Related Experiment Video
Updated: May 13, 2026

A Methodological Approach to Non-invasive Assessments of Vascular Function and Morphology
Published on: February 7, 2015
Cardio-ankle vascular index in subjects with dyslipidaemia and other cardiovascular risk factors
Vladimir Soska1, Michaela Frantisova, Petr Dobsak
12nd Clinic of Internal Medicine, Masaryk University of Brno, Czech Republic. vladimir.soska@fnusa.cz
Insights
Cardio-ankle vascular index (CAVI) in dyslipidaemia patients is not affected by hypertension or diabetes. However, CAVI is significantly increased by smoking, indicating its impact on arterial stiffness.
Area of Science:
- Cardiovascular Medicine
- Vascular Biology
- Biomarkers
Background:
- Arterial stiffness and atherosclerosis are key indicators of cardiovascular risk.
- The cardio-ankle vascular index (CAVI) is a non-invasive measure reflecting these conditions.
- Dyslipidaemia (DLP) is a primary risk factor for cardiovascular disease.
Purpose of the Study:
- To investigate the influence of common cardiovascular risk factors on CAVI in patients with dyslipidaemia.
- Specifically examine the impact of hypertension, diabetes mellitus, and smoking on CAVI values.
Main Methods:
- A cohort of 392 dyslipidaemia patients (median age 58.5 years) were analyzed.
- Cardio-ankle vascular index (CAVI) was measured using the VaSera 1500 system.
- Statistical analysis assessed correlations between CAVI and age, blood pressure, sex, smoking status, and diabetes.
Main Results:
- CAVI correlated significantly with age and blood pressure.
- No significant difference in CAVI was observed between smokers and non-smokers, or between diabetic and non-diabetic subjects.
- Adjusted CAVI values were significantly higher in smokers compared to non-smokers.
Conclusions:
- Hypertension and diabetes mellitus do not significantly alter CAVI in dyslipidaemia patients.
- Smoking is a significant factor that increases CAVI in this patient group.
- CAVI may serve as a valuable indicator of smoking-induced vascular changes in dyslipidaemia.
Aim:
The cardio-ankle vascular index (CAVI) is a novel non-invasive marker of arterial stiffness and atherosclerosis. The aim of this work was to examine whether the CAVI value in patients with dyslipidaemia (DLP) is increased by the presence of other cardiovascular risk factors: hypertension, diabetes mellitus, and smoking.
Methods:
A total of 392 subjects with DLP (166 male, 226 female), with a median age of 58.5 and 5-95 percentile range 32.2-73.9 years were examined. CAVI was measured using the VaSera 1500 system.
Results:
CAVI correlated significantly with age (p<0.001) and both systolic (p<0.001) and diastolic (p=0.002) blood pressure; higher values were found in men (p=0.034) than in women in the 56-65 age group. There was no significant difference in CAVI between smokers and non-smokers (p= 0.217) and between subjects with and without diabetes mellitus (p= 0.424). CAVI was significantly higher in subjects with hypertension than in the normotensive group (p<0.001) and in statin-treated subjects than in those without statins (p<0.001); however, CAVI values adjusted for age and sex did not differ significantly between these groups. Adjusted CAVI values were higher only in smokers than in non-smokers (former smokers) (p<0.001).
Conclusion:
The study proves conclusively that the CAVI value in DLP patients is not significantly affected by hypertension and diabetes mellitus, but it is increased by smoking.
Related Concept Videos
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
Assessment of the Cardiovascular System I: Subjective Data
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Assessment of the Cardiovascular System III: Palpation
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
Blood Studies for Cardiovascular System III: Serum Lipid Profile
Serum lipids are fats and fatty substances in the blood and are crucial for various bodily functions, including energy storage, cellular structure, and hormone production. Serum lipids consist of cholesterol, triglycerides, and phospholipids.
Cholesterol is a soft, fat-like substance found in all body cells. It is crucial for producing hormones, vitamin D, and substances that aid...
Cardiovascular System Abnormal Findings I: Inspection and Palpation
Abnormal findings observed during an inspection
