Intima-Media Thickness Side Differences Are Limited to the Common Carotid Artery

Foerch, Christian; Buehler, Alexandra; Kegler, Stephan von; Sitzer, Matthias

doi:10.1161/01.hyp.0000103164.73172.30

Cited by 22 publications

(17 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our main finding was that atherosclerosis, examined through maximal IMT and the presence of plaque, was distributed symmetrically at the carotid artery whereas asymmetrically at the femoral artery. For the carotid artery, these observations are in line with results from previous epidemiological studies, showing small [19] or insignificant [20] differences between both sides. With regard to the femoral artery, data are rather scarce but also tend to confirm our observations.…”

Section: Discussionsupporting

confidence: 92%

Asymmetry in prevalence of femoral but not carotid atherosclerosis

Bossuyt¹,

Bortel²,

Backer³

et al. 2014

Journal of Hypertension

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 92%

Asymmetry in prevalence of femoral but not carotid atherosclerosis

Bossuyt¹,

Bortel²,

Backer³

et al. 2014

Journal of Hypertension

View full text Add to dashboard Cite

show abstract

“…Clinical observations suggested that the higher blood pressure and vascular wall shear stress on the left carotid artery resulted in higher common carotid IMT on left side[25], [26]; however, the side difference was only limited to CCA and did not affect the prediction of subsequent cardiovascular events[27]. Our study did not show differential effects of measurements from different sides on CVD risk.…”

Section: Discussioncontrasting

confidence: 47%

Carotid Artery Intima-Media Thickness, Carotid Plaque and Coronary Heart Disease and Stroke in Chinese

Chien

Jeng

et al. 2008

PLoS ONE

View full text Add to dashboard Cite

BackgroundOur aim was to prospectively investigate the association between carotid artery intima-media thickness (IMT) as well as carotid plaque and incidence of coronary heart disease (CHD) and stroke in Chinese, among whom data are limited.Methods and FindingsWe conducted a community-based cohort study composed of 2190 participants free of cardiovascular disease at baseline in one community. During a median 10.5-year follow up, we documented 68 new cases of coronary heart disease and 94 cases of stroke. The multivariate relative risks (RRs) associated with a change of 1 standard deviation of maximal common carotid IMT were 1.38 (95% confidence interval [CI], 1.12–1.70) for CHD and 1.47 (95% CI, 1.28–1.69) for stroke. The corresponding RRs with internal carotid IMT were 1.47 (95% CI, 1.21–1.79) for CHD and 1.52 (95% CI, 1.31–1.76) for stroke. Carotid plaque measured by the degree of diameter stenosis was also significantly associated with increased risk of CHD (p for trend<0.0001) and stroke (p for trend<0.0001). However, these associations were largely attenuated when adjusting for IMT measurements.ConclusionsThis prospective study indicates a significant association between carotid IMT and incidence of CHD and stroke in Chinese adults. These measurements may be useful for cardiovascular risk assessment and stratification in Chinese.

show abstract

“…Differences in right versus left measurements have been reported in common carotid intima-media thickness measurements, with the right having lesser values than the left (43–45). In fact, in one study of participants with and without migraine headaches, arterial distension was also found to be significantly greater in the right than in the left for both groups of individuals.…”

Section: Discussionmentioning

confidence: 97%

Segmental Analysis of Carotid Arterial Strain Using Speckle-Tracking

Yang

Dokainish

Virani

et al. 2011

Journal of the American Society of Echocardiography

View full text Add to dashboard Cite

Background Increased arterial stiffness has been shown to be associated with aging and cardiovascular risk factors. Speckle-tracking algorithms are being used to measure myocardial strain. We evaluated if speckle-tracking could be used to measure carotid arterial wall strain (CAS) reproducibly in healthy volunteers and then examined if CAS was lesser in individuals with diabetes. Methods Bilateral electrocardiography-gated ultrasound scans of the distal common carotid arteries [D-CCA] (3 cardiac cycles, 14 MHz linear probe, mean 78.7 [Standard deviation (SD) 8.9]) frames per second were performed twice (2–4 days apart) on 10 healthy volunteers to test repeatability. Differences in CAS between healthy (n=20) and diabetic subjects (n=21) were examined. Peak CAS was measured in each of 6 equal segments and averages of all segments (i.e., global average), of the 3 nearest the probe, and of the 3 farthest from the probe (i.e., far wall average) were obtained. Results Global CAS (intraclass correlation coefficient [ICC]=0.40) and far wall average (ICC=0.63) had the greatest test-retest reliability. The global and far wall averaged CAS were lower in diabetics (4.29% [Standard Error (SE) 0.27%]; 4.30% [SE 0.44%], respectively) than in controls (5.48% [SE 0.29%], p=0.001; 5.58% [SE 0.44%], p=0.003, respectively). This difference persisted after adjustment for age, gender, race, and hemodynamic parameters. Conclusions Speckle-tracking for measuring carotid arterial wall strain is feasible and modestly reliable. Diabetic subjects had a lower carotid arterial wall strain obtained with speckle-tracking when compared with healthy controls.

show abstract

Intima-Media Thickness Side Differences Are Limited to the Common Carotid Artery

Cited by 22 publications

References 9 publications

Asymmetry in prevalence of femoral but not carotid atherosclerosis

Asymmetry in prevalence of femoral but not carotid atherosclerosis

Carotid Artery Intima-Media Thickness, Carotid Plaque and Coronary Heart Disease and Stroke in Chinese

Segmental Analysis of Carotid Arterial Strain Using Speckle-Tracking

Contact Info

Product

Resources

About