Predictive value of associations between carotid arterial sclerosis and left ventricular diastolic dysfunction in
Yukio Mizuguchi1, Hideji Tanaka, Yoshifumi Oishi
1Cardiovascular Section, Higashi Tokushima National Hospital, National Hospital Organization, Tokushima, Japan. mizuguchi@higasitokusima.hosp.go.jp
Insights
Arterial stiffness, a marker of cardiovascular disease, is linked to impaired left ventricular (LV) diastolic function in patients with risk factors. Early detection using ultrasonic strain imaging is crucial for intervention.
Area of Science:
- Cardiovascular Medicine
- Medical Imaging
- Biomedical Engineering
Background:
- Arterial stiffness is a known contributor to cardiovascular disease morbidity and mortality.
- Limited data exist on the relationship between arterial stiffness and left ventricular (LV) diastolic function in individuals with cardiovascular risk factors.
- Subclinical atherosclerosis assessment is vital in this population.
Purpose of the Study:
- To investigate the association between carotid arterial stiffness and LV diastolic function.
- To explore correlations between arterial stiffness parameters and LV diastolic function indices.
- To identify potential markers for early detection of cardiovascular risk.
Main Methods:
- Carotid intima-media thickness and stiffness (beta) measured via ultrasonography in 30 patients with cardiovascular risk factors.
- LV systolic and diastolic function assessed using transmitral flow velocity, mitral annular motion velocity, and myocardial strain/strain rate imaging.
- Comparison with an age-matched control group.
Main Results:
- Patients exhibited greater carotid stiffness (beta) and lower peak early diastolic strain rates in LV walls compared to controls.
- Carotid stiffness (beta) correlated with age, transmitral flow parameters, mitral annular motion velocity, and LV diastolic strain rates.
- Early diastolic strain rates of LV walls showed a strong relationship with carotid stiffness (beta).
Conclusions:
- LV relaxation is significantly associated with carotid arterial atherosclerosis, specifically sclerosis, in patients with cardiovascular risk factors.
- Ultrasonic strain imaging can aid in screening for these abnormalities.
- Early intervention strategies are supported by these findings for at-risk populations.
Abstract:
It is well known that arterial stiffness affects the morbidity and mortality associated with cardiovascular disease. However, there are limited data addressing the relationship between arterial stiffness and left ventricular (LV) diastolic function in patients with cardiovascular risk factors. Subclinical atherosclerosis was determined by measuring the intima-media thickness and stiffness (beta) of the left and right common carotid arteries using B- and M-mode ultrasonography in 30 patients with one or more cardiovascular risk factors. LV systolic and diastolic function were also determined by measuring transmitral flow velocity, mitral annular motion velocity, and myocardial strain and strain rate profiles using pulsed Doppler, tissue velocity, and ultrasonic strain imaging. The carotid stiffness beta was greater and the peak early diastolic strain rates of the LV posterior and inferior walls were lower in these patients than in the age-matched control group. The carotid intima-media thickness correlated only with body mass index and LV wall thickness. The carotid stiffness beta correlated with age, peak early diastolic velocity and deceleration time of the transmitral flow, peak early diastolic mitral annular motion velocity, and peak early diastolic strain rates of the LV walls. Multiple linear regression analysis revealed that early diastolic strain rates of the LV walls are strongly related to carotid stiffness beta. In conclusion, LV relaxation is significantly associated with carotid arterial atherosclerosis, particularly sclerosis, in patients with cardiovascular risk factors. These results support the importance of screening using ultrasonic strain imaging and early intervention in this patient population.
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