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Published on: May 31, 2016
Aortic knob calcification and cardioankle vascular index in asymptomatic hypertensive patients
Ayça Ata Korkmaz1, Ali R Akyüz
1aDepartment of Radiology, Kanuni Training and Research Hospital bDepartment of Cardiology, Saglik Bilimleri University, Trabzon Ahi Evren Cardiovascular and Thoracic Surgery Research and Application Center, Trabzon, Turkey.
Insights
Aortic knob calcification (AKC) on chest X-rays may predict arterial stiffness in hypertensive patients. This finding suggests AKC can help identify individuals at risk for subclinical atherosclerosis.
Area of Science:
- Cardiovascular Medicine
- Radiology
- Vascular Biology
Background:
- Hypertension predisposes patients to atherosclerosis, increasing risks of target organ damage.
- Cardioankle vascular index (CAVI) is a novel marker for arterial stiffness and subclinical atherosclerosis.
- Aortic knob calcification (AKC) is a potential indicator of atherosclerosis in large vessels.
Purpose of the Study:
- To investigate the relationship between aortic knob calcification (AKC) and arterial stiffness (CAVI).
- To assess the predictive value of AKC for subclinical atherosclerosis in asymptomatic hypertensive patients.
Main Methods:
- Chest radiography was used to assess aortic knob calcification (AKC).
- Cardioankle vascular index (CAVI) was measured using the VaSera - 1000 CAVI instrument.
- Sixty hypertensive patients with AKC were compared to 60 age- and sex-matched controls without AKC.
Main Results:
- Patients with AKC exhibited significantly higher CAVI values compared to controls (11.8±3.9 vs. 8.2±2.1, P<0.001).
- A higher percentage of patients with subclinical atherosclerosis (CAVI≥9) had AKC compared to those without (72% vs. 34%, P<0.001).
Conclusions:
- Aortic knob calcification (AKC) detected on chest radiography may offer valuable predictive information.
- AKC could serve as a marker for arterial stiffness and subclinical atherosclerosis in asymptomatic hypertensive individuals.
Background:
Patients with hypertension are predisposed to atherosclerosis of large vessels and are at increased risk of target organ damage and related clinical sequelae. Cardioankle vascular index (CAVI) is a novel parameter of arterial stiffness and a surrogate marker of subclinical atherosclerosis. The aim of the present study was to investigate the relation between aortic knob calcification (AKC) and CAVI in asymptomatic hypertensive patients.
Methods And Results:
Sixty patients with AKC and age-matched sex-matched 60 control individuals without AKC were enrolled. Patients with known or having symptoms of atherosclerotic vascular diseases were excluded. AKC was assessed on chest radiography. CAVI was measured using the VaSera - 1000 CAVI instrument. AKC patients had higher CAVI values compared with those without AKC (11.8±3.9 vs. 8.2±2.1, P<0.001). Patients with subclinical atherosclerosis (CAVI≥9) had higher percent of AKC compared with those who had no atherosclerosis (CAVI<9) (72 vs. 34%, P<0.001).
Conclusion:
The presence of AKC on chest radiography may provide important predictive information of arterial stiffness and subclinical atherosclerosis in asymptomatic hypertensive patients.
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