脉波速度,颈动脉内膜中膜厚度和血流介导的扩张在高松动脉炎中的系统回顾。

Jun Watanabe, Yoshitaka Iwazu, Kazuhiko Kotani
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引用次数: 2

摘要

简介:高须动脉炎(Takayasu arteritis, TA)是一种与心血管风险增加相关的慢性血管炎。脉搏波速度(PWV)、颈动脉内膜-中膜厚度(CIMT)和血流介导扩张(FMD)是评估心血管风险的常用方法。这些测量在TA患者中的应用仍不确定。材料和方法:使用PubMed对2021年之前发表的报告TA患者PWV、CIMT和FMD水平的临床研究进行汇总。结果:15项研究符合条件。总体而言,与对照组相比,TA患者的PWV和CIMT水平显著较高,FMD水平显著较低。部分研究表明,TA的疾病活动性与PWV、CIMT或FMD水平显著相关。结论:PWV、CIMT和FMD测量可用于评估TA患者的心血管风险。有必要进行进一步的研究,以确定这些测量的正确使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Pulse wave velocity, carotid intima media thickness and flow-mediated dilation in Takayasu arteritis: a systematic review.

Pulse wave velocity, carotid intima media thickness and flow-mediated dilation in Takayasu arteritis: a systematic review.

Introduction: Takayasu arteritis (TA) is a chronic vasculitis associated with an increased cardiovascular risk. The measurement of pulse wave velocity (PWV), carotid artery intima-media thickness (CIMT) and flow-mediated dilatation (FMD) are generally used for evaluating the cardiovascular risk. The application of these measurements to TA patients remains undetermined.

Material and methods: Clinical studies that reported the PWV, CIMT and FMD levels in TA patients, which were published prior to 2021, were summarized using PubMed.

Results: Fifteen studies were eligible. Overall, in TA patients, the PWV and CIMT levels were significantly higher and the FMD levels were significantly lower compared to controls. Part of the studies showed that the disease activity of TA was significantly associated with the PWV, CIMT or FMD levels.

Conclusions: The PWV, CIMT and FMD measurements could be useful for evaluating the cardiovascular risk in TA patients. Further studies to determine the proper use of these measurements are warranted.

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