Comparison of carotid‐femoral and brachial‐ankle pulse wave velocity in association with carotid plaque in a Chinese community‐based population

Pulse wave velocity (PWV) is the most widely used measurement of arterial stiffness in clinical practice. This study aimed to evaluate and compare the relationships between carotid‐femoral pulse wave velocity (cfPWV) and brachial‐ankle PWV (baPWV) and the presence of carotid plaque. This study was d...

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Published in:The journal of clinical hypertension (Greenwich, Conn.) Conn.), 2022-12, Vol.24 (12), p.1568-1576
Main Authors: Liu, Bo, Gao, Lan, Zheng, Bo, Yang, Ying, Jia, Jia, Sun, Pengfei, Jiang, Yimeng, Li, Kaiyin, Liu, Jiahui, Chen, Chuyun, Li, Jianping, Fan, Fangfang, Zhang, Yan, Huo, Yong
Format: Article
Language:English
Subjects:
Ankle
Ankle Brachial Index
Antihypertensives
Atherosclerosis
Beijing
Body mass index
brachial‐ankle pulse wave velocity
Cardiovascular disease
Carotid arteries
carotid plaque
carotid‐femoral pulse wave velocity
Cholesterol
Diabetes
Drugs
East Asian People
High density lipoprotein
Humans
Hypertension
Lipids
Metabolic disorders
Original
Population
Pulse Wave Analysis
Pulse Wave Velocity
Self report
Smoking
Triglycerides
Ultrasonic imaging
Veins & arteries
Velocity
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Summary:Pulse wave velocity (PWV) is the most widely used measurement of arterial stiffness in clinical practice. This study aimed to evaluate and compare the relationships between carotid‐femoral pulse wave velocity (cfPWV) and brachial‐ankle PWV (baPWV) and the presence of carotid plaque. This study was designed cross‐sectionally and included 6027 participants from a community‐based cohort in Beijing. Logistic regression analyses were performed to evaluate and compare the associations of cfPWV and baPWV with the presence of carotid plaque. The mean (SD) cfPWV and baPWV were 8.55 ± 1.83 and 16.79 ± 3.36, respectively. The prevalence of carotid plaque was 45.26% (n = 2728). Both cfPWV (per 1 m/s increase: OR = 1.11, 95% CI: 1.07–1.16) and baPWV (OR = 1.04, 95% CI: 1.02–1.06) were independently associated with carotid plaque after adjusting for various confounders. Compared with bottom quartile (cfPWV ≤7.31 m/s and baPWV ≤14.44 m/s), the top quartile of cfPWV and baPWV had a significantly higher prevalence of carotid plaque (for cfPWV: OR = 1.59, 95% CI: 1.32–1.92; for baPWV: OR = 1.53, 95% CI: 1.26–1.86). However, the relationship of baPWV and carotid plaque was nonlinear, with a positive trend only when baPWV 
ISSN:1524-6175
1751-7176
DOI:10.1111/jch.14602