Key result
AI-determined vascular age using AVI and API strongly correlated with chronological age (p < 0.05) and showed significant differences in BNP and eGFR between the highest and lowest quintiles.
Why the study?
Cardiovascular diseases remain a leading cause of morbidity and mortality, and evaluating an alternative AI-determined vascular age model based on AVI and API was needed.
Does an AI-determined vascular age model based on AVI and API correlate with chronological age and cardiovascular/renal markers in a Japanese hospital-based cohort?
Cohort (n=408)
No
Does an AI-determined vascular age model based on AVI and API correlate with chronological age and cardiovascular/renal markers in a Japanese hospital-based cohort?
p-value: p=<0.05
An AI-determined vascular age model using AVI and API correlates with chronological age and cardiovascular/renal markers, suggesting its potential utility as a surrogate for cf-PWV in stratifying vascular aging risk.
Should not yet change practice; hypothesis-generating for AI vascular age as cf-PWV surrogate in observational cohorts.
Background: Cardiovascular diseases (CVDs) remain a leading cause of morbidity and mortality, despite advances in treatment. Early detection of vascular aging is critical, as preclinical atherosclerosis often remains undiagnosed. AI-determined vascular age, originally developed using carotid-femoral pulse wave velocity (cf-PWV), may help to identify individuals at elevated risk. This study aimed to evaluate the clinical utility of an alternative AI-determined vascular age model based on the arterial velocity pulse index (AVI) and arterial pressure volume index (API) in a Japanese hospital-based cohort. Methods: This retrospective, exploratory study analyzed electronic health records of 408 patients from Yokohama City University Hospital. This study was approved by the Clinical Research Ethics Committee (approval numbers: B180300040, F240500007), and patient consent was obtained through an opt-out process. AI-determined vascular age was estimated using a Generalized Additive Model (GAM) with backward stepwise regression, substituting cf-PWV with AVI and API. Correlations with chronological age were assessed, and comparisons of cardiovascular and renal function markers were performed across age-stratified groups. Results: AI-determined vascular age showed a strong correlation with chronological age (p < 0.05). Significant differences were observed in cardiac diastolic function parameters, B-type natriuretic peptide (BNP), and estimated glomerular filtration rate (eGFR) between the highest and lowest quintiles of AI-determined vascular age. Conclusions: AI-determined vascular age using AVI and API appears to be a feasible surrogate for cf-PWV in clinical settings. This index may aid in stratifying vascular aging and identifying individuals who could benefit from early cardiovascular risk management.
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Ueno et al. (2025) conducted a cohort in Cardiovascular risk (n=408). AI-determined vascular age using AVI and API vs. Lowest quintile of AI-determined vascular age was evaluated on Correlation with chronological age (p=<0.05). AI-determined vascular age using AVI and API strongly correlated with chronological age (p < 0.05) and showed significant differences in BNP and eGFR between the highest and lowest quintiles.
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