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Carotid plaques, but not common carotid intima–media thickness, are independently...
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Carotid plaques, but not common carotid intima–media thickness, are independently associated with aortic stiffness
作者:
Mahmoud Zureik,
Mohammed Temmar,
Chris Adamopoulos,
Jeanne-Marie Bureau,
Dominique Courbon,
Frédérique Thomas,
Kathryn Bean,
Pierre-Jean Touboul,
Pierre Ducimetière,
Athanase Benetos,
期刊:
Journal of Hypertension
(OVID Available online 2002)
卷期:
Volume 20,
issue 1
页码: 85-93
ISSN:0263-6352
年代: 2002
出版商: OVID
关键词: ageing;arterial elasticity;atherosclerosis;hypertension
数据来源: OVID
摘要:
ObjectiveIt has been suggested that non-invasive aortic stiffness measurements can be used as an indicator of atherosclerosis. The relationships of arterial stiffness with arterial wall hypertrophy and atherosclerosis however, have rarely been investigated in large-scale studies. The present study reports the associations of carotid arterial structure assessed by B-mode ultrasound with carotid-femoral pulse-wave velocity in hypertensive and non-hypertensive subjects.Design and methodsFree health examinations were performed on 564 subjects (age 58.2±10.8 years, 31.9% of women, 53.2% of all were hypertensive). Carotid–femoral pulse-wave velocity (PWV) was used to assess aortic stiffness. Carotid ultrasound examination included measurements (at sites free of plaques) of intima–media thickness (IMT) at the common carotid arteries (CCA), CCA-lumen diameter, and assessment of atherosclerotic plaques in the extracranial carotid arteries.ResultsSubjects with carotid plaques had significantly higher mean sex-adjusted values of PWV than those without carotid plaques (12.7±0.2 versus 11.1±0.1 m/s,P<0.001). Multivariate analyses showed that this association was independent of sex, age, height, body mass index, mean blood pressure, pulse pressure, diabetes, hypercholesterolaemia and smoking habits (P<0.009). PWV was positively associated with CCA-IMT and CCA-lumen diameter in sex-adjusted analysis (partial correlation coefficients (r) were respectively 0.39 and 0.42,P<0.001 for each). However, the association of PWV with CCA-IMT, but not that with CCA-lumen diameter, disappeared after further adjustment for age and blood pressure measurements (mean blood pressure and/or pulse pressure).ConclusionThis study shows that there is a differential association of PWV with CCA-IMT and carotid plaques. The nature of the independent positive association between atherosclerosis and arterial stiffness should be thoroughly investigated.
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