Relationship between Blood Stasis Syndrome Score and Cardioankle Vascular Index in Stroke Patients

Ki-Ho Cho1, Kyoo-Pil Kim, Byung-Cheol Woo

  • 1Department of Cardiovascular and Neurologic Disease, College of Oriental Medicine, Kyung Hee University, Seoul 130-702, Republic of Korea.

Insights

Cardio ankle vascular index (CAVI) can help diagnose blood stasis syndrome (BSS) in stroke patients. Combining CAVI with age improves diagnostic accuracy, offering a valuable clinical tool.

Area of Science:

  • Cardiovascular Medicine
  • Traditional Asian Medicine
  • Diagnostic Imaging

Background:

  • Blood stasis syndrome (BSS) is linked to atherosclerosis.
  • Cardio ankle vascular index (CAVI) estimates atherosclerosis extent.
  • Diagnostic utility of CAVI for BSS requires investigation.

Purpose of the Study:

  • To examine the diagnostic utility of CAVI in predicting BSS.
  • To evaluate CAVI's accuracy in diagnosing BSS in stroke patients.
  • To assess the combined diagnostic power of CAVI and age for BSS.

Main Methods:

  • Measured BSS scores and CAVI in 140 stroke patients.
  • Analyzed correlations between BSS, CAVI, age, and systolic blood pressure (SBP).
  • Utilized receiver operating characteristic (ROC) curve analysis for diagnostic accuracy.

Main Results:

  • BSS scores significantly correlated with CAVI, age, and SBP.
  • CAVI was a significant independent factor for BSS (OR 1.55, P=0.032).
  • Combined CAVI and age (AUC=0.759) showed superior diagnostic accuracy for BSS compared to CAVI (AUC=0.703) or age (AUC=0.692) alone.

Conclusions:

  • CAVI demonstrates moderate diagnostic accuracy for BSS in stroke patients.
  • Combining CAVI with age significantly enhances diagnostic accuracy for BSS.
  • CAVI and age together offer a promising objective tool for clinical BSS diagnosis.

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