Brachial‐ankle pulse wave velocity as a measurement for increased carotid intima‐media thickness: A comparison with carotid‐femoral pulse wave velocity in a Chinese community‐based cohort

作者：Danmei He, Lan Gao, Ying Yang, Jia Jia, Yimeng Jiang, Pengfei Sun, Bo Liu, Jianping Li, Fangfang Fan, Yan Zhang, Yong Huo · 发表于：Journal of Clinical Hypertension · 年份：2022 · DOI：10.1111/jch.14448 · 被引用次数：13 · 研究领域：Cardiovascular Health and Disease Prevention、Blood Pressure and Hypertension Studies、Cerebrovascular and Carotid Artery Diseases

Carotid-femoral pulse wave velocity (cfPWV) and brachial-ankle pulse wave velocity (baPWV) act as two most frequently applied indicators to evaluate arterial stiffness. Limited studies have systematically compared the relationships between cfPWV/baPWV and increased carotid intima-media thickness (cIMT). This study aimed to investigate the associations of the two PWV indices with cIMT in a Chinese community-based population. A total of 6026 Chinese participants from an atherosclerosis cohort were included in our analysis. Increased cIMT was defined as the maximum of cIMT > 0.9 mm in end-systolic period of carotid artery. Mean (SD) cfPWV and baPWV were 8.55±1.83 and 16.79±3.35 m/s, respectively. The prevalence of increased cIMT was 59.58%. In multivariable logistic regression, both PWVs were independently associated with increased cIMT after adjustment for various confounders (for 1 m/s increase of cfPWV: OR = 1.07, 95% CI: 1.02-1.11; for 1 m/s increase of baPWV: OR = 1.03, 95% CI: 1.00-1.05). The highest cfPWV and baPWV quartile groups had higher prevalence of increased cIMT when compared with the lowest quartile groups (for cfPWV: OR = 1.28, 95% CI: 1.06-1.55; for baPWV: OR = 1.23, 95% CI: 1.00-1.50). However, when both PWVs were added into multivariable model simultaneously, only cfPWV was associated with odds of increased cIMT. Subgroup analyses further showed cfPWV was more strongly associated with increased cIMT than baPWV in males, participants aged ≥65 years, and those ...