search for   

 

Comparison of Clinical Laboratory Data and Prevalence according to Arterial Stiffness in Stroke Patients
Korean J Clin Lab Sci 2014,46:143-149  
Published on December 31, 2014
Copyright © 2014 Korean Society for Clinical Laboratory Science.

Bok Hee Jin1 and Min Ho Han2

1Department of Clinical Laboratory Science, Wonkwang Health Science University, Iksan 570-750, Korea,
2Department of Neurology, Yonsei University Severance Hospital, Seoul 120-752, Korea
Correspondence to: Min Ho Han
Department of Neurology, Yonsei University Severance Hospital, Seoul 120-752, Korea
Tel: 82-2-2228-5283
E-mail: umsthol18@gmail.com
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Pulse wave velocity (PWV) is used to non-invasively estimate the severity of arteriosclerosis by measuring the patient's arterial stiffness comparing with each normal reference range according to their ages. Increased arterial stiffness is closely related to both atherosclerosis and arteriosclerosis, which have been known for causes of cardiovascular disease and stroke, also negatively affects the prognosis and the re-occurrence in patients with stroke. The study is focused on how brachial-ankle pulse wave velocity (baPWV) is related to cardiovascular disease risk factors in patients with acute stroke. There were 114 subjects, 69 males and 45 females, all in their 60's and had PWV test for acute stroke. The results are as follows: the group with increased arterial stiffness showed significant increase in HbAlc, total cholesterol, RSBP (resting systolic blood pressure), CSBP (central systolic blood pressure) and CDBP (central diastolic blood pressure). Cross tabulation test showed that there was a significant relationship only between the group with increased arterial stiffness and diabetes mellitus (DM). Therefore, it might be useful for preventing re-occurrence and making a favorable prognosis to promptly adjust DM and hypertension-related risk factors in patients with acute stroke.
Keywords : Stroke, Brachial-ankle pulse wave velocity, Arterial stiffness
References
  1. Blacher J, Asmar R, Djane S, London GM, safar ME. Aortic pulse wave velocity as a marker of cardiovascular risk in hypertensive patients. Hypertension. 1999, 33:1111-1117.
    Pubmed CrossRef
  2. Boutouyrie P, Tropeano AI, Aamar R, Gautier I, Benetos A, Lacolley P, Laurent S. Aortic stiffness is an independent predictor of primary coronary events in hypertensive patients: A longitudinal study. Hypertension. 2002, 39:10-15.
    Pubmed CrossRef
  3. Choi JC, Lee JS, Kang SY, Kang JH, Bae JM, Lee DH. Limitation of brachial-ankle pulse wave velocity in assessing the risk of stroke:Importance of instantaneous blood pressure. Cerebrovasc Dis. 2009, 27:417-425.
    Pubmed CrossRef
  4. Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care. 2003, 26Suppl1:S5-20.
    Pubmed
  5. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). JAMA. 2001, 285(19):2486-2497.
    CrossRef
  6. Franklin SS, Khan SA, Wong ND, Larson MG, Levy D. Is pulse pressure useful in predicting risk for coronary heart disease? The Framingham Heart Study. Circulation. 1999, 100:354-360.
    Pubmed CrossRef
  7. Hamilton PK, Lockhart CJ, Quinn CE, McVeigh GE. Arterial stiffness: Clinical relevance, measurement and treatment. Clin Sci(Lond). 2011, 100:387-393.
  8. Izzo JL. Arterial stiffness and the systolic hypertension syndrome. Curr Opin Cardiol. 2004, 19:341-352.
    Pubmed CrossRef
  9. Jones DW, Hall JE. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure and evidence from new hypertension trials. Hypertension. 2004, 43(1):1-3.
    Pubmed CrossRef
  10. Kim J, Cha MJ, Lee DH, Lee HS, Nam CM, Nam HS, et al. The association between cerebral atherosclerosis and arterial stiffness in acute ischemic stroke. Atherosclerosis. 2011, 219(2):887-891.
    Pubmed CrossRef
  11. Laurent S, Boutouyrie P. Recent advances in arterial stiffness and wave reflection in human hypertension. Hypertension. 2007, 49:1210-1206.
    Pubmed CrossRef
  12. Laurent S, Katsahian S, Fassot C, Tropeano AI, Gautier I, Laloux B, Boutouyrie P. Aortic stiffness is an independent predictor of fatal stroke in essential hypertension. Stroke. 2003, 34:1203-1206.
    Pubmed CrossRef
  13. McLeod AL, Uren NG, Wilkinson IB. Non-invasive measures of pulse wave velocity correlate with coronary arterial plaque load in humans. J Hypertens. 2004, 22:363-368.
    Pubmed CrossRef
  14. Motobe K, Tomiyama H, Koji Y, Yambe M, Gulinisa Z, Arai T, et al. Cut-off value of the ankle-brachial pressure index at which the accuracy of brachial-ankle pulse wave velocity measurement is diminished. Circulation journal : official journal of the Japanese Circulation Society. 2005, 69(1):55-60.
    Pubmed CrossRef
  15. Rhee MY. Acute and chronic effects of smoking on the arterial wall properties and the hemodynamics in smokers with hypertension. Korean Circ J. 2005, 35:493-499.
    CrossRef
  16. Seo WK, Lee JM, Park MH, Park KW, Lee DH. Cerebral microbleeds are independently associated with arterial stiffness in stroke patients. Cerebrovasc Dis. 2008, 26(6):618-23.
    Pubmed CrossRef
  17. Zieman SJ, Melenovsky V, Kass DA. Mechanisms, pathophysiology, and therapy of arterial stiffness. Arterioscler Thromb Vasc Biol. 2005, 25:932-943.
    Pubmed CrossRef
  18. Park JS, Seo JJ, Chung JW, Cho HJ, Bae JW, Kim KI, et al. Association of the Invasively Measured Aortic Stiffness and Coronary Artery Disease. Korean Circulation J 2005, 35:766-772.
    CrossRef
  19. Zo JH, Lee SK, Kim SH, Kim MA. The Relationship of Pulse-wave Velocity with Carotid Intima-media Thickness and Carotid Artery Distensibility. J Cardiovasc Ultrasound 2006, 14(3):92-97.