The Associations of Arterial Stiffness and Central Hemodynamics with Carotid Atherosclerosis in Patients at a High Coronary Risk: A Cross-Sectional Study

被引:0
|
作者
Kim, Hack-Lyoung [1 ]
Kwon, Soonil [1 ]
Joh, Hyun Sung [1 ]
Lim, Woo-Hyun [1 ]
Seo, Jae-Bin [1 ]
Kim, Sang-Hyun [1 ]
Zo, Joo-Hee [1 ]
Kim, Myung-A [1 ]
机构
[1] Seoul Natl Univ, Seoul Metropolitan Govt, Dept Internal Med, Div Cardiol,Boramae Med Ctr,Coll Med, Seoul, South Korea
关键词
Atherosclerosis; Aortic blood pressure; Carotid artery disease; Carotid intima-media thickness; Pulse wave analysis; PULSE-WAVE VELOCITY; INTIMA-MEDIA THICKNESS; CENTRAL BLOOD-PRESSURE; CARDIOVASCULAR EVENTS; ORGAN DAMAGE; DISEASE; PREDICTION; AUGMENTATION; PLAQUE;
D O I
10.1159/000543001
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Introduction: It is not well-known which indicator, central blood pressure (CBP) or arterial stiffness, has a greater impact on carotid atherosclerosis. This study aimed to assess the associations of carotid atherosclerosis with arterial stiffness and CBP in the same individuals. Methods: A total of 142 patients (mean age: 69 years; 43% female) with documented atherosclerotic cardiovascular disease or multiple risk factors were analyzed. Brachial-ankle pulse wave velocity (baPWV) and CBP measurements, along with carotid ultrasound, were performed on the same day. CBP was assessed using radial artery tonometry. Results: In simple linear regression analysis, only baPWV exhibited a significant correlation with carotid intima-media thickness (CIMT) (r = 0.272; p = 0.001), whereas none of the CBP parameters (systolic, diastolic, pulse pressures, and augmentation index) correlated with CIMT (p > 0.05 for each). Multiple linear regression analysis indicated that baPWV had no significant association with CIMT after adjusting for age (p = 0.264). A higher baPWV (>= 1,656 cm/s) was significantly associated with carotid plaque presence, even after accounting for potential confounders (odds ratio: 3.66; 95% confidence interval: 1.65-8.12; p = 0.001). Moreover, as the number of carotid plaques increased, there was a linear rise in baPWV (p < 0.001). None of CBP parameters were associated with the presence of carotid plaque (p > 0.05 for each). Conclusions: Among a high-risk Korean population, baPWV demonstrated a stronger association with carotid plaque presence and extent compared to CBP parameters. Thus, baPWV may serve as a valuable marker for identifying carotid plaque. (c) 2024 The Author(s).
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页码:11 / 21
页数:11
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