Increased pulse wave velocity and carotid intima-media thickness in patients with ulcerative colitis
Remzi Adnan Akdoğan1, Murtaza Emre Durakoğlugil, Sinan Altan Kocaman
1Department of Gastroenterology, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.
Insights
This study found that ulcerative colitis (UC) patients have increased arterial stiffness and atherosclerosis. These findings suggest a link between UC and cardiovascular risk factors.
Area of Science:
- Cardiovascular Medicine
- Gastroenterology
- Vascular Biology
Background:
- Ulcerative colitis (UC) is a chronic inflammatory bowel disease.
- The relationship between UC and cardiovascular disease (CVD) remains unclear.
Purpose of the Study:
- To assess atherosclerosis and arterial stiffness in UC patients.
- Investigate carotid intima-media thickness (CIMT) and carotid-femoral pulse wave velocity (cf-PWV) in UC.
Main Methods:
- Cross-sectional, observational study design.
- 37 UC patients and 30 controls underwent CIMT and cf-PWV measurements.
- Exclusion of patients with prior CVD or other inflammatory conditions.
Main Results:
- UC patients exhibited significantly higher CIMT and cf-PWV.
- UC was an independent predictor of CIMT.
- Higher disease activity correlated with increased CIMT and cf-PWV.
Conclusions:
- UC is associated with increased arterial stiffness and atherosclerotic burden.
- Underlying mechanisms require further investigation.
Background:
Ulcerative colitis (UC) is characterized with chronic, progressive inflammation of the gastrointestinal tract. The association of UC with cardiovascular disease is still a matter of debate.
Aim:
The aim of this study was to investigate whether carotid intima-media thickness (CIMT) and carotid-femoral pulse wave velocity (cf-PWV) as surrogates of atherosclerosis and arterial stiffness are increased in patients with UC.
Methods:
Our study was cross-sectional and observational in design. Baseline characteristics were recorded during interview with the patient. Patients with previous cardiovascular disease, rheumatoid arthritis, chronic renal failure, and infectious and inflammatory disorders other than UC were excluded. Thirty-seven consecutive patients with UC and 30 control participants underwent cf-PWV assessment and CIMT measurement. The diagnosis of UC was based on clinical, radiologic, endoscopic, and histological findings.
Results:
CIMT, cf-PWV, and C reactive protein were significantly higher in patients with UC. Although linear regression analyses identified UC as an independent predictor of CIMT (β ± SE, 0.39 ± 0.08; p < 0.001), only age independently predicted cf-PWV (β ± SE, 0.08 ± 0.03; p = 0.003) in our study population. Moreover, we revealed higher CIMT and PWV values in patients with higher disease activity and more extensive involvement, compared to patients with mild activity and limited disease.
Conclusion:
We revealed increased pulse wave velocity and CIMT in patients with UC. UC appears to be associated with arterial stiffness and atherosclerotic burden, but the underlying mechanisms require further studies to be identified.
Related Concept Videos
Inflammatory Bowel Disease I: Ulcerative Colitis
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory Bowel Disease II: Ulcerative Colitis
Inflammatory Bowel Disease IV: Clinical Manifestations
Chronic Bowel Disorders: Introduction
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Inflammatory Bowel Disease II: Crohn's Disease
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by transmural...
Inflammatory Bowel Disease I: Introduction

