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The maximum diameter and peak flow velocity of the infrarenal aorta were quantified by ultrasound-measurements. Diameter thresholds for infrarenal ectasia (25-29\u00a0mm) and aneurysm (\u2265\u200930\u00a0mm) were defined in accordance with current guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The cohort consisted of 2,093 participants (median age 66\u00a0years, 42% women). Median infrarenal aortic diameter was 18.1\u00a0mm [IQR 16.4, 19.9] and peak flow velocity 98.6\u00a0cm\/s [IQR 83.6,115.9]. After adjustment for age and sex, there were significant associations of diameter with AD AoDesc (Coefficient -0.572\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.009) and of peak flow velocity with PWV (Coefficient -0.399,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.029). Participants with infrarenal ectasia or aneurysm (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200955) had significantly higher median PWV, whereas AD AoAsc, AD AoDesc and peak flow velocity were significantly lower (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.042,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.039,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) compared with normal aortic diameter cohort. After adjustment for covariates, PWV and AD showed a significant predictive value neither for prevalent infrarenal ectasia or nor for aneurysm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>CMR-based aortic stiffness parameters such as PWV and AD were associated with infrarenal aortic parameters. Their diagnostic, screening, and prognostic value remains to be investigated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00392-026-03029-8","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T10:57:39Z","timestamp":1789988259000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations of CMR-based pulse wave velocity and aortic distensibility with infrarenal ultrasound-based aortic parameters in the Hamburg City Health Study"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5956-0051","authenticated-orcid":false,"given":"Katharina Alina","family":"Riedl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleonora","family":"Di Carluccio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunnar","family":"Lund","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Huellebrand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Hennemuth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rickmer","family":"Braren","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulus","family":"Kirchhof","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Blankenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Tilemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Ziegler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian- Alexander","family":"Behrendt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai","family":"Muellerleile","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tilo","family":"K\u00f6lbel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,21]]},"reference":[{"key":"3029_CR1","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1016\/j.ejvs.2023.11.002","volume":"67","author":"A Wanhainen","year":"2024","unstructured":"Wanhainen A, Van Herzeele I, Bastos Goncalves F, Bellmunt Montoya S, Berard X, Boyle JR, D\u2019Oria M, Prendes CF, Karkos CD, Kazimierczak A, Koelemay MJW, K\u00f6lbel T, Mani K, Melissano G, Powell JT, Trimarchi S, Tsilimparis N, Antoniou GA, Bj\u00f6rck M, Coscas R, Dias NV, Kolh P, Lepidi S, Mees BME, Resch TA, Ricco JB, Tulamo R, Twine CP, Branzan D, Cheng SWK, Dalman RL, Dick F, Golledge J, Haulon S, van Herwaarden JA, Ilic NS, Jawien A, Mastracci TM, Oderich GS, Verzini F, Yeung KK (2024) Editor\u2019s Choice \u2013 European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms. 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PK is listed as inventor on two issued patents held by University of Hamburg (Atrial Fibrillation Therapy WO 2015140571, Markers for Atrial Fibrillation WO 2016012783). All other authors declare no conflicts of interest regarding the current study.","order":1,"name":"Ethics","label":"Conflict of interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}