Arterial stiffness, carotid atherosclerosis and left ventricular diastolic dysfunction in postmenopausal women
| Autor: | Adriana Albu, Cosmina Ioana Bondor, Daniela Fodor, Laura Poanta |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Carotid Artery Diseases
Carotid atherosclerosis medicine.medical_specialty Pulse Wave Analysis Carotid Intima-Media Thickness Ventricular Dysfunction Left Vascular Stiffness Risk Factors Oscillometry Internal medicine Internal Medicine medicine Humans cardiovascular diseases Normal left ventricular systolic function Risk factor Pulse wave velocity Aorta Aged Postmenopausal women business.industry Middle Aged medicine.disease Postmenopause Carotid Arteries Logistic Models Intima-media thickness Echocardiography cardiovascular system Arterial stiffness Cardiology Female Left ventricular diastolic dysfunction business |
| Zdroj: | European Journal of Internal Medicine. 24:250-254 |
| ISSN: | 0953-6205 |
| DOI: | 10.1016/j.ejim.2012.11.019 |
| Popis: | Postmenopausal women have an increased cardiovascular morbidity that may be due to the increase in classical cardiovascular risk factors and also to the arterial structure and function alterations. The aim of our study was to evaluate the association of aortic pulse wave velocity (PWV), and carotid intima-media thickness (IMT), with left ventricular diastolic dysfunction (LVDD) in postmenopausal women.In 96 women without overt cardiovascular disease (age 62±7.7 years), and with normal left ventricular systolic function, aortic PWV was assessed by using an oscillometric device, intima-media thickness was measured by B-mode ultrasonography and the parameters of left ventricular diastolic function were evaluated by a transthoracic echocardiographic study.LVDD, defined as an E/A ratio≤1 was found in 50 patients (52%). All of them had mild LVDD. In these patients we found significant increase in age (p0.001), aortic PWV (p0.001), carotid IMT (p=0.002) and plaque score (p=0.004) when compared with patients without LVDD. In a logistic regression analyzed, after adjusting for age, only aortic PWV was a significant predictor of LVDD (2.15, 95% CI 1.39-3.31, p=0.0006).This study among postmenopausal women provides evidence that increased arterial stiffness as measured by aortic PWV and not carotid IMT may be a marker or a risk factor for LVDD, independent of other classical risk factors. |
| Databáze: | OpenAIRE |
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