Associations of Coronary Heart Disease with Common Carotid Artery Near and Far Wall Intima-Media Thickness: The Multi-Ethnic Study of Atherosclerosis

Polak, Joseph F.; Szklo, Moysés; O’Leary, Daniel H.

doi:10.1016/j.echo.2015.04.001

Cited by 23 publications

(9 citation statements)

References 33 publications

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“…Previous studies reporting reference intervals for cIMT confirm the presence of a strong, linear relationship between age and cIMT . The Multi‐Ethnic Study of Atherosclerosis (MESA) also found a strong relationship between age and cIMT . Furthermore, in a previous article we reported that age‐related wall thickening in healthy asymptomatic individuals occurs similarly between the carotid artery as well as peripheral arteries in the upper and lower limb .…”

Section: Discussionsupporting

confidence: 58%

“…Each symbol represents a single studied population, with the size of the symbol being related to the sample size (eg, n = <250; n = 250-1000; n = >1000). Abbreviations: cIMT, carotid artery intima-media thickness 24 Furthermore, in a previous article we reported that age-related wall thickening in healthy asymptomatic individuals occurs similarly between the carotid artery as well as peripheral arteries in the upper and lower limb. 10 These data support the idea that the annual increase of cIMT closely follows the chronological aging process.…”

Section: Influence Of CV Disease/risk On the Relation Between Age Amentioning

confidence: 98%

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Relation between age and carotid artery intima‐medial thickness: a systematic review

Munckhof

Jones

Hopman

et al. 2018

Clinical Cardiology

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Carotid artery intima-medial thickness (cIMT) represents a popular measure of atherosclerosis and is predictive of future cardiovascular and cerebrovascular events. Although older age is associated with a higher cIMT, little is known about whether this increase in cIMT follows a linear relationship with age or it is affected under influence of cardiovascular diseases (CVD) or CVD risk factors. We hypothesize that the relationship between cIMT and age is nonlinear and is affected by CVD or risk factors. A systematic review of studies that examined cIMT in the general population and human populations free from CVD/risk factors was undertaken. The literature search was conducted in PubMed, Scopus, and Web of Science. Seventeen studies with 32 unique study populations, involving 10,124 healthy individuals free from CVD risk factors, were included. Furthermore, 58 studies with 115 unique study populations were included, involving 65,774 individuals from the general population (with and without CVD risk factors). A strong positive association was evident between age and cIMT in the healthy population, demonstrating a gradual, linear increase in cIMT that did not differ between age decades (r = 0.91, P < 0.001). Although populations with individuals with CVD demonstrated a higher cIMT compared to populations free of CVD, a linear relation between age and cIMT was also present in this population. Our data suggest that cIMT is strongly and linearly related to age. This linear relationship was not affected by CVD or risk factors.

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Section: Discussionsupporting

confidence: 58%

Section: Influence Of CV Disease/risk On the Relation Between Age Amentioning

confidence: 98%

Relation between age and carotid artery intima‐medial thickness: a systematic review

Munckhof

Jones

Hopman

et al. 2018

Clinical Cardiology

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“…Procedurally, participants were properly positioned in a comfortable supine position with their heads rotated 45 degree toward the right, then left in alternative turns for clear visualization of the CIMT of both arteries [ 25 ]. The far wall thickness of both arteries was taken from anterior, lateral, posterior angles by ensuring that these images were visualized from a 10-millimeter distance proximal to the bulk of the common carotid arteries [ 15 , 26 ]. The thickness of layers between medial-adventitial and intimal-luminal interfaces that is marked in double line density was the measurement of the CIMT values.…”

Section: Methodsmentioning

confidence: 99%

Cooking fuels use and carotid intima-media thickness during early pregnancy of women in Myanmar

Min

Taneepanichskul

2020

PLoS ONE

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Background Fuels burned in households for cooking cause indoor air pollution, exposing those who are cooking. Despite the mounting evidence of the effects of fuels use on health, few studies focus on the effect of cooking fuels have on carotid intima-media thickness (CIMT), a surrogate atherosclerosis biomarker in the early stages of pregnancy. This study aimed to examine the association between the use of cooking fuels and CIMT during early trimester of pregnancy among cooking women in Myanmar. Methodology In this cross-sectional study, a part of an ongoing birth cohort analysis, a total of 192 cooking pregnant women over 18 years with gestational weeks less than 18 were recruited from 15 rural health centers in Nay Pyi Taw from September to November 2019. Sociodemographic data, residential data, and fuels use data were collected with semi-structured questionnaires in face-to-face interviews. Anthropometric, hemodynamic, blood lipids, and ultrasound CIMT measurements were performed under standard protocols. Multiple linear regression was modeled to explore associations. Results The study included 70 firewood fuel users, 26 charcoal fuel users, and 96 electricity fuel users. Following adjustments for potential confounding factors, firewood use was significantly associated with the increase of all CIMT analyzed. Importantly, a greater increase of mean CIMT of the right common carotid artery (RCCA; β = 0.033 mm; 95%CI: 0.006, 0.058; P<0.05) had significant association with charcoal use compared to firewood use (β = 0.029 mm; 95%CI: 0.010, 0.049; P<0.05). Conclusions Our findings demonstrate that the indoor use of cooking fuels that cause indoor air pollution, such as firewood and charcoal, is a considerable risk factor for human health and is associated with increased CIMT, wherein charcoal use contributes to more increase of mean CIMT of the RCCA. Measures to prevent health risks related to the use of such fuels should be instituted early on during pregnancy.

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“…So far it has been reported that although IMT has a significant relationship with cerebrovascular disease, but not with coronary artery disease. However, concerning the development of coronary artery disease, according to the Multi-Ethnic Study of Atherosclerosis 10) in which IMT was measured in 6,606 subjects (mean age, 62.1years; 52.7% women), the prediction of coronary artery disease onset using IMT of the far side wall of common carotid artery was reported to exceed that using Framingham risk factor (change in C statistic, 0.012; 95% CI, 0.006 -0.017; p < 0.001). In the JART study 11) , measurements of IMT have been standardized using less than 400 patients who had carotid artery wall thickness or atherosclerotic lesions (plaques) (IMT ≥ 1.1 mm) and high LDL-C.…”

Section: Gender Difference Should Be Considered In Practical Dyslipidmentioning

confidence: 99%

Medical care for dyslipidemia in women based on the “Japan Atherosclerosis Society (JAS) Guidelines for Prevention of Atherosclerotic Cardiovascular Diseases 2017”

Kishimoto

Moriyama

Yamada

et al. 2018

Health evaluation and promotion

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The National Health and Nutrition Survey conducted by the Ministry of Health, Labour and Welfare of Japan in 2016 revealed that 21.1% of men and 24.8% of women showed high low-density lipoprotein cholesterol (LDL-C) levels (≥ 140 mg/dL), which indicated a higher mean cholesterol level in women than in men. Higher LDL-C values in women than in men have been noted for a long time, and it is speculated that menopause is one of the factors that affect elevated LDL-C levels in women. Despite elevated LDL-C in women, it is well recognized that women are not prone to developing arteriosclerotic lesions. The Japan Atherosclerosis Society has published "Japan Atherosclerosis Society (JAS) Guidelines for Prevention of Atherosclerotic Cardiovascular Diseases 2017" and provided risk stratification charts according to the Suita score system, which was developed in the Suita study. These risk charts were provided based on the lipid level and classical cardiovascular risk factors, and cardiovascular events have been set as end points with detailed treatment goals in the guidelines. Unfortunately, gender differences have not been considered in treatment goals in the guidelines, even though women carry a lower risk of cardiovascular events than men. In this sense, it might be a better idea to determine the adaptation of high LDL-C treatment by statins after using carotid artery ultrasound to check for the presence of atherosclerotic lesions, carotid intima-media thickness (IMT), or plaques. It has been reported that efficient high LDL-C therapy with statins reduces plaque development more effectively in women than in men. In addition, it is important for health care professionals who provide instructions regarding diet and nutrition to understand that dietary nutrients that affect LDL-C level are not cholesterol derived from food, but mainly the intake of saturated fatty acids and trans-unsaturated fatty acids. (HEP. 2018; 45: 579-584.)

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Associations of Coronary Heart Disease with Common Carotid Artery Near and Far Wall Intima-Media Thickness: The Multi-Ethnic Study of Atherosclerosis

Cited by 23 publications

References 33 publications

Relation between age and carotid artery intima‐medial thickness: a systematic review

Relation between age and carotid artery intima‐medial thickness: a systematic review

Cooking fuels use and carotid intima-media thickness during early pregnancy of women in Myanmar

Medical care for dyslipidemia in women based on the “Japan Atherosclerosis Society (JAS) Guidelines for Prevention of Atherosclerotic Cardiovascular Diseases 2017”

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