Multi-view carotid ultrasound is stronger associated with cardiovascular risk factors than presence of plaque or single carotid intima media thickness measurements in subclinical atherosclerosis

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Bengtsson, Anna,1973-Umeå universitet,Institutionen för epidemiologi och global hälsa,Allmänmedicin (author)

Multi-view carotid ultrasound is stronger associated with cardiovascular risk factors than presence of plaque or single carotid intima media thickness measurements in subclinical atherosclerosis

Article/chapterEnglish2023

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Springer Nature,2023
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LIBRIS-ID:oai:DiVA.org:umu-209575
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-209575URI
https://doi.org/10.1007/s10554-023-02868-0DOI

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Language:English
Summary in:English

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We aimed to explore the prevalence of atherosclerosis by using multi-view ultrasound examination of the carotid arteries and its association with clinical risk factors in a middle-aged population at low to intermediate risk of cardiovascular disease (CVD). Carotid vascular ultrasound was performed in 3532 participants in the VIPVIZA trial. Mean and maximal carotid intima media thickness (cIMT) at prespecified angles and plaque presence were examined on the left and right side. Associations between CVD risk factors and ultrasound variables were quantified by partial least squares (PLS) regression. A combined ultrasound variable was computed using weights of the first PLS component. Associations between CVD risk factors and the combined multi-view ultrasound variable, single cIMT and plaque measurements, respectively, were determined using linear regression modelling. The participants’ mean age was 55.7 years and 52.9% were women. Plaque prevalence was 51.1% in men and 39.0% in women. cIMT was higher in men than in women and in the left compared with the right carotid artery. The strongest association of CVD risk factors was observed with the combined multi-view ultrasound variable (R2 = 24%), compared with single cIMT variables (R2 = 14–18%) and plaque presence (R2 = 15%). The pattern was similar in both sexes. The association with CVD risk factors and the combined ultrasound variable was stronger in 40-year olds (R2 = 22%) compared with 50- or 60-year olds (R = 12%). CVD risk factors are stronger associated with a combined ultrasound variable than plaque presence or single cIMT measures suggesting that carotid multi-view ultrasonography better captures the focality of early atherosclerosis. Clinical Trial Registration: ClinicalTrials.gov, number NCT01849575. May 8, 2013.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
Atherosclerosis
Cardiovascular disease
Carotid intima media thickness
Carotid plaque
Carotid ultrasound

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Nyman, EmmaUmeå universitet,Avdelningen för medicin(Swepub:umu)emny0030 (author)
Grönlund, ChristerUmeå universitet,Institutionen för strålningsvetenskaper(Swepub:umu)chgr0009 (author)
Wester, Per,1959-Umeå universitet,Avdelningen för medicin(Swepub:umu)pewe0002 (author)
Näslund, UlfUmeå universitet,Avdelningen för medicin(Swepub:umu)ulna0002 (author)
Fhärm, EvaUmeå universitet,Allmänmedicin(Swepub:umu)evfh0001 (author)
Norberg, MargaretaUmeå universitet,Institutionen för epidemiologi och global hälsa(Swepub:umu)mano0062 (author)
Umeå universitetInstitutionen för epidemiologi och global hälsa (creator_code:org_t)

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In:The International Journal of Cardiovascular Imaging: Springer Nature39:8, s. 1461-14711569-57941875-8312

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