Circumferential strain of carotid arteries does not differ between patients with advanced coronary artery disease and group without coronary stenoses

Wierzbowska−Drabik, Karina; Cygulska, Kamila; Cieślik-Guerra, Urszula; Uznańska‐Loch, Barbara; Rechciński, Tomasz; Trzos, Ewa; Kurpesa, Małgorzata

doi:10.1016/j.advms.2015.12.010

Cited by 9 publications

(7 citation statements)

References 14 publications

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“…Contrary to CVD, the reasons for the absence of the relationship between the abnormality in strain values and CAD remain unclear. Regarding this issue, Wierzbowska-Drabik et al demonstrated that circumferential strain, unlike IMT, did not allow for differentiation between patients with three-vessel CAD and control subjects 41) , whereas Kim et al reported that the CAD severity and extent were correlated with strain and the strain rate, but were not correlated with IMT 24) . Further studies are needed to investigate the association between strain values and CAD.…”

Section: Discussionmentioning

confidence: 99%

Usefulness of Carotid Arterial Strain Values for Evaluating the Arteriosclerosis

Iino

Okano

Daimon

et al. 2019

JAT

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Aim: We investigated the clinical usefulness of carotid arterial strain and the strain rate for evaluating the progression of arteriosclerosis measured using a two-dimensional speckle-tracking method in carotid ultrasonography. Methods: We enrolled 259 participants (age: 64 ± 12 years; men: 149; women: 110) in this retrospective analysis. The circumferential strain and the strain rate were measured in bilateral common carotid arteries, and the lowest values were used for the analyses. To assess the characteristics of strain and the strain rate, we investigated the associations between the strain values and gender, age, body mass index (BMI), blood pressure (BP), and the presence of hypertension, diabetes mellitus, and hyperlipidemia. We also examined the explanatory factors for the strain values using clinical parameters along with the intima-media thickness (IMT), the ankle brachial index (ABI), and the cardio-ankle vascular index (CAVI) as possible candidates. Finally, we investigated whether the strain values might be an independent predictor for vascular diseases using multivariate logistic regression analyses. Results: The carotid circumferential strain and the strain rate were significantly correlated with age, IMT, and the CAVI, but not with the BMI, BP, or ABI. Strain and the strain rates were lower in participants with hypertension or cerebrovascular disease and were selected as significant predictive factors for the presence of cerebrovascular diseases, together with diabetes and the CAVI. Conclusions: Strain and the strain rate of carotid arteries, which could represent local arterial stiffness, might be associated with atherosclerosis and could possibly be used to predict cerebrovascular disease.

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Section: Discussionmentioning

confidence: 99%

Usefulness of Carotid Arterial Strain Values for Evaluating the Arteriosclerosis

Iino

Okano

Daimon

et al. 2019

JAT

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“…29 However, study results regarding correlation between carotid strain and coronary artery disease were inconsistent. [30][31][32] Our study has demonstrated prognostic values of carotid strain and strain rate on composite end-points including acute coronary syndrome. Carotid arterial stiffness was noted to be associated with cardiac structural changes in hypertension.…”

Section: Discussionmentioning

confidence: 68%

Carotid vascular strain predicts cardiovascular events in patients with hypertension

et al. 2021

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Background: We aim to investigate prognostic effects of carotid strain (CS) and strain rate (CSR) in hypertension.Methods: We prospectively recruited 120 patients being treated for hypertension (65.8 ± 11.8 years, 58% male) in this observational study. Peak circumferential CS and peak CSR after ejection were identified using two-dimensional speckle tracking ultrasound. Major cardiovascular events were any admission for stroke, acute coronary syndrome, and heart failure.Results: After a mean follow-up period of 63.6 ± 14.5 months, 14 (12%) patients had cardiovascular events. Age (75.3 ± 9.2 vs 64.6 ± 11.6 years; p = 0.001), systolic blood pressure (131.8 ± 15.5 vs 143.1 ± 16.6 mm Hg; p = 0.021), diastolic blood pressure (74.6 ±11.4 vs 82.1 ± 12.2 mm Hg; p = 0.039), use of diuretics (71 vs 92%; p = 0.014), carotid CS (2.17 ± 1.02 vs 3.28 ± 1.14 %; p = 0.001), and CSR (.28 ± .17 vs .51 ± .18 1/s; p < 0.001) were significantly different between the patients who did and did not reach the end-points. Multivariate Cox regression analysis controlling for age, systolic blood pressure, diastolic blood pressure, and use of diuretics showed that CS (HR .425, 95%CI .223-.811, p = 0.009) and CSR (HR .001, 95%CI .000-.072, p = 0.001) were independent predictors for cardiovascular events. Conclusion: In conclusions, decreased CS and CSR were associated with cardiovascular events in hypertension.

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“…The study demonstrated that depression of ST segment was observed in 38% of patients with tachy-systolic type of the AF, and half of them according to the results of angiography were diagnosed coronary artery disease [23]. Only 4% of patients with tachysystolic type of AF without changes of ST segment on electrocardiogram (ECG) were positive noninvasive stress tests and coronary artery disease according to the results of coronary angiography [24].…”

Section: Angiographic Results In Patients With Atrial Fibrillationmentioning

confidence: 95%

The antithrombotic therapy of atrial fibrillation in patients with coronary heart disease

Bockeria¹,

Le²

2018

Russ Open Med J

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Coronary heart disease (CHD) is the most common cardiovascular disease, while atrial fibrillation (AF) is the most common heart rhythm disorder. These diseases have common risk factors such as hypertension, diabetes, sleep apnea, obesity and smoking. The frequency of CHD in patients with AF ranges from 17.0 to 46.5%, while the prevalence of AF among patients with CHD is low and is estimated at only 0.2-5.0%. AF is a well-known factor of unfavorable short-term and long-term prognosis in patients with acute myocardial infarction; it is associated with a significant increase in overall mortality. It is assumed that in 5-15% of cases of AF, coronary artery stenting and, accordingly, triple therapy with Aspirin, Clopidogrel or Ticagrelor and oral anticoagulant will ever be required. This requires very careful consideration of balanced antithrombotic therapy, taking into account the high risk of bleeding, the risk of stroke and stent thrombosis followed by acute coronary syndrome. Co-administration of oral anticoagulants with antiplatelet drugs, and in particular triple therapy, significantly increases the absolute risk of serious bleeding. In addition, severe bleeding is associated with a fivefold increase in the risk of adverse outcome after acute coronary syndrome. The presence of atrial fibrillation with coronary heart disease worsens the prognosis even in patients undergoing careful treatment.

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Circumferential strain of carotid arteries does not differ between patients with advanced coronary artery disease and group without coronary stenoses

Cited by 9 publications

References 14 publications

Usefulness of Carotid Arterial Strain Values for Evaluating the Arteriosclerosis

Usefulness of Carotid Arterial Strain Values for Evaluating the Arteriosclerosis

Carotid vascular strain predicts cardiovascular events in patients with hypertension

The antithrombotic therapy of atrial fibrillation in patients with coronary heart disease

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