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脉络膜血管指数与非侵入性超声动脉粥样硬化预测指标之间的关系。

The relationship between Choroidal Vascular Index and non-invasive ultrasonographic atherosclerosis predictors.

作者信息

Bayraktar Muhammet Fatih, Toprak Güvenç, Alkan Yunus

机构信息

Specialist, Department of Cardiology, Faculty of Medicine, Abant Izzet Baysal University, Bolu, 14030, Turkey.

Specialist, Department of Ophthalmology, Faculty of Medicine, Abant Izzet Baysal University, Bolu, 14030, Turkey.

出版信息

Photodiagnosis Photodyn Ther. 2024 Apr;46:104046. doi: 10.1016/j.pdpdt.2024.104046. Epub 2024 Mar 11.

Abstract

BACKGROUND

This study explores the intricate connections between choroidal vascular index (CVI) and non-invasive ultrasonographic atherosclerosis predictors, shedding light on the potential links between ocular vascular dynamics and systemic cardiovascular health.

METHODS

We conducted a cross-sectional analysis of 81 participants, assessing CVI, intima-media thickness (IMT), extra-media thickness (EMT), and the PATIMA index. The presence of coronary artery disease (CAD) was also evaluated. Statistical methods included descriptive statistics, t-tests for group comparisons, Spearman correlation analysis, and receiver operating characteristic (ROC) curve analysis.

RESULTS

Our findings revealed that patients with CAD had lower CVI values compared to those without CAD, underscoring a potential association between CVI and CAD. Significant negative correlations were observed between CVI and IMT, EMT, PATIMA, and CAD. ROC curve analysis identified optimal CVI cutoff values for hypertension and CAD detection, showcasing its potential as a diagnostic marker.

DISCUSSION

Our results align with existing literature on ocular vascular changes, supporting the notion that CVI may be a promising indicator of systemic vascular conditions. The study contributes to the broader understanding of the relationships between ocular and cardiovascular health, providing a foundation for future research and clinical applications.

CONCLUSION

The study suggests that CVI holds clinical relevance as a non-invasive marker for identifying systemic conditions, offering insights into the fields of neurology, physical therapy, and rehabilitation. Addressing its limitations, this research encourages further investigation into the multifaceted connections between CVI and atherosclerosis predictors.

摘要

背景

本研究探讨脉络膜血管指数(CVI)与非侵入性超声动脉粥样硬化预测指标之间的复杂联系,以揭示眼部血管动力学与全身心血管健康之间的潜在关联。

方法

我们对81名参与者进行了横断面分析,评估了CVI、内膜中层厚度(IMT)、中膜外厚度(EMT)和PATIMA指数。还评估了冠状动脉疾病(CAD)的存在情况。统计方法包括描述性统计、用于组间比较的t检验、Spearman相关性分析和受试者工作特征(ROC)曲线分析。

结果

我们的研究结果显示,与无CAD的患者相比,CAD患者的CVI值较低,这突出了CVI与CAD之间的潜在关联。在CVI与IMT、EMT、PATIMA和CAD之间观察到显著的负相关。ROC曲线分析确定了用于高血压和CAD检测的最佳CVI临界值,展示了其作为诊断标志物的潜力。

讨论

我们的结果与关于眼部血管变化的现有文献一致,支持CVI可能是全身血管状况的一个有前景的指标这一观点。该研究有助于更广泛地理解眼部和心血管健康之间的关系,为未来的研究和临床应用奠定了基础。

结论

该研究表明,CVI作为识别全身状况的非侵入性标志物具有临床相关性,为神经学、物理治疗和康复领域提供了见解。在解决其局限性的同时,本研究鼓励进一步探究CVI与动脉粥样硬化预测指标之间的多方面联系。

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