant independent predictors of the maximum velocity.
  • Adjusting for predictors showed a reduction in maximum velocity during follow-up, suggesting age-related changes.

Study Design

Type

Observational (n=559)

Structured PICO

P
Population
559 asymptomatic healthy athletes aged ≥12 years with a tricuspid aortic valve, with a subset of 40 reassessed after a median follow-up of 3.0 years.
O
Outcome
Normal range for the maximum velocity of blood flow in the descending aorta (Vmax-AoDesc) and its predictorssurrogate

In healthy athletes, the upper limit of normal for maximum velocity of blood flow in the descending aorta is 2.00 m/s, with younger age being the strongest predictor of higher velocities.

Cite This Study

Christou et al. (2026) conducted an observational in Healthy athletes (n=559). Age and endurance exercise training was evaluated on Maximum velocity of blood flow in the descending aorta (Vmax-AoDesc). Young age was the strongest predictor of higher maximum velocity of blood flow in the descending aorta (β = -0.392, p<0.001) in healthy athletes, which had an upper normal limit of 2.00 m/s.

synapsesocial.com/papers/6a250ce97def13d035e1d2b7https://doi.org/10.3390/jcm15114378
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Aortic Input Impedance Increases With Age in Healthy Men and Women2005 · 29 citations
  2. 2A young marathon runner with severe aortic coarctation and bicuspid aortic valve disease complicated by contained aortic rupture2020 · 3 citations
  3. 3Distribution of blood flow velocity in the normal aorta: Effect of age and gender2017 · 75 citations
  4. 4Aortic Diameters and Calcifications in Former World-Class Cyclists2023 · 5 citations
  5. 5Severe Aortic Coarctation in a 75-Year-Old Woman: Total Simultaneous Repair of Aortic Coarctation and Severe Aortic Stenosis2012 · 5 citations