Diagnostic Values of Epicardial Adipose Tissue Thickness with Right Common Carotid Artery Elasticity and Intima-Media Thickness for Middle-Aged and Elderly Patients with Coronary Heart Disease
| Autor: | Chengsi Qian, Jun Jiang, Yan Sun |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
International Journal of General Medicine 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Right Common Carotid Artery Internal medicine medicine cardiovascular diseases Elasticity (economics) coronary heart disease intima-media thickness Pulse wave velocity Original Research Receiver operating characteristic business.industry ultrasound Ultrasound General Medicine epicardial adipose tissue Coronary heart disease Compliance (physiology) Intima-media thickness 030220 oncology & carcinogenesis right common carotid artery elasticity Cardiology cardiovascular system business |
| Zdroj: | International Journal of General Medicine |
| ISSN: | 1178-7074 |
| Popis: | Chengsi Qian1 *,* Yan Sun2 *,* Jun Jiang1 1Department of Cardiology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, 310009, Zhejiang Province, People’s Republic of China; 2Department of Cardiology, Zhejiang Rongjun Hospital, Jiaxing, 314001, Zhejiang Province, People’s Republic of China*These authors contributed equally to this workCorrespondence: Jun Jiang Email leiyanci13712@163.comBackground: Coronary heart disease (CHD) is the most common cardiovascular disease which greatly threatens the health of middle-aged and elderly people.Objective: To explore the correlations of epicardial adipose tissue (EAT) thickness with right common carotid artery elasticity and intima-media thickness (IMT) in middle-aged and elderly patients with CHD by ultrasound.Methods: A total of 132 patients diagnosed with CHD by coronary angiography (CAG) from February 2019 to August 2020 were enrolled and divided into single-vessel disease group (n=38), double-vessel disease group (n=52), and three-vessel disease group (n=42), and 52 healthy subjects were selected as control group. Their general data, biochemical indices, EAT thickness, right common carotid artery elasticity indices, and IMT were compared. The correlations of EAT thickness with right common carotid artery elasticity indices and IMT were studied by Pearson’s analysis. The predictive values of EAT thickness and IMT for CHD were analyzed by receiver operating characteristic curves.Results: With increasing number of diseased branches, EAT thickness, stiffness parameters β (β), strain elastic modulus (Ep), pulse wave velocity β (PWV-β) and IMT increased, arterial compliance (AC) decreased (P< 0.05), but argumentation index (AI) did not change significantly. EAT thickness had significant positive correlations with β, Ep, PWV-β and IMT, negative correlation with AC, and no significant correlation with AI. The areas under the curves of EAT thickness and IMT for predicting CHD were 0.806 and 0.784, respectively.Conclusion: EAT thickness is significantly correlated with right common carotid artery elasticity and IMT in middle-aged and elderly patients with CHD, and EAT thickness and IMT have high predictive values. The three indices are crucial for CHD diagnosis.Keywords: ultrasound, coronary heart disease, epicardial adipose tissue, right common carotid artery elasticity, intima-media thickness |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|