Tian Guoxiang, Wei Wanlin, Zhang Wei, Zhang Ling, You Hongshuai, Liu Wen, Sun Zhu, Wang Xiaobing, Wu Xiao
Department of Cardiology, General Hospital of Beijing Military Command, Beijing, China.
J Int Med Res. 2013 Apr;41(2):435-44. doi: 10.1177/0300060513477290. Epub 2013 Mar 7.
The study investigated the relationship between arterial stiffness calculated using the cardio-ankle vascular index (CAVI), diagnosis of type 2 diabetes mellitus and type 2 diabetes-related cardiovascular complications, in patients with type 2 diabetes mellitus (type 2 diabetes) and nondiabetic patients.
A retrospective cross-sectional study was conducted in patients with type 2 diabetes and age-matched nondiabetic patients. CAVI was measured using an automatic vascular screening system. Parameters associated with type 2 diabetes and cardiovascular complications were also measured.
A total of 51 patients with type 2 diabetes and 59 nondiabetic patients were enrolled in the study. Significantly higher CAVI scores were observed in patients with type 2 diabetes compared with nondiabetic patients (mean ± SD: 9.55 ± 1.13 versus 8.54 ± 0.94, respectively). Multivariate linear regression analyses demonstrated that age was the only significant factor influencing the CAVI score, in patients with type 2 diabetes.
Patients with type 2 diabetes had an increased risk of arterial stiffness, based on the CAVI score, compared with nondiabetic patients; this, in turn, could increase their risk of developing other cardiovascular complications.
本研究调查了使用心踝血管指数(CAVI)计算的动脉僵硬度与2型糖尿病诊断及2型糖尿病相关心血管并发症之间的关系,研究对象为2型糖尿病患者和非糖尿病患者。
对2型糖尿病患者和年龄匹配的非糖尿病患者进行了一项回顾性横断面研究。使用自动血管筛查系统测量CAVI。还测量了与2型糖尿病和心血管并发症相关的参数。
本研究共纳入51例2型糖尿病患者和59例非糖尿病患者。与非糖尿病患者相比,2型糖尿病患者的CAVI得分显著更高(分别为均值±标准差:9.55±1.13和8.54±0.94)。多变量线性回归分析表明,年龄是影响2型糖尿病患者CAVI得分的唯一显著因素。
基于CAVI得分,与非糖尿病患者相比,2型糖尿病患者发生动脉僵硬度增加的风险更高;这反过来可能会增加他们发生其他心血管并发症的风险。