Determinants of 1-Year Changes of Brachial Ankle Pulse Wave Velocity (baPWV) in Patients with Type 2 Diabetes Mellitus

Yun, Kyung Won; Kim, Bo Hyun; Bae, Young Pil; Yi, Byeong Do; Lee, Seung Woo; Lim, Hong Kyu; Ryu, Yeon Sik; Lee, Chang Won

doi:10.4093/kdj.2008.32.4.346

Cited by 4 publications

(3 citation statements)

References 25 publications

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“…In particular, baPWV had a correlation with several cardiovascular risk factors and metabolic syndrome factors 14 . Meanwhile, Yun et al 29 inspected the baPWV of diabetes mellitus patients for 1-year follow up, and reported that the most powerful factor was blood pressure. Also, in this study, the high systolic blood pressure influenced baPWV positively.…”

Section: Discussionmentioning

confidence: 99%

“…Meanwhile, another study reported that the higher the age and blood pressure, the lower the baPWV 14 . In addition, Yun et al 29 reported that according to their 1-year follow-up study, the most severe risk factor regarding baPWV among type 2 diabetes patients is blood pressure. Likewise, the risk factors regarding cardiovascular diseases are very complicated in relation to each other.…”

Section: Discussionmentioning

confidence: 99%

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Independent association between glycated hemoglobin and arterial stiffness in healthy men

Noh

Kim

Seo

et al. 2015

J of Diabetes Invest

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Aims/IntroductionMany studies have reported that high levels of glycated hemoglobin (HbA1c) are strongly associated with an increased risk of cardiovascular disease. Many researchers have not studied the association of HbA1c with various subclinical atherosclerosis phenotypes. We evaluated the impact of HbA1c on arterial stiffness and atherosclerosis in healthy Korean healthy men.Materials and MethodsThe study population included healthy adult men who participated in health check‐ups. All participants fasted for at least 8 h before taking the blood sample for fasting blood glucose, HbA1c, total cholesterol, high‐density lipoprotein cholesterol, low‐density lipoprotein cholesterol and triglyceride. Arterial stiffness was measured using brachial‐ankle pulse wave velocity. Hierarchical regression analysis allowed us to determine the relationship between brachial‐ankle pulse wave velocity (baPWV) and potential risk factors for cardiovascular disease.ResultsAge and HbA1c were significantly related to baPWV, in model 1. In model 2, blood pressure was added to model 1. Systolic blood pressure was a more significant variable, which was more affected on baPWV than diastolic blood pressure. In the case of model 3, we included all variables regarding arterial stiffness. According to model 3, the most explainable variable was age, and then systolic blood pressure, body mass index and triglyceride, respectively.ConclusionsWe analyzed the associations between HbA1c, which is one of the risk factors, and arterial stiffness independently. An arterial stiffness measurement using baPWV can show the level of severity of the arteriosclerosis. When the level of stiffness has been increased, we could assume that the risk of arteriosclerosis would be increased. It can also be related to the increase of the risk of cardiovascular disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Independent association between glycated hemoglobin and arterial stiffness in healthy men

Noh

Kim

Seo

et al. 2015

J of Diabetes Invest

View full text Add to dashboard Cite

show abstract

“…Recently, an instrument was developed to measure brachial-ankle PWV (baPWV) by using a volume-rendering [ 12 ]. Nakamura et al have found that the length of abdominal aorta that is affected by calcification, which is a known risk factor for cardiovascular morbidity and mortality, also independently predicted baPWV [ 13 ]. Accordingly, baPWV could be used as a new measure of vascular damage that may predispose an individual to cardiovascular events.…”

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confidence: 99%

The Association of Brachial-Ankle Pulse Wave Velocity with Acute Postprandial Hyperglycemia in Korean Prediabetic and Diabetic Subjects

Ahn

2010

Korean Diabetes J

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Relationships between Cardiac Autonomic Neuropathy and the Brachial-ankle Pulse Wave Velocity in Patients with Type 2 Diabetes

Bae

Kim

et al. 2011

Endocrinol Metab

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Background: Cardiovascular disease is the leading cause of death in patients with type 2 diabetes. Clinically, evaluating cardiovascular autonomic neuropathy (CAN) is important to predict cardiovascular mortality because it is correlated with cardiovascular death. The pulse wave velocity (PWV) correlates well with arterial distensibility and stiffness. It is also a useful approach for evaluating the severity of systemic atherosclerosis in adults. So, we evaluated that the relationship between cardiac autonomic neuropathy and the brachial-ankle pulse wave velocity (baPWV) in patients with type 2 diabetes. Methods: We retrospectively analyzed 465 patients (209 men and 256 women) with type 2 diabetes. We checked the clinical characteristics and the laboratory tests and we assessed the diabetic complications. Standard tests for CAN were performed by DiCAN (Medicore, Seoul, Korea): 1) heart rate variability during deep breathing (the E/I ratio), 2) a Valsalva maneuver, 3) 30:15 ratio of R-R interval the blood pressure response to standing, and 5) the blood pressure response to handgrip. The CAN score was determined according to the results of the test as following: 0 = normal, 0.5 = borderline, 1 = abnormal. We also measured the baPWV by using a VP 1000 (Colin, Japan) and all the analyses were performed with the SPSS version 14.0. P values < 0.05 were considered significant. Results: The CAN score is associated with the maximal baPWV, age, systolic blood pressure, microalbuminuria, the duration of diabetes, angiotensin II receptor blocker treatment, calcium channel blocker treatment, β-blocker treatment and nephropathy. After adjusting for age, the baPWV is a independent predictor of the risk for CAN (β = 0.108, P = 0.021). Conclusion:The CAN is associated with the baPWV in patient with type 2 diabetes. (Endocrinol Metab 26:44-52, 2011)

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Determinants of 1-Year Changes of Brachial Ankle Pulse Wave Velocity (baPWV) in Patients with Type 2 Diabetes Mellitus

Cited by 4 publications

References 25 publications

Independent association between glycated hemoglobin and arterial stiffness in healthy men

Independent association between glycated hemoglobin and arterial stiffness in healthy men

The Association of Brachial-Ankle Pulse Wave Velocity with Acute Postprandial Hyperglycemia in Korean Prediabetic and Diabetic Subjects

Relationships between Cardiac Autonomic Neuropathy and the Brachial-ankle Pulse Wave Velocity in Patients with Type 2 Diabetes

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