Effect of comprehensive cardiovascular disease risk management on longitudinal changes in carotid artery intima-media thickness in a community-based prevention clinic

Cheng, Henry G; Patel, Birju; Martin, Seth S.; Blaha, Michael; Doneen, Amy L.; Bale, Bradley Field; Jones, Steven R.

doi:10.5114/aoms.2016.60955

Cited by 15 publications

(22 citation statements)

References 44 publications

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“…Several studies have reported that the 3D analysis method allows more precise characterization of the surface regularity, the echo-structure of the carotid plaque and the volume measurement of the plaque [10,[24][25][26][27][28][29][30][31][32][33][34]. Previous studies aimed at evaluating the reproducibility of 3D ultrasound in the volume measurement of carotid plaque showed good intra-and inter-observer agreement (k coefficients ranging from 0.94-0.96 to 0.89-0.93, respectively) [28,31,32].…”

Section: B Amentioning

confidence: 99%

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Three-dimensional ultrasonographic evaluation of carotid artery plaque surface irregularity

Artaş

Izzet

2020

aoms

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The aim of this study was to evaluate 3-dimensional (3D) ultrasonography (US) in determining the surface irregularity of carotid artery plaques. Material and methods: This study included 50 patients (20 females and 30 males) aged between 56 and 82 years with plaques in the carotid artery which were detected during routine neck ultrasound. Simultaneously these cases were evaluated in terms of plaque echogenicities and surface characteristics with 2D and 3D US. Results: 3D imaging was successfully performed in 45 of the 50 cases and the technical success rate was 90%. A single plaque was detected in 64.4% of the patients, with the remaining 35.6% having more than one plaque. The lengths of the plaques ranged from 2 to 12 mm (mean: 3.98 ±1.70 mm); the widths ranged from 1.8 to 3.2 mm (mean: 2.11 ±0.37 mm). No significant difference was found between 2D and 3D plaque echo-structures (observer 1, p = 0.317; observer 2, p = 0.276), but there were significant differences between 2D and 3D plaque surface irregularities (observer 1, p = 0.002; observer 2, p = 0.004). The inter-observer agreement on 2D and 3D plaque echo-structure and surface irregularity was very good (k coefficients were 0.89 and 0.83, respectively, for echo-structure, and 0.91 and 0.95, respectively, for surface irregularity). Conclusions: The present study shows that 3D US examination is a valuable non-invasive method for investigation of surface irregularity of carotid artery plaques.

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Section: B Amentioning

confidence: 99%

“…Also, the atherosclerotic plaque often develops asymmetrically. As a result, the 2D method requires a subjective reconstruction of the plaque shape [24][25][26][27].…”

Section: B Amentioning

confidence: 99%

Three-dimensional ultrasonographic evaluation of carotid artery plaque surface irregularity

Artaş

Izzet

2020

aoms

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“…The role of non‐HDL‐C in carotid atherosclerosis has been of more concern . Some studies investigated associations between lipid parameters (including non‐HDL‐C) and carotid plaques or intima–media thickness . However, few studies have assessed the association between non‐HDL‐C levels and the risk of vulnerable carotid plaques.…”

Section: Introductionmentioning

confidence: 99%

Association between non‐high‐density lipoprotein cholesterol levels and asymptomatic vulnerable carotid atherosclerotic plaques

Zhang

Wang

et al. 2019

Euro J of Neurology

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Background and purpose Carotid atherosclerosis, especially rupture of plaques, is related to cerebrovascular diseases. Non‐high‐density lipoprotein cholesterol (non‐HDL‐C) is relevant to cerebrovascular diseases and may be a potential risk factor. We designed this study to investigate the association between non‐HDL‐C and the prevalence of asymptomatic vulnerable carotid atherosclerotic plaques. Methods We enrolled 2888 participants who underwent carotid atherosclerotic plaque detection and non‐HDL‐C measurement, with no history of taking lipid‐lowering agents, from the Asymptomatic Polyvascular Abnormalities in Community study. We used multivariable logistic regression to estimate the association between non‐HDL‐C levels and the presence of asymptomatic vulnerable carotid atherosclerotic plaques. Results In our study, 1505 subjects had asymptomatic vulnerable carotid atherosclerotic plaques and 1383 subjects had stable plaques. After adjustment for confounding factors, the odds ratios for vulnerable plaques of non‐HDL‐C levels in the middle and highest tertile groups were 1.02 (95% confidence interval, 0.84–1.23) and 1.50 (95% confidence interval, 1.23–1.82), respectively (P trend < 0.01). Conclusion In our community‐based observational and cross‐sectional study, non‐HDL‐C level was a significant risk factor for the occurrence of asymptomatic vulnerable carotid plaques.

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“…Likewise, in our assessment of the carotid artery wall, we used the method superior to the one employed by the relevant studies published so far [39,40] -measurement of carotid artery distensibility and early structural change. Carotid artery intima-media thickening in µm was measured using the most advanced method of high-resolution echo-tracking by Artlab technology [16].…”

Section: Discussionmentioning

confidence: 99%

Positive impact of a 4-week duration supervised aerobic training on anthropometric, metabolic, hemodynamic and arterial wall parameters in metabolic syndrome subjects

Slivovskaja

Buzinskaitė

Ryliškytė

et al. 2017

Seminars in Cardiovascular Medicine

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SummaryObjectives: Metabolic syndrome (MetS) is linked to the development of type 2 diabetes and increased risk of cardiovascular disease (CVD). Physical inactivity is one of the main pathophysiological factors of MetS subjects. The aim of this study was to evaluate if 4-week supervised aerobic training had any impact on anthropometric, metabolic, hemodynamic and arterial wall parameters in MetS subjects.Design and methods: 57 MetS subjects were randomly selected from a Lithuanian High Cardiovascular Risk (LitHiR) national primary prevention programme. Hemodynamic, cardiometabolic risk and arterial wall parameters were evaluated after the 4-week supervised aerobic training.Results: After 4 weeks of aerobic training there was statistically significant decrease in body mass index from 30.58 ± 3.7 to 30.3 ± 3.55 kg/m 2 (p = 0.010), waist circumference from 104.24 ± 9.46 to 102.9 ± 9.48 cm (p = 0.003), decrease of LDL cholesterol from 4.21 ± 1.15 to 3.78 ± 1 mmol/l (p = 0.032) and high sensitivity C-reactive protein from 2.01 ± 2.36 to 1.64 ± 1.92 mg/l (p = 0.009), decrease of diastolic blood pressure (BP) from 83.06 ± 10.18 to 80.38 ± 8.98 mmHg (p = 0.015), mean BP from 100.03 ± 10.70 to 97.31 ± 8.88 mmHg (p = 0.027) and aortic stiffness, assessed as carotid-femoral pulse wave velocity, from 8.34 ± 1.26 to 7.91 ± 1.15 m/s (p = 0.034).Conclusions: In subjects with MetS even short-duration (4-week) supervised aerobic exercise training is associated with improvement of some anthropometric, metabolic and hemodynamic parameters as well as the decrease in aortic stiffness. This training modality could be recommended for initiation of physical training and could increase motivation for further physical activity.

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Effect of comprehensive cardiovascular disease risk management on longitudinal changes in carotid artery intima-media thickness in a community-based prevention clinic

Cited by 15 publications

References 44 publications

Three-dimensional ultrasonographic evaluation of carotid artery plaque surface irregularity

Three-dimensional ultrasonographic evaluation of carotid artery plaque surface irregularity

Association between non‐high‐density lipoprotein cholesterol levels and asymptomatic vulnerable carotid atherosclerotic plaques

Positive impact of a 4-week duration supervised aerobic training on anthropometric, metabolic, hemodynamic and arterial wall parameters in metabolic syndrome subjects

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