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Availability of cardio-ankle vascular index (CAVI) as a screening tool for atherosclerosis
Koichiro Kadota1, Noboru Takamura, Kiyoshi Aoyagi
1Department of General Medicine, Nagasaki University Graduate School of Biomedical Sciences, 1-12-4 Sakamoto, Nagasaki 852-8523, Japan.
Insights
The cardio-ankle vascular index (CAVI) effectively screens for atherosclerosis by correlating with age, blood pressure, and common atherosclerosis markers. Further research is needed to develop a convenient screening system using CAVI.
Area of Science:
- Cardiovascular Medicine
- Vascular Biology
- Biomarkers
Background:
- A novel index, the cardio-ankle vascular index (CAVI), measures arterial stiffness.
- CAVI reflects the elasticity of the aorta, femoral artery, and tibial artery.
Purpose of the Study:
- To clarify the correlation between CAVI and existing atherosclerosis markers.
- To evaluate CAVI as a potential screening tool for atherosclerosis.
Main Methods:
- Screened 1,014 Japanese adults from the general population.
- Measured CAVI, carotid intima-media thickness (CIMT), and homocysteine (HCY).
- Analyzed correlations between CAVI, age, blood pressure, cholesterol, HbA1c, HCY, and CIMT.
Main Results:
- CAVI showed a strong association with age in both sexes.
- Adjusted for age and sex, CAVI correlated with systolic and diastolic blood pressures.
- CAVI was significantly correlated with total cholesterol, HbA1c, total HCY, and CIMT.
Conclusions:
- CAVI is an appropriate screening tool for atherosclerosis.
- Further studies are required to establish a convenient and effective screening system using CAVI.
Background:
A novel index, the cardio-ankle vascular index (CAVI), which reflects the stiffness of the aorta, femoral artery, and tibial artery, was recently developed by measuring brachial - ankle pulse wave velocity and blood pressure.
Methods And Results:
In the present study 1,014 Japanese adults from the general population were screened to clarify the correlation between CAVI and other existing markers related to atherosclerosis, including carotid intima - media thickness (CIMT) and homocysteine (HCY). CAVI was strongly associated with age in both men and women. After adjustment for age and sex, CAVI was correlated with systolic and diastolic blood pressures. In addition, CAVI was significantly correlated with total cholesterol hemoglobin A(1c) and total HCY, as well as CIMT.
Conclusion:
CAVI is an appropriate screening tool for atherosclerosis, but further studies are needed to establish a convenient and effective screening system using it.
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