Aortic augmentation index is associated with the ankle-brachial index: A community-based study
Aortic augmentation index is associated with the ankle-brachial index: A community-based study
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DOI:
10.1016/j.atherosclerosis.2006.12.017
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发表时间:
2007-12-01
期刊:
影响因子:
5.3
通讯作者:
Kullo, Iftikhar J.
中科院分区:
文献类型:
--
作者:
Khaleghi, Mahyar;Kullo, Iftikhar J.
Background: Increased arterial stiffness has been associated with greater risk of cardiovascular events. We investigated whether aortic augmentation index (AIx), a measure of arterial stiffness and wave reflection, was associated with the ankle-brachial index (ABI), a measure of peripheral arterial disease (PAD).Method: AIx and ABI were measured in a community-based sample of 475 adults without prior history of heart attack or stroke (mean age 59.3 years, 46.5% men). Radial artery pulse waveforms were obtained by applanation tonometry and an ascending aortic pressure waveform derived by a transfer function. AIx is the difference between the first and second systolic peak of the ascending aortic pressure waveform indexed to the central pulse pressure. ABI was measured using a standard protocol, and subjects with non-compressible vessels (ABI >1.5) were excluded from the analyses. Multivariable linear and logistic generalized estimating equations (GEE) analyses were used to assess whether AIx was associated with ABI and ABI