Direct Measurement of Wall Stiffness for Carotid Arteries by Ultrasound Strain Imaging

Kawasaki, Toshihiro; Fukuda, Shota; Shimada, Kenei; Maeda, Kumiko; Yoshida, Ken; Sunada, Hiroe; Inanami, Hitoshi; Tanaka, Hidemasa; Jissho, Satoshi; Taguchi, Haruyuki; Yoshiyama, Minoru; Yoshikawa, Junichi

doi:10.1016/j.echo.2009.09.011

Cited by 40 publications

(38 citation statements)

References 29 publications

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“…Information concerning the circulatory system can be provided by the wave intensity hemodynamic index (Niki et al 2002). The Young modulus and the pressure strain elastic modulus that characterize vascular elasticity can be estimated by tissue Doppler imaging (TDI) (Claridge et al 2008;Kawasaki et al 2009). Stiffness is also widely investigated in arterial imaging techniques using diameter changes of the vessel and blood pressure (Bj€ allmark et al 2010).…”

Section: Introduction and Literaturementioning

confidence: 99%

Measurement of Two-Dimensional Movement Parameters of the Carotid Artery Wall for Early Detection of Arteriosclerosis: A Preliminary Clinical Study

Zahnd

Boussel

Marion

et al. 2011

Ultrasound in Medicine & Biology

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Section: Introduction and Literaturementioning

confidence: 99%

Measurement of Two-Dimensional Movement Parameters of the Carotid Artery Wall for Early Detection of Arteriosclerosis: A Preliminary Clinical Study

Zahnd

Boussel

Marion

et al. 2011

Ultrasound in Medicine & Biology

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“…In contrast, strain imaging, using 2D ultrasonography with a speckle tracking technique, is a sensitive and reliable method for the assessment of elastic properties of arteries and offers a valuable tool for early identification of atherosclerosis 16. This method provides 2D data that enable researchers to assess the elastic properties of the arterial wall directly9, 16, 27, 35 and show a high sensitivity and good reproducibility 16, 27. Furthermore, the 2D‐ST method can detect heterogeneous motion pattern and local variations in compliance in different sectors of the vascular wall 16.…”

Section: Discussionmentioning

confidence: 99%

Ascending Aortic Strain Analysis Using 2‐Dimensional Speckle Tracking Echocardiography Improves the Diagnostics for Coronary Artery Stenosis in Patients With Suspected Stable Angina Pectoris

Fan

et al. 2018

JAHA

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BackgroundArterial stiffening and atherosclerosis tend to coexist. Strain imaging, using a 2‐dimensional speckle tracking (2D‐ST) method, has been used for arterial stiffness assessment and early identification of atherosclerosis. We investigated whether the ascending aortic strain assessed by 2D‐ST echocardiography at rest can predict the presence of coronary artery disease (CAD).Methods and ResultsTwo hundred seventy‐one consecutive patients with suspected stable angina pectoris sequentially underwent exercise treadmill testing, 2‐dimensional echocardiography, M‐mode echocardiography, 2D‐ST echocardiography, and coronary angiography. Circumferential ascending aortic strain (CAAS) and radial ascending aortic strain were assessed by 2D‐ST echocardiography. Ninety‐two patients with coronary lumen area stenosis ≥70% were categorized as having significant CAD. Global CAAS was significantly lower in patients with significant CAD (7.41±2.30% versus 11.54±4.03%; P<0.001) and remained an independent predictor of significant CAD (odds ratio, 0.64 [0.54–0.75]; P<0.001) after multivariate regression. Based on the receiver operating characteristic curve for diagnosing significant CAD, the optimal cut‐off value of global CAAS was ≤9.22% (sensitivity, 86%; specificity, 70%; area under curve=0.82; P<0.001). Global CAAS decreased with increasing severity of CAD and was significantly associated with 3‐vessel disease (odds ratio, 0.58 [0.42–0.79]; P<0.001). Diagnostics for significant CAD were remarkably better for global CAAS combined with exercise treadmill testing than for exercise treadmill testing alone (area under curve=0.88 versus 0.78; P<0.001).ConclusionsGlobal CAAS assessed by 2D‐ST echocardiography at rest was able to predict the presence of significant CAD and identify multivessel disease. In addition, global CAAS combined with exercise treadmill testing remarkably improved the diagnostics for significant CAD.

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“…In a previous report, direct strain measurements based on tissue Doppler imaging for estimating the carotid artery were associated with age, other parameters of atherosclerosis, and the presence of coronary artery stenosis [19]. Recently, ascending aorta wall stiffness assessed by wall velocity and strain as measured by tissue Doppler imaging has been reported [20].…”

Section: Avc and Elastic Properties Of The Taamentioning

confidence: 98%

Aortic valve calcification and increased stiffness of the proximal thoracic ascending aorta: association with left ventricular diastolic dysfunction and early chronic kidney disease

et al. 2011

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Direct Measurement of Wall Stiffness for Carotid Arteries by Ultrasound Strain Imaging

Cited by 40 publications

References 29 publications

Measurement of Two-Dimensional Movement Parameters of the Carotid Artery Wall for Early Detection of Arteriosclerosis: A Preliminary Clinical Study

Measurement of Two-Dimensional Movement Parameters of the Carotid Artery Wall for Early Detection of Arteriosclerosis: A Preliminary Clinical Study

Ascending Aortic Strain Analysis Using 2‐Dimensional Speckle Tracking Echocardiography Improves the Diagnostics for Coronary Artery Stenosis in Patients With Suspected Stable Angina Pectoris

Aortic valve calcification and increased stiffness of the proximal thoracic ascending aorta: association with left ventricular diastolic dysfunction and early chronic kidney disease

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