STEMM Institute Press
Science, Technology, Engineering, Management and Medicine
Ultrasound Imaging Pulse Wave Velocity Technology Assessment of the Impact of Hypertension and Hyperglycemia on Carotid Artery Stiffness
DOI: https://doi.org/10.62517/jmhs.202405302
Author(s)
Liping Yan1, Jianxin He2,*
Affiliation(s)
1Department of Breast Surgery, Jiangxi Maternal and Child Health Hospital, Nanchang, Jiangxi, China 2Department of Ultrasound Medicine, the First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China *Corresponding Author.
Abstract
Hypertension and diabetes are two common chronic diseases that contribute to arterial stiffness. To evaluate the differential impacts of hypertension and hyperglycemia on carotid artery stiffness, this study conducted a retrospective analysis of ultrasound imaging pulse wave parameters in cases diagnosed with primary hypertension, Type II diabetes, and normal health check-ups at our hospital. The results showed that the one-way ANOVA did not reveal significant statistical differences among the groups overall. However, post-hoc multiple comparison tests indicated that there was a statistical difference in the pulse wave parameter L-CCA PWV-BS between hypertensive patients and the normal group. Additionally, the pulse wave parameter L-CCA PWV-ES showed statistical differences between the hypertensive patients and the normal group, as well as between the people with diabetes and the normal individuals. The pulse wave parameter R-CCA PWV-BS showed a statistical difference between the people with diabetes and normal individuals, while R-CCA PWV-ES showed statistical differences between the hypertension and the diabetes patient groups, as well as between the hypertensive patients and the normal group. Consequently, this study found that between two chronic diseases, hypertension is the one most likely to cause stiffness in the carotid artery.
Keywords
Hypertension; Diabetes; Arteriosclerosis; Ultrasound; Pulse Wave
References
[1]Laurent S, Cockcroft J, Van Bortel L, et al. Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J, 2006, 27(21): 2588-2605. [2]COUADE M, PERNOT M, MESSAS E, et al. Ultrafast imaging of the arterial pulse wave. IRBM, 2011, 32(2): 106-108. [3]Xiaopeng Li, Jue Jiang, Hong Zhang et al. Measurement of carotid pulse wave velocity using ultrafast ultrasound imaging in hypertensive patients. J Med Ultrasonics, 2016. [4]Qiu Lanyan, Qian Linxue, Liu Dong, et al. Study on the correlation between pulse wave conduction velocity detected by high-speed imaging technology and carotid atherosclerosis Chinese Journal of Ultrasound Imaging, 2014, 23 (5): 203-205 [5]Xu Yijun, Xiao Husheng, Xu Fang, et al. Feasibility evaluation of using high-speed imaging technology combined with pulse meter to detect arterial elasticity in patients with primary hypertension . Journal of Shanghai University of Traditional Chinese Medicine, 2016, 30 (20): 42-45 [6]Zhang Guanghua, Jing Jing, Hong Linwei. Study on early evaluation of carotid artery elasticity in patients with primary hypertension using rapid imaging technology to detect pulse conduction velocity. Chinese Journal of Clinical Medical Imaging, 2016, 27 (4): 297-299 [7] Wang Fengdi, Xu Qin, Huang Ying, et al. Study on the correlation between carotid intima-media thickness, pulse wave velocity, and ankle brachial index. Journal of Clinical Cardiovascular Disease, 2009.25 (9): 648-651Gotschy, A. et al. [8]Alexander Gotschy, Elisabeth Bauer, Christian Schrodt, et al. Local arterial stiffening assessed by MR I precedes atherosclerotic plaque formation. Circ Cardio vasc Imaging, 2013.6(6): p. 916-923. [9]Pereira T, Maldonado J, Pereira L, et al. Aortic stiffness is an independent predictor of stroke in hypertensive patients. Arq Bras Cardiol, 2013, 100(5): 437-443. [10]Hajjar I, Goldstein FC, Martin GS, et al. Roles of arterial stiffness and blood pressure in hypertension associated cognitive decline in healthy adults. Hypertension, 2016, 67(1): 171-175. [11]Fu Ping. Internal Medicine. 8th edition. Beijing: People's Health Press, 2013: 509-510. [12]Zhu Hang, Xue Hao, Wang Guangyi, et al. Study on the correlation between urinary micro-album in creatinine ratio and pulse wave conduction velocity in hypertensive patients. Chinese Journal of Cardiovascular Diseases, 2015, 43 (4): 308-311 [13] Bruno RM, Cartoni G, Stea F, et al. Carotid and aortic stiffness in essential hypertension and their relation with target organ damage: the CATOD study. J Hypertens, 2017, 35(2): 310-318. [14] Yang Wenhui, Yang Li, He Yan, et al. Correlation analysis between brachial ankle pulse wave velocity and ankle brachial index and degree of coronary artery disease. Chongqing Medical Journal, 2016, 45 (11): 1565-1567. [15]Wang Liu, Lu Shijuan, Chen Hairong, et al. Clinical prediction of the severity of coronary artery stenosis using ankle brachial index combined with pulse wave velocity. Lingnan Journal of Cardiovascular Disease, 2017, 23 (5): 542-545 [16]Zhang Zhonghui, Zhang Wenyan, Wu Shouling, etc Study on the correlation between brachial ankle pulse wave velocity and asymptomatic cerebral infarction in adult males Journal of North China University of Science and Technology (Medical Edition), 2016, 18 (4): 277-281 [17]Lin Miao, Wen Junping, Huang Huibin, et al. Study on the correlation between renal hyper-filtration and pulse conduction velocity Journal of Fujian Medical University, 2016, 50 (5): 302-305 [18]Li Ting, Chen Xiaomin, Wu Xiujuan, et al. The diagnostic value of brachial ankle pulse wave conduction velocity and ankle brachial index for lower limb atherosclerosis. Journal of Stroke and Neuropathy, 2016, 33 (11): 1021-1024 [19]Yang Liu, Dang Yongkang, Guo Jianquan, et al. Correlation analysis between brachial ankle pulse wave conduction velocity and lower limb arteriosclerosis risk in patients with morning hypertension. Chinese Journal of Geriatric Multiple Organ Diseases, 2016, 15 (3): 211-214 [20]Zhou Yi, Chen Zhijin, Kuang Chaoqun. Relationship between brachial ankle pulse wave velocity and hypertensive retinopathy. International Journal of Ophthalmology, 2018, 18 (1): 130-132 [21] Zhang Lijian. Study on the correlation between Helicobacter pylori infection and ankle brachial index and pulse wave velocity in patients with coronary heart disease and type 2 diabetes. Shaanxi Medical Journal, 2017, 46 (3): 341-343 [22]Scuteri A, Cunha PG, Rosei EA, et al. Arterial stiffness and influences of the metabolic syndrome: a cross-countries study. Atherosclerosis, 2014, 233(2): 654- 660. [23]Lopes-Vicente WRP, Rodrigues S, Cepeda FX, et al. Arterial stiffness and its association with clustering of metabolic syndrome risk factors. Diabetol Metab Syndr, 2017, 9:87. [24]Stephane Laurent, John Cockcroft, Luc Van Bortel, et al. Expert consensus document on arterial stiffness: methodological issues and clinical applications. European Heart Journal, 2006.27(21):p.2588-2605. [25]Iftikhar J Kullo , Lawrence F Bielak, Stephen T Turner, et al. Aortic pulse wave velocity is associated with the presence and quantity of coronary artery calcium: a community based study. Hypertension, 2006.47(2):p.174-179. [26]Pfeifle B, Ditschuneit H. Effect of insulin on growth of cultured human arterial smooth muscle cells. Diabetologia, 1981, 20 (2):155-158. [27]Aronson D. Cross-linking of glycated collagen in the pathogenesis of arterial and myocardial stiffening of aging and diabetes .J Hypertens, 2003, 21(1):3-12. [28]Ferreira MT, Leite NC, Cardoso CR, et al. Correlates of aortic stiffness progression in patients with type 2diabetes: importance of glycemic control: the Rio de Janeiro type 2diabetes cohor study. Diabetes Care, 2015, 38(5):897-904. [29]Strasser B, Arvandi M, Pasha EP, et al. Abdominal obesity is associated with arterial stiffness in middle-aged adults. Nutr Metab Cardiovasc Dis, 2015, 25(5):495-502.
Copyright @ 2020-2035 STEMM Institute Press All Rights Reserved