Association of Retinal Arterial Narrowing With New‐Onset Carotid Plaque: A Chinese Community‐Based Nested Case‐Control Cohort Study
ABSTRACT To investigate whether retinal arterial narrowing is associated with incident carotid plaque in the general population. Individuals without carotid plaque in 2014 who developed new‐onset carotid plaque in 2018 were selected as cases (n = 156) for the atherosclerosis group and matched for ag...
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| Format: | Article |
| Language: | English |
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Wiley
2025-03-01
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| Series: | The Journal of Clinical Hypertension |
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| Online Access: | https://doi.org/10.1111/jch.14983 |
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| author | Yimeng Jiang Shenshen Yan Fangfang Fan Jinqiong Zhou Haicheng She Danmei He Ying Yang Jia Jia Yan Zhang |
| author_facet | Yimeng Jiang Shenshen Yan Fangfang Fan Jinqiong Zhou Haicheng She Danmei He Ying Yang Jia Jia Yan Zhang |
| author_sort | Yimeng Jiang |
| collection | DOAJ |
| description | ABSTRACT To investigate whether retinal arterial narrowing is associated with incident carotid plaque in the general population. Individuals without carotid plaque in 2014 who developed new‐onset carotid plaque in 2018 were selected as cases (n = 156) for the atherosclerosis group and matched for age and sex in a ratio of 1:1 for the control group. The effects of the baseline central retinal arteriolar equivalent (CRAE), central retinal venular equivalent (CRVE), and arteriovenous ratio (AVR) on the risk of new‐onset carotid plaque were evaluated in multivariable conditional logistic regression models. Subgroup analyses were performed. The mean CRAE, CRVE, and AVR were 153.03 ± 12.77 µm, 232.41 ± 19.78 µm, and 0.66 ± 0.07, respectively. After adjusting for multiple variables, the risk of developing new‐onset carotid plaque increased by 4% (odds ratio [OR] 1.04, 95% confidence interval [CI] 1.02–1.07, p < 0.01) with each 1‐µm decrease in CRAE and 80% (OR 1.80, 95% CI 1.17–2.78, p < 0.01) with each 0.1‐point decline in AVR. When CRAE and AVR were considered as categorical variables, compared with subjects in the highest CRAE and AVR groups, those in the lowest CRAE and AVR groups had a 159% (OR 2.59, 95% CI 1.34–5.01, p < 0.01) and 93% (OR 1.93, 95% CI 1.08–3.46, p = 0.03) increase in risk of developing new‐onset carotid plaque, respectively. However, CRVE was not significantly related to new‐onset carotid plaque. Subgroup and interaction analyses were performed, and no significant modification effect was found. In conclusion, retinal arterial narrowing was strongly related to the risk of incident carotid plaque. |
| format | Article |
| id | doaj-art-6d709a98ddde405aacdfac8f81c70fe6 |
| institution | DOAJ |
| issn | 1524-6175 1751-7176 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wiley |
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| series | The Journal of Clinical Hypertension |
| spelling | doaj-art-6d709a98ddde405aacdfac8f81c70fe62025-08-20T02:54:01ZengWileyThe Journal of Clinical Hypertension1524-61751751-71762025-03-01273n/an/a10.1111/jch.14983Association of Retinal Arterial Narrowing With New‐Onset Carotid Plaque: A Chinese Community‐Based Nested Case‐Control Cohort StudyYimeng Jiang0Shenshen Yan1Fangfang Fan2Jinqiong Zhou3Haicheng She4Danmei He5Ying Yang6Jia Jia7Yan Zhang8Department of Cardiology Peking University First Hospital Beijing Beijing ChinaBeijing Tongren Eye Center Beijing Tongren Hospital Capital Medical University Beijing Beijing ChinaDepartment of Cardiology Peking University First Hospital Beijing Beijing ChinaBeijing Tongren Eye Center Beijing Tongren Hospital Capital Medical University Beijing Beijing ChinaBeijing Tongren Eye Center Beijing Tongren Hospital Capital Medical University Beijing Beijing ChinaDepartment of Cardiology Peking University First Hospital Beijing Beijing ChinaDepartment of Cardiology Peking University First Hospital Beijing Beijing ChinaDepartment of Cardiology Peking University First Hospital Beijing Beijing ChinaDepartment of Cardiology Peking University First Hospital Beijing Beijing ChinaABSTRACT To investigate whether retinal arterial narrowing is associated with incident carotid plaque in the general population. Individuals without carotid plaque in 2014 who developed new‐onset carotid plaque in 2018 were selected as cases (n = 156) for the atherosclerosis group and matched for age and sex in a ratio of 1:1 for the control group. The effects of the baseline central retinal arteriolar equivalent (CRAE), central retinal venular equivalent (CRVE), and arteriovenous ratio (AVR) on the risk of new‐onset carotid plaque were evaluated in multivariable conditional logistic regression models. Subgroup analyses were performed. The mean CRAE, CRVE, and AVR were 153.03 ± 12.77 µm, 232.41 ± 19.78 µm, and 0.66 ± 0.07, respectively. After adjusting for multiple variables, the risk of developing new‐onset carotid plaque increased by 4% (odds ratio [OR] 1.04, 95% confidence interval [CI] 1.02–1.07, p < 0.01) with each 1‐µm decrease in CRAE and 80% (OR 1.80, 95% CI 1.17–2.78, p < 0.01) with each 0.1‐point decline in AVR. When CRAE and AVR were considered as categorical variables, compared with subjects in the highest CRAE and AVR groups, those in the lowest CRAE and AVR groups had a 159% (OR 2.59, 95% CI 1.34–5.01, p < 0.01) and 93% (OR 1.93, 95% CI 1.08–3.46, p = 0.03) increase in risk of developing new‐onset carotid plaque, respectively. However, CRVE was not significantly related to new‐onset carotid plaque. Subgroup and interaction analyses were performed, and no significant modification effect was found. In conclusion, retinal arterial narrowing was strongly related to the risk of incident carotid plaque.https://doi.org/10.1111/jch.14983arteriovenous rationested case‐control studynew‐onset carotid plaqueretinal artery narrowing |
| spellingShingle | Yimeng Jiang Shenshen Yan Fangfang Fan Jinqiong Zhou Haicheng She Danmei He Ying Yang Jia Jia Yan Zhang Association of Retinal Arterial Narrowing With New‐Onset Carotid Plaque: A Chinese Community‐Based Nested Case‐Control Cohort Study The Journal of Clinical Hypertension arteriovenous ratio nested case‐control study new‐onset carotid plaque retinal artery narrowing |
| title | Association of Retinal Arterial Narrowing With New‐Onset Carotid Plaque: A Chinese Community‐Based Nested Case‐Control Cohort Study |
| title_full | Association of Retinal Arterial Narrowing With New‐Onset Carotid Plaque: A Chinese Community‐Based Nested Case‐Control Cohort Study |
| title_fullStr | Association of Retinal Arterial Narrowing With New‐Onset Carotid Plaque: A Chinese Community‐Based Nested Case‐Control Cohort Study |
| title_full_unstemmed | Association of Retinal Arterial Narrowing With New‐Onset Carotid Plaque: A Chinese Community‐Based Nested Case‐Control Cohort Study |
| title_short | Association of Retinal Arterial Narrowing With New‐Onset Carotid Plaque: A Chinese Community‐Based Nested Case‐Control Cohort Study |
| title_sort | association of retinal arterial narrowing with new onset carotid plaque a chinese community based nested case control cohort study |
| topic | arteriovenous ratio nested case‐control study new‐onset carotid plaque retinal artery narrowing |
| url | https://doi.org/10.1111/jch.14983 |
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