Carotid stiffening predicts cardiovascular risk stratification in mid-life: non-invasive quantification with ultrafast ultrasound imaging

Autor: Zhengqiu Zhu, Lingshan Chen, Wenjun Liu, Yiyun Wu, Chong Zou, Xinyi Zhang, Shanshan He, Yinping Wang, Bixiao Shen, Xuehui Ma, Hui Gao, Yun Luan, Hui Huang
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Ultrasonography, Vol 41, Iss 3, Pp 462-472 (2022)
Druh dokumentu: article
ISSN: 2288-5919
2288-5943
DOI: 10.14366/usg.21197
Popis: Purpose The present study investigated the association between Systematic COronary Risk Evaluation (SCORE)-estimated cardiovascular risk and carotid stiffening in a middle-aged population using ultrafast pulse wave velocity (ufPWV). Methods This study enrolled 683 participants without known cardiovascular disease or diabetes mellitus who underwent ufPWV measurements. Clinical interviews, physical examinations, laboratory findings, carotid intima-media thickness (cIMT), pulse wave velocity (PWV) at the beginning of systole (PWV-BS), and PWV at the end of systole (PWV-ES) were assessed. Each participant underwent an assessment of SCORE risk based on major cardiovascular risk factors (CVRFs), including age, sex, smoking, systolic blood pressure (SBP), and total cholesterol (TC). Crude and adjusted odds ratios (ORs) with 95% confidence intervals and ordinal logistic regression were used. Overall CVRFs were adjusted to assess ORs. Results cIMT and carotid stiffening in PWV-BS and PWV-ES were significantly different between sex subgroups (all P0.05). Conclusion Carotid stiffening quantified by ufPWV is linked to SCORE categories, and elevated PWV-ES may aid in cardiovascular risk stratification.
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