Predictive Value of the Cardio‐Ankle Vascular Index for Cardiovascular Events in Patients at Cardiovascular Risk

Autor: Toru Miyoshi, Hiroshi Ito, Kohji Shirai, Shigeo Horinaka, Jitsuo Higaki, Shigeo Yamamura, Atsuhito Saiki, Mao Takahashi, Mitsuru Masaki, Takafumi Okura, Kazuhiko Kotani, Takuro Kubozono, Ryo Yoshioka, Hajime Kihara, Koji Hasegawa, Noriko Satoh‐Asahara, Hajime Orimo
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 10, Iss 16 (2021)
Druh dokumentu: article
ISSN: 2047-9980
60427698
DOI: 10.1161/JAHA.120.020103
Popis: Background Arterial stiffness is an important predictor of cardiovascular events; however, indexes for measuring arterial stiffness have not been widely incorporated into routine clinical practice. This study aimed to determine whether the cardio‐ankle vascular index (CAVI), based on the blood pressure–independent stiffness parameter β and reflecting arterial stiffness from the origin of the ascending aorta, is a good predictor of cardiovascular events in patients with cardiovascular disease risk factors in a large prospective cohort. Methods and Results This multicenter prospective cohort study, commencing in May 2013, with a 5‐year follow‐up period, included patients (aged 40‒74 years) with cardiovascular disease risks. The primary outcome was the composite of cardiovascular death, nonfatal stroke, or nonfatal myocardial infarction. Among 2932 included patients, 2001 (68.3%) were men; the mean (SD) age at diagnosis was 63 (8) years. During the median follow‐up of 4.9 years, 82 participants experienced primary outcomes. The CAVI predicted the primary outcome (hazard ratio, 1.38; 95% CI, 1.16‒1.65; P
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