Carotid atherosclerosis and arterial peripheral pulse wave velocity in cerebral thrombosis

Tamaki Tomonori1, Sawada Keiko, Hayashi Shinkichi

  • 1Department of Neurosurgery, Nippon Medical School Tamanagayama Hospital, 1-7-1 Nagayama Tama-shi, Tokyo-to, Japan 206-8512. tamakito@nms.ac.jp

Insights

Arterial stiffness, measured by pulse wave velocity, is linked to the presence of carotid plaque in stroke patients. However, it does not correlate with the plaque

Area of Science:

  • Cardiovascular Medicine
  • Neurology
  • Vascular Biology

Background:

  • Arterial stiffening and thickening are key features of atherosclerosis.
  • Understanding the link between large artery stiffness and thickening is crucial for preventing cerebrovascular disease.
  • Limited research exists on the correlation between carotid artery wall thickening and arterial stiffness.

Purpose of the Study:

  • To investigate the relationship between arterial stiffness and carotid plaque in patients with cerebral thrombosis.
  • To assess if arterial stiffness correlates with the presence and severity of carotid atherosclerosis.

Main Methods:

  • Study included 109 patients (aged 40-80) with cerebral thrombosis.
  • Arterial stiffness was assessed using ankle-brachial pulse wave velocity.
  • Carotid plaque was detected via high-resolution real-time B-mode ultrasonography, with plaque severity scored.

Main Results:

  • High pulse wave velocity was significantly associated with the existence of carotid plaque (p<0.001).
  • Pulse wave velocity was not significantly associated with the severity of carotid plaque (p=0.14).
  • Multivariate logistic regression models confirmed these findings.

Conclusions:

  • Ankle-brachial pulse wave velocity is associated with the presence of carotid atherosclerosis in patients with cerebral thrombosis.
  • Arterial stiffness is not associated with the severity of carotid atherosclerosis in this patient group.
  • Findings suggest pulse wave velocity may serve as an indicator for carotid atherosclerosis presence.

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